Karthus Mid Lane is ranked A Tier and has a 56.65% win rate in LoL Patch 7.24. We've analyzed 173 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Liandry's Torment, Zhonya's Hourglass, Void Staff, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathPrecision>Precision</pathPrecision> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, The Dark Seal, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Taliyah, Veigar, and Zyra. Karthus's Best Mid Lane counters are Corki, Lux, and Ryze.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
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