Tier: AWin57.45%Role37.88%Pick3.32%Ban17.67%Games: 234KDA: 2.31Score: 52.25
Karthus Mid Lane is ranked A Tier and has a 57.45% win rate in LoL Patch 8.24. We've analyzed 234 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Luden's Echo, Morellonomicon, Zhonya's Hourglass, Rabadon's Deathcap, and Void Staff. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Refillable Potion, Hunter's Talisman, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Ekko, Malzahar, and Irelia. Karthus's Best Mid Lane counters are Lissandra, Ahri, and Akali.
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Karthus Summoner Spells


Win %
Pick %
54%
100%
55%
59%

57%
20%

50%
9%

41%
9%

86%
3%
Karthus Starting Items

56%

55%

47%

40%

54%
Karthus Runes
Win %
Pick %
60%
35%
47%
35%
64%
6%
52%
6%
Karthus Items

54%

53%

60%

60%

62%

54%

53%

49%
Karthus Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Karthus Trinkets
Win %
Buy %

53%
90%

55%
41%

42%
5%
Karthus Boots
Win %
Buy %

54%
99%

67%
1%

50%
1%

0%
2%