Tier: Off MetaWin59.47%Role6.42%Pick0.14%Ban0.79%Games: 190KDA: 2.48Score: 53.83
Karthus ADC is ranked Off Meta Tier and has a 59.47% win rate in LoL Patch 10.25. We've analyzed 190 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Demonic Embrace, Void Staff, and Rabadon's Deathcap. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Caitlyn, Aphelios, and Twitch. Karthus's Best ADC counters are Yasuo and Ezreal.
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Karthus Summoner Spells


Win %
Pick %
59%
100%
60%
77%

55%
11%

69%
7%

50%
2%

40%
3%
Karthus Starting Items
Win %
Buy %


2

64%
67%
Karthus Runes
Win %
Pick %
60%
74%
42%
7%
81%
3%
75%
1%
Karthus Items

62%

60%

70%

67%

66%

56%

63%

70%
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 Item Purchase Order


























Karthus Trinkets
Win %
Buy %

63%
55%

52%
65%

56%
19%
Karthus Boots
Win %
Buy %

60%
98%

100%
1%

25%
2%

0%
1%
Karthus Mythic Items
Win %
Buy %

62%
78%

61%
15%

46%
7%

0%
1%

0%
1%

0%
1%