Tier: Off MetaWin40.95%Role0.82%Pick0.02%Ban0.31%Games: 13KDA: 2.50Score: 47.68
Karthus ADC is ranked Off Meta Tier and has a 40.95% win rate in LoL Patch 7.24. We've analyzed 13 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Morellonomicon, Rylai's Crystal Scepter, Liandry's Torment, and Void Staff. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathPrecision>Precision</pathPrecision> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Heal and Flash. Starting items should include Health Potion, Doran's Ring, Refillable Potion, The Dark Seal, and Warding Totem (Trinket).
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Karthus Summoner Spells


Win %
Pick %
50%
92%
57%
54%

40%
38%

100%
8%

100%
8%
Karthus Starting Items

63%

63%

40%

40%

55%
Karthus Runes
Win %
Pick %
38%
51%
87%
19%
100%
8%
Karthus Items

75%

54%

60%

100%

75%

50%

55%

0%
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 %

55%
85%

75%
31%
Karthus Boots
Win %
Buy %

54%
100%