Tier: BWin64.05%Role25.96%Pick1.25%Ban5.30%Games: 44KDA: 1.76Score: 53.73
Karthus ADC is ranked B Tier and has a 64.05% win rate in LoL Patch 25.09. We've analyzed 44 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Sorcerer's Shoes, Liandry's Torment, Shadowflame, Zhonya's Hourglass, and Void Staff. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Exhaust and Flash. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Miss Fortune and Xayah. Karthus's Best ADC counters are Ezreal.
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Karthus Summoner Spells


Win %
Pick %
55%
100%
55%
100%
Karthus Starting Items
Win %
Buy %


2

55%
100%
Karthus Runes
Win %
Pick %
53%
81%
100%
5%
50%
5%
Karthus Items

52%

55%

53%

70%

67%

50%

61%

90%
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 %

61%
64%

56%
41%

50%
5%
Karthus Boots
Win %
Buy %

55%
91%

50%
5%
Karthus Situational Items
Win %
Buy %

44%
20%

100%
7%

100%
2%

100%
2%

100%
2%

0%
2%