Tier: Off MetaWin48.38%Role7.53%Pick0.28%Ban5.81%Games: 7262KDA: 2.20Score: 48.36
Our Karthus Mid Lane Build for LoL Patch 13.19 is updated daily with the best Karthus runes, items, counters, skill order, build order, mythic items, summoner spells, trinkets, and more. METAsrc calculates the best Karthus build based on data analysis of Karthus Mid Lane game match stats such as win rate, pick rate, KDA, ban rate, etc. This guide is updated daily from the latest Patch 13.19 League of Legends player matches.
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Karthus Mid Build
Mid Build
Karthus Summoner Spells


Win %
Pick %
49%
81%
48%
47%

49%
41%

50%
23%

48%
4%

50%
2%
Karthus Starting Items
Win %
Buy %


2

50%
28%


2

49%
9%
Karthus Runes
Win %
Pick %
50%
33%
50%
24%
46%
18%
47%
2%
Karthus Items

50%

50%

52%

53%

52%

57%

48%

55%
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 %

48%
84%

50%
32%

51%
8%
Karthus Boots
Win %
Buy %

50%
87%

47%
7%

50%
0%

45%
0%

38%
0%

30%
0%
Karthus Mythic Items
Win %
Buy %

50%
82%

46%
11%

47%
2%

46%
1%

46%
0%

50%
0%