Katarina ADC is ranked Off Meta Tier and has a 50.07% win rate in LoL Patch 13.23. We've analyzed 5571 Katarina ADC games to compile our statistical Katarina Build Guide. For items, our build recommends: Nashor's Tooth, Sorcerer's Shoes, Blade of The Ruined King, Hextech Rocketbelt, Shadowflame, and Rabadon's Deathcap. For runes, the strongest choice is Precision (Primary) with Conqueror (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Doran's Shield, Health Potion, and Stealth Ward. Katarina's Best ADC matchups include Karthus, Kalista, and Veigar. Katarina's Best ADC counters are Kog'Maw, Swain, and Varus.