Tier: Off MetaWin42.70%Role3.93%Pick0.08%Ban0.93%Games: 42KDA: 1.86Score: 46.18
Karthus Top Lane is ranked Off Meta Tier and has a 42.70% win rate in LoL Patch 14.18. We've analyzed 42 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Archangel's Staff, Liandry's Torment, and Rabadon's Deathcap. For runes, the strongest choice is Inspiration (Primary) with First Strike (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Teleport and Flash. Starting items should include Doran's Ring and Health Potion. Karthus's Best Top Lane matchups include Camille and Garen.
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Karthus Summoner Spells


Win %
Pick %
46%
93%
38%
62%

54%
31%

67%
7%

100%
2%

0%
2%
Karthus Starting Items
Win %
Buy %


2
56%
21%


2
100%
2%
Karthus Runes
Win %
Pick %
57%
33%
48%
32%
67%
7%
15%
15%
Karthus Items

50%

46%

43%

75%

48%

64%

40%

50%
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 %

40%
102%

50%
33%

33%
14%
Karthus Boots
Win %
Buy %

46%
62%

33%
7%
Karthus Situational Items
Win %
Buy %

71%
17%

56%
21%

60%
12%

67%
7%

100%
5%

33%
7%