Tier: DWin44.12%Role12.94%Pick0.24%Ban0.63%Games: 136KDA: 2.18Score: 46.63
Karthus Mid Lane is ranked D Tier and has a 44.12% win rate in LoL Patch 9.24. We've analyzed 136 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Luden's Echo, Sorcerer's Shoes, Morellonomicon, Zhonya's Hourglass, and Rabadon's Deathcap. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Health Potion, Doran's Ring, Corrupting Potion, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Akali, Veigar, and Yasuo. Karthus's Best Mid Lane counters are Ahri, Irelia, and Sylas.
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Karthus Summoner Spells


Win %
Pick %
47%
92%
41%
38%

44%
30%

37%
26%

38%
12%

67%
2%
Karthus Starting Items

47%

47%

33%

33%

43%
Karthus Runes
Win %
Pick %
43%
46%
50%
13%
44%
11%
83%
2%
Karthus Items

42%

49%

44%

46%

54%

51%

42%

51%
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 %

42%
101%

53%
13%

40%
4%
Karthus Boots
Win %
Buy %

44%
93%

50%
6%