Karthus Top Lane is ranked A Tier and has a 40.44% win rate in LoL Patch 7.24. We've analyzed 108 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Archangel's Staff, Liandry's Torment, Rabadon's Deathcap, and Void Staff. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathInspiration>Inspiration</pathInspiration> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Health Potion, Doran's Ring, The Dark Seal, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Top Lane matchups include Illaoi and Teemo. Karthus's Best Top Lane counters are Darius, Kayle, and Nasus.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
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 | Q | Q | Q | Q | Q | |||||||||||||
 | W | W | W | W | W | |||||||||||||
 | E | E | E | E | E | |||||||||||||
 | R | R | R |
Karthus Trinkets
Karthus Boots
Average Jungle Duo Queue Champions for Karthus Top Lane(49% - 51% win rate with Karthus)
Below Average Jungle Duo Queue Champions for Karthus Top Lane(under 49% win rate with Karthus)
Even Top Lane Matchups for Karthus Top Lane(49% - 51% win rate for Karthus)
