Tier: DWin41.94%Role36.78%Pick2.80%Ban22.09%Games: 1015KDA: 2.16Score: 48.17
Karthus Mid Lane is ranked D Tier and has a 41.94% win rate in LoL Patch 8.24. We've analyzed 1015 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Morellonomicon, Rabadon's Deathcap, and Void Staff. 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 Exhaust. Starting items should include Health Potion, Doran's Ring, Refillable Potion, The Dark Seal, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Azir, Mordekaiser, and Cho'Gath. Karthus's Best Mid Lane counters are Riven, Viktor, and Zilean.
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Karthus Summoner Spells


Win %
Pick %
50%
100%
49%
41%

53%
37%

49%
7%

51%
5%

47%
5%
Karthus Starting Items

51%

51%

45%

42%

50%
Karthus Runes
Win %
Pick %
52%
58%
47%
14%
45%
9%
59%
2%
Karthus Items

52%

50%

51%

53%

56%

51%

50%

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 %

50%
91%

47%
37%

59%
5%
Karthus Boots
Win %
Buy %

50%
97%

44%
2%

54%
1%

40%
1%

100%
0%