Tier: Off MetaWin66.29%Role2.78%Pick0.16%Ban10.50%Games: 121KDA: 2.19Score: 53.60
Karthus ADC is ranked Off Meta Tier and has a 66.29% win rate in LoL Patch 9.24. We've analyzed 121 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Luden's Echo, Liandry's Torment, 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, Dark Seal, Boots of Speed, and Warding Totem (Trinket). Karthus's Best ADC matchups include Draven, Syndra, and Aphelios. Karthus's Best ADC counters are Miss Fortune.
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Karthus Summoner Spells


Win %
Pick %
54%
100%
54%
61%

53%
36%

50%
2%

50%
2%
Karthus Starting Items

54%

54%

50%

0%

53%
Karthus Runes
Win %
Pick %
57%
70%
77%
4%
35%
8%
100%
1%
Karthus Items

53%

56%

57%

55%

53%

47%

52%

47%
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 %

52%
96%

57%
62%

50%
7%
Karthus Boots
Win %
Buy %

53%
99%

100%
1%