Tier: Off MetaWin47.78%Role4.01%Pick0.07%Ban0.50%Games: 51KDA: 1.81Score: 48.84
Karthus Support is ranked Off Meta Tier and has a 47.78% win rate in LoL Patch 10.25. We've analyzed 51 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Luden's Tempest, Zhonya's Hourglass, Demonic Embrace, Shard of True Ice, and Seraph's Embrace. 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 Spellthief's Edge, Health Potion, and Stealth Ward. Karthus's Best Support matchups include Malphite. Karthus's Best Support counters are Leona and Pantheon.
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Karthus Summoner Spells


Win %
Pick %
36%
92%
47%
33%

32%
49%

33%
12%

67%
6%

33%
6%
Karthus Starting Items
Win %
Buy %


2

37%
69%


2

50%
4%
Karthus Runes
Win %
Pick %
41%
35%
38%
14%
61%
8%
61%
8%
Karthus Items

45%

42%

41%

38%

41%

71%

41%

0%
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 %

41%
73%

29%
80%
Karthus Boots
Win %
Buy %

45%
82%

0%
6%

0%
2%
Karthus Mythic Items
Win %
Buy %

42%
47%

28%
35%

67%
6%

50%
4%