Tier: Off MetaWin48.38%Role6.06%Pick0.19%Ban1.50%Games: 151KDA: 1.87Score: 52.80
Karthus Support is ranked Off Meta Tier and has a 48.38% win rate in LoL Patch 11.24. We've analyzed 151 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Morellonomicon, Shard of True Ice, and Rabadon's Deathcap. For runes, the strongest choice is Inspiration (Primary) with First Strike (Keystone), and Domination (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 Pantheon and Lux. Karthus's Best Support counters are Lulu, Maokai, and Nautilus.
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Karthus Summoner Spells


Win %
Pick %
49%
93%
48%
63%

43%
26%

70%
7%

80%
3%

67%
2%
Karthus Starting Items
Win %
Buy %


2

45%
82%


2
38%
5%
Karthus Runes
Win %
Pick %
49%
23%
49%
20%
40%
14%
47%
8%
Karthus Items

50%

50%

43%

65%

51%

77%

51%

65%
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 %

51%
89%

49%
64%

50%
4%
Karthus Boots
Win %
Buy %

50%
73%

45%
19%

0%
1%
Karthus Mythic Items
Win %
Buy %

50%
85%

75%
3%

75%
3%

29%
5%

0%
1%