Tier: DWin38.74%Role11.43%Pick0.70%Ban19.71%Games: 220KDA: 1.92Score: 48.34
Karthus Support is ranked D Tier and has a 38.74% win rate in LoL Patch 8.24. We've analyzed 220 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Rod of Ages, Remnant of the Watchers, Luden's Echo, Morellonomicon, and Liandry's Torment. 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, Spellthief's Edge, Doran's Ring, Ancient Coin, and Warding Totem (Trinket). Karthus's Best Support matchups include Malphite, Neeko, and Rakan. Karthus's Best Support counters are Alistar, Annie, and Maokai.
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Karthus Summoner Spells


Win %
Pick %
49%
100%
47%
52%

55%
38%

40%
5%

33%
3%

25%
2%
Karthus Starting Items

49%

50%

35%

67%

47%
Karthus Runes
Win %
Pick %
52%
41%
55%
13%
47%
12%
46%
5%
Karthus Items

54%

43%

63%

65%

50%

65%

53%

83%
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 %

53%
80%

48%
85%

33%
3%
Karthus Boots
Win %
Buy %

54%
86%

33%
7%

50%
1%

50%
1%

0%
0%