Tier: DWin46.14%Role11.86%Pick0.79%Ban18.19%Games: 198KDA: 1.82Score: 49.88
Karthus Support is ranked D Tier and has a 46.14% win rate in LoL Patch 8.24. We've analyzed 198 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Remnant of the Watchers, Luden's Echo, Morellonomicon, Liandry's Torment, and Zhonya's Hourglass. 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 Blitzcrank, Malphite, and Neeko. Karthus's Best Support counters are Annie, Lux, and Alistar.
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Karthus Summoner Spells


Win %
Pick %
50%
100%
49%
52%

56%
40%

29%
4%

33%
2%

25%
2%
Karthus Starting Items

49%

51%

30%

67%

48%
Karthus Runes
Win %
Pick %
51%
41%
55%
14%
52%
11%
46%
6%
Karthus Items

54%

63%

66%

51%

67%

54%

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%

25%
2%
Karthus Boots
Win %
Buy %

54%
85%

42%
6%

50%
1%

50%
1%

0%
1%