Tier: CWin41.51%Role26.50%Pick0.45%Ban0.72%Games: 53KDA: 2.42Score: 45.57
Karthus Mid Lane is ranked C Tier and has a 41.51% win rate in LoL Patch 9.24. We've analyzed 53 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Morellonomicon, Zhonya's Hourglass, Rabadon's Deathcap, 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 Teleport. Starting items should include Health Potion, Doran's Ring, Sapphire Crystal, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane counters are Malzahar and Ryze.
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Karthus Summoner Spells


Win %
Pick %
42%
100%
45%
72%

38%
15%

25%
8%

100%
2%

0%
4%
Karthus Starting Items

39%

37%

75%

55%

36%
Karthus Runes
Win %
Pick %
61%
23%
69%
12%
47%
14%
67%
3%
Karthus Items

44%

38%

47%

48%

33%

42%

42%

40%
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 %

42%
100%

25%
8%

9%
21%
Karthus Boots
Win %
Buy %

38%
94%

50%
8%

0%
2%