Tier: Off MetaWin57.89%Role18.18%Pick0.65%Ban1.48%Games: 38KDA: 2.67Score: 52.13
Karthus Mid Lane is ranked Off Meta Tier and has a 57.89% win rate in LoL Patch 9.24. We've analyzed 38 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Morellonomicon, Zhonya's Hourglass, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Corrupting Potion, Faerie Charm, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include LeBlanc and Ryze. Karthus's Best Mid Lane counters are Yasuo.
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Karthus Summoner Spells


Win %
Pick %
53%
79%
61%
61%

69%
34%

44%
24%

100%
3%
Karthus Starting Items

62%

61%

0%

0%

58%
Karthus Runes
Win %
Pick %
63%
41%
50%
32%
60%
11%
67%
4%
Karthus Items

59%

56%

60%

71%

41%

50%

58%

86%
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 %

58%
100%

38%
21%

0%
3%
Karthus Boots
Win %
Buy %

56%
95%