Tier: Off MetaWin43.34%Role4.10%Pick0.11%Ban1.81%Games: 127KDA: 1.75Score: 48.79
Karthus Support is ranked Off Meta Tier and has a 43.34% win rate in LoL Patch 25.15. We've analyzed 127 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Zaz'Zak's Realmspike, Malignance, Sorcerer's Shoes, Liandry's Torment, and Shadowflame. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Exhaust and Flash. Starting items should include Sapphire Crystal, Health Potion, and Stealth Ward. Karthus's Best Support matchups include Nautilus and Shaco. Karthus's Best Support counters are Seraphine, Leona, and Pyke.
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Karthus Summoner Spells


Win %
Pick %
43%
83%
41%
56%

42%
51%

60%
4%

17%
5%

100%
1%
Karthus Starting Items
Win %
Buy %


2

67%
2%
Karthus Runes
Win %
Pick %
56%
30%
34%
31%
40%
12%
49%
6%
Karthus Items

48%

42%

41%

47%

50%

54%

43%

50%
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 %

43%
95%

40%
49%
Karthus Boots
Win %
Buy %

47%
77%

36%
9%

100%
1%
Karthus Support Items
Win %
Buy %

42%
93%

50%
2%

100%
1%

0%
1%