Tier: S+Win56.88%Role10.13%Pick0.60%Ban8.21%Games: 378KDA: 2.52Score: 61.06
Karthus ADC is ranked S+ Tier and has a 56.88% win rate in LoL Patch 8.24. We've analyzed 378 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Morellonomicon, Zhonya's Hourglass, Void Staff, and Rabadon's Deathcap. 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 Heal. Starting items should include Health Potion, Doran's Ring, Refillable Potion, Hunter's Talisman, and Warding Totem (Trinket). Karthus's Best ADC matchups include Ezreal, Ashe, and Jhin. Karthus's Best ADC counters are Sivir, Kai'Sa, and Vayne.
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Karthus Summoner Spells


Win %
Pick %
57%
99%
56%
27%

56%
23%

57%
20%

70%
14%

51%
12%
Karthus Starting Items

58%

56%

57%

56%

57%
Karthus Runes
Win %
Pick %
58%
56%
61%
12%
62%
4%
54%
3%
Karthus Items

61%

58%

58%

63%

57%

70%

57%

62%
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 %

57%
91%

61%
20%

59%
4%
Karthus Boots
Win %
Buy %

58%
91%

33%
2%

100%
0%

0%
1%