Tier: Off MetaWin37.27%Role1.54%Pick0.06%Ban9.15%Games: 66KDA: 1.75Score: 47.65
Karthus ADC is ranked Off Meta Tier and has a 37.27% win rate in LoL Patch 25.09. We've analyzed 66 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Rod of Ages, Sorcerer's Shoes, Liandry's Torment, Rabadon's Deathcap, 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 Exhaust and Flash. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Tristana, Kai'Sa, and Miss Fortune. Karthus's Best ADC counters are Aphelios, Caitlyn, and Jhin.
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Karthus Summoner Spells


Win %
Pick %
47%
91%
42%
98%

50%
3%

0%
2%

0%
6%
Karthus Starting Items
Win %
Buy %


2

41%
92%
Karthus Runes
Win %
Pick %
49%
70%
50%
3%
0%
3%
0%
3%
Karthus Items

47%

37%

44%

37%

56%

41%

46%

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 %

46%
62%

39%
47%

50%
21%
Karthus Boots
Win %
Buy %

44%
95%
Karthus Situational Items
Win %
Buy %

26%
35%

63%
12%

29%
11%

40%
8%

50%
3%

100%
2%