Tier: BWin51.61%Role24.70%Pick0.22%Ban0.13%Games: 523KDA: 2.28Score: 50.02
Karthus Mid Lane is ranked B Tier and has a 51.61% win rate in LoL Patch 9.24. We've analyzed 523 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, Zhonya's Hourglass, Morellonomicon, 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 Ignite. Starting items should include Health Potion, Doran's Ring, Control Ward, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Fizz, Heimerdinger, and Anivia. Karthus's Best Mid Lane counters are Lux, Twisted Fate, and Qiyana.
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Karthus Summoner Spells


Win %
Pick %
50%
98%
52%
42%

47%
31%

55%
13%

51%
7%

47%
6%
Karthus Starting Items

51%

50%

56%

38%

52%
Karthus Runes
Win %
Pick %
51%
27%
56%
15%
41%
12%
49%
8%
Karthus Items

51%

52%

60%

56%

57%

62%

50%

75%
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 %

50%
101%

47%
12%

54%
2%
Karthus Boots
Win %
Buy %

52%
85%

38%
2%

80%
1%

80%
1%

100%
0%

0%
0%