Tier: CWin53.57%Role23.17%Pick0.42%Ban0.32%Games: 168KDA: 2.57Score: 52.69
Karthus ADC is ranked C Tier and has a 53.57% win rate in LoL Patch 11.24. We've analyzed 168 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Rabadon's Deathcap, Shadowflame, and Void Staff. 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 Exhaust. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Sivir, Jinx, and Ezreal. Karthus's Best ADC counters are Tristana and Vayne.
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Karthus Summoner Spells


Win %
Pick %
54%
98%
55%
93%

67%
2%

29%
4%

50%
1%

0%
1%
Karthus Starting Items
Win %
Buy %


2

52%
87%
Karthus Runes
Win %
Pick %
55%
80%
42%
3%
100%
1%
38%
2%
Karthus Items

53%

56%

53%

61%

58%

55%

58%

44%
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 %

58%
75%

48%
71%

50%
7%
Karthus Boots
Win %
Buy %

56%
98%

50%
1%

0%
1%

0%
1%
Karthus Mythic Items
Win %
Buy %

53%
90%

70%
6%

75%
2%

0%
1%