Karthus Top Lane is ranked Off Meta Tier and has a 44.40% win rate in LoL Patch 7.24. We've analyzed 83 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Morellonomicon, Sorcerer's Shoes, Zhonya's Hourglass, Void Staff, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and <pathBonus><pathSorcery>Sorcery</pathSorcery> + <pathPrecision>Precision</pathPrecision> </pathBonus> (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Health Potion, Doran's Ring, The Dark Seal, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Top Lane matchups include Darius and Riven. Karthus's Best Top Lane counters are Maokai, Vladimir, and Jayce.
Karthus Summoner Spells





Karthus Starting Items





Karthus Runes
Karthus Items








Karthus Skill Order
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Karthus Trinkets



Karthus Boots



