Tier: BWin53.16%Role15.31%Pick0.68%Ban5.51%Games: 79KDA: 2.77Score: 50.76
Karthus ADC is ranked B Tier and has a 53.16% win rate in LoL Patch 8.24. We've analyzed 79 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Luden's Echo, Sorcerer's Shoes, Morellonomicon, 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 Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Corrupting Potion, The Dark Seal, and Warding Totem (Trinket). Karthus's Best ADC matchups include Tristana, Varus, and Sivir. Karthus's Best ADC counters are Caitlyn and Kai'Sa.
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Karthus Summoner Spells


Win %
Pick %
53%
100%
60%
59%

62%
16%

25%
15%

100%
3%

100%
1%
Karthus Starting Items

54%

53%

100%

50%

52%
Karthus Runes
Win %
Pick %
54%
53%
44%
19%
47%
9%
80%
3%
Karthus Items

52%

54%

55%

53%

54%

44%

52%

53%
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 %

52%
97%

64%
35%

50%
3%
Karthus Boots
Win %
Buy %

55%
95%

100%
1%

33%
4%

0%
3%