Tier: BWin58.18%Role33.95%Pick2.04%Ban6.91%Games: 55KDA: 1.94Score: 51.97
Karthus ADC is ranked B Tier and has a 58.18% win rate in LoL Patch 11.24. We've analyzed 55 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Zhonya's Hourglass, Shadowflame, Void Staff, 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 Exhaust. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Jhin, Ezreal, and Twitch. Karthus's Best ADC counters are Aphelios, Draven, and Kai'Sa.
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Karthus Summoner Spells


Win %
Pick %
57%
98%
59%
89%

75%
7%

50%
4%

0%
2%
Karthus Starting Items
Win %
Buy %


2

56%
95%
Karthus Runes
Win %
Pick %
61%
86%
100%
2%
0%
2%
0%
2%
Karthus Items

57%

61%

61%

61%

50%

70%

62%

64%
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 %

62%
91%

48%
38%

67%
11%
Karthus Boots
Win %
Buy %

57%
105%

100%
2%
Karthus Mythic Items
Win %
Buy %

61%
98%

0%
2%