Tier: BWin56.25%Role23.60%Pick1.11%Ban3.72%Games: 81KDA: 2.09Score: 51.55
Karthus ADC is ranked B Tier and has a 56.25% win rate in LoL Patch 25.12. We've analyzed 81 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Sorcerer's Shoes, Horizon Focus, Liandry's Torment, Shadowflame, 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 Exhaust and Flash. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best ADC matchups include Sivir, Aphelios, and Jhin. Karthus's Best ADC counters are Kai'Sa, Twitch, and Ezreal.
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Karthus Summoner Spells


Win %
Pick %
57%
98%
55%
99%

100%
1%

0%
2%
Karthus Starting Items
Win %
Buy %


2

57%
89%
Karthus Runes
Win %
Pick %
56%
80%
75%
5%
29%
4%
100%
1%
Karthus Items

57%

58%

75%

53%

58%

63%

57%

60%
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 %

57%
83%

60%
52%

33%
4%
Karthus Boots
Win %
Buy %

58%
100%
Karthus Situational Items
Win %
Buy %

41%
21%

33%
11%

100%
2%

20%
6%

100%
1%

50%
2%