Tier: BWin48.15%Role30.59%Pick0.39%Ban0.49%Games: 108KDA: 2.17Score: 47.63
Karthus Mid Lane is ranked B Tier and has a 48.15% win rate in LoL Patch 9.24. We've analyzed 108 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Zhonya's Hourglass, Morellonomicon, and Rabadon's Deathcap. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Health Potion, Doran's Ring, Refillable Potion, Corrupting Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Yasuo, Zoe, and Diana. Karthus's Best Mid Lane counters are Ahri, Renekton, and Akali.
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Karthus Summoner Spells


Win %
Pick %
49%
99%
43%
41%

56%
30%

50%
15%

45%
10%

50%
4%
Karthus Starting Items

44%

44%

71%

100%

46%
Karthus Runes
Win %
Pick %
52%
25%
46%
21%
76%
10%
61%
11%
Karthus Items

49%

47%

55%

55%

57%

46%

49%

75%
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 %

49%
102%

31%
15%

100%
2%
Karthus Boots
Win %
Buy %

47%
86%

63%
7%

100%
2%

0%
1%