Tier: Off MetaWin33.33%Role6.74%Pick0.11%Ban0.23%Games: 6KDA: 1.81Score: 44.59
Karthus Mid Lane is ranked Off Meta Tier and has a 33.33% win rate in LoL Patch 25.18. We've analyzed 6 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Shadowflame, Rabadon's Deathcap, and Liandry's Torment. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Exhaust and Ignite. Starting items should include Sapphire Crystal and Refillable Potion.
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Karthus Summoner Spells


Win %
Pick %
50%
33%
50%
33%

33%
50%

20%
83%
Karthus Starting Items
Win %
Buy %


100%
17%


2

33%
50%
Karthus Runes
Win %
Pick %
52%
64%
0%
17%
0%
17%
Karthus Items

50%

50%

0%

50%

67%

100%

50%
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 %

50%
33%

20%
83%
Karthus Boots
Win %
Buy %

50%
67%
Karthus Situational Items
Win %
Buy %

0%
17%