Tier: Off MetaWin43.33%Role1.36%Pick0.02%Ban2.04%Games: 11KDA: 1.29Score: 47.93
Karthus Support is ranked Off Meta Tier and has a 43.33% win rate in LoL Patch 14.14. We've analyzed 11 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Zaz'Zak's Realmspike, Liandry's Torment, and Shadowflame. For runes, the strongest choice is Inspiration (Primary) with First Strike (Keystone), and Domination (Secondary). The optimal Summoner Spells for this build are Exhaust and Ghost. Starting items should include World Atlas and Health Potion.
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Karthus Summoner Spells


Win %
Pick %
50%
73%
75%
36%

100%
9%

17%
55%

50%
18%

0%
9%
Karthus Starting Items
Win %
Buy %


2
29%
64%
Karthus Runes
Win %
Pick %
75%
24%
100%
9%
40%
23%
29%
32%
Karthus Items

60%

50%

43%

43%

50%

100%

38%

100%
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 %

38%
73%

60%
45%

100%
9%
Karthus Boots
Win %
Buy %

50%
55%

0%
9%

0%
9%
Karthus Support Items
Win %
Buy %

43%
64%

0%
9%