Karthus Top Lane is ranked Off Meta Tier and has a 45.78% win rate in LoL Patch 9.24. We've analyzed 574 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Morellonomicon, Zhonya's Hourglass, 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 Teleport. Starting items should include Health Potion, Doran's Ring, Refillable Potion, Hunter's Talisman, and Warding Totem (Trinket). Karthus's Best Top Lane matchups include Tryndamere, Irelia, and Jayce. Karthus's Best Top Lane counters are Riven, Akali, and Cassiopeia.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
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 | Q | Q | Q | Q | Q | |||||||||||||
 | W | W | W | W | W | |||||||||||||
 | E | E | E | E | E | |||||||||||||
 | R | R | R |
Karthus Trinkets
Karthus Boots
Average Jungle Duo Queue Champions for Karthus Top Lane(49% - 51% win rate with Karthus)
Even Top Lane Matchups for Karthus Top Lane(49% - 51% win rate for Karthus)
