Tier: Off MetaWin51.96%Role2.72%Pick0.05%Ban1.92%Games: 98KDA: 2.54Score: 52.03
Karthus Top Lane is ranked Off Meta Tier and has a 51.96% win rate in LoL Patch 25.12. We've analyzed 98 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Liandry's Torment, Shadowflame, and Rylai's Crystal Scepter. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Teleport. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best Top Lane matchups include Mordekaiser, Teemo, and Gangplank. Karthus's Best Top Lane counters are Ambessa, Kayle, and Yorick.
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Karthus Summoner Spells


Win %
Pick %
53%
73%
44%
81%

75%
12%

33%
15%

57%
7%

38%
8%
Karthus Starting Items
Win %
Buy %


2

51%
42%



41%
35%
Karthus Runes
Win %
Pick %
47%
43%
72%
17%
46%
9%
38%
6%
Karthus Items

43%

56%

58%

54%

65%

52%

47%

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 %

47%
94%

56%
16%

43%
7%
Karthus Boots
Win %
Buy %

56%
62%

21%
14%

33%
9%

100%
2%

100%
1%

100%
1%
Karthus Situational Items
Win %
Buy %

69%
16%

53%
15%

46%
13%

46%
13%

63%
8%

67%
6%