Karthus Support is ranked A Tier and has a 55.00% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 250 Karthus Support games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Archangel's Staff, Rabadon's Deathcap, and Shard of True Ice. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Tear of the Goddess, Spellthief's Edge, Refillable Potion, and Stealth Ward. Karthus's Best Spellbook Support matchups include Janna, Neeko, and Pantheon. Karthus's Best Spellbook Support counters are Nautilus, Zoe, and Zyra.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
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