Karthus Top Lane is ranked Off Meta Tier and has a 49.22% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 140 Karthus Top Lane games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Liandry's Torment, Shadowflame, 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 Placeholder and Flash. Starting items should include Amplifying Tome, Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best Spellbook Top Lane matchups include Darius, Jax, and Renekton. Karthus's Best Spellbook Top Lane counters are Akali, Tahm Kench, and Teemo.
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 Item Purchase Order
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32003600Karthus Ultimate Spellbook Stats
Karthus Trinkets
Karthus Boots
Karthus Situational Items
Average Jungle Duo Queue Champions for Karthus Top Lane in Ultimate Spellbook(49% - 51% win rate with Karthus)
Even Top Lane Matchups for Karthus Top Lane in Ultimate Spellbook(49% - 51% win rate for Karthus)