Karthus ADC is ranked A Tier and has a 61.86% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 96 Karthus ADC games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Shadowflame, Rabadon's Deathcap, and Void Staff. 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 ADC matchups include Caitlyn, Draven, and Kai'Sa. Karthus's Best Spellbook ADC counters are Akshan, Katarina, and Ezreal.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
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