Karthus Top Lane is ranked Off Meta Tier and has a 47.98% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 83 Karthus Top Lane games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Demonic Embrace, 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 Gangplank. Karthus's Best Spellbook Top Lane counters are Cho'Gath, Riven, and Darius.
Karthus Summoner Spells





Karthus Starting Items








Karthus Runes
Karthus Items








Karthus Skill Order
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Karthus Item Purchase Order


























Karthus Ultimate Spellbook Stats



























































Karthus Trinkets



Karthus Boots



Karthus Mythic Items





