Karthus Top Lane is ranked Off Meta Tier and has a 49.96% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 124 Karthus Top Lane games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Archangel's Staff, Demonic Embrace, Void Staff, and Rabadon's Deathcap. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Amplifying Tome, Tear of the Goddess, Health Potion, and Stealth Ward. Karthus's Best Spellbook Top Lane matchups include Gwen, Garen, and Volibear. Karthus's Best Spellbook Top Lane counters are Aatrox, Kled, and Mordekaiser.
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



