Karthus Top Lane is ranked Off Meta Tier and has a 63.90% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 140 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, 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 Doran's Ring, Refillable Potion, and Stealth Ward. Karthus's Best Spellbook Top Lane matchups include Poppy and Teemo. Karthus's Best Spellbook Top Lane counters are Garen, Mordekaiser, and Nasus.
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





