Tier: Off MetaWin66.92%Role49.04%Pick0.98%Games: 33KDA: 6.46Score: 55.66
Karthus Mid Lane is ranked Off Meta Tier and has a 66.92% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 33 Karthus Mid 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 Flash and Placeholder. Starting items should include Amplifying Tome, Tear of the Goddess, Health Potion, and Stealth Ward. Karthus's Best Spellbook Mid Lane counters are Yone.
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Karthus Summoner Spells


Win %
Pick %
70%
100%
70%
100%
Karthus Starting Items
Win %
Buy %



2

67%
36%



2

67%
27%
Karthus Runes
Win %
Pick %
88%
20%
83%
21%
59%
25%
71%
7%
Karthus Items

74%

65%

53%

75%

75%

79%

65%

28%
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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![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Karthus Item Purchase Order






















Karthus Ultimate Spellbook Stats

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Karthus Trinkets
Win %
Buy %

65%
103%

67%
18%

100%
9%
Karthus Boots
Win %
Buy %

65%
79%

83%
18%
Karthus Mythic Items
Win %
Buy %

74%
70%

71%
21%

50%
6%