Tier: Off MetaWin37.61%Role4.27%Pick0.16%Games: 21KDA: 2.13Score: 43.20
Karthus Support is ranked Off Meta Tier and has a 37.61% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 21 Karthus Support games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Rabadon's Deathcap, Shard of True Ice, Void Staff, and Seraph's Embrace. 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, Spellthief's Edge, and Health Potion. Karthus's Best Spellbook Support matchups include Blitzcrank.
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Karthus Summoner Spells


Win %
Pick %
48%
100%
47%
90%

100%
5%

0%
5%
Karthus Starting Items
Win %
Buy %



2
43%
33%


100%
10%
Karthus Runes
Win %
Pick %
39%
37%
75%
10%
100%
8%
55%
9%
Karthus Items

46%

47%

54%

22%

50%

50%

50%

50%
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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![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | 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 %

50%
76%

33%
43%

0%
5%
Karthus Boots
Win %
Buy %

47%
81%

50%
19%

100%
5%
Karthus Mythic Items
Win %
Buy %

46%
62%

80%
24%

25%
19%