Karthus Top Lane is ranked Off Meta Tier and has a 57.13% 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, 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, Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best Spellbook Top Lane matchups include Camille, Sett, and Yone. Karthus's Best Spellbook Top Lane counters are Dr. Mundo, Garen, and Irelia.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
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
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3600Karthus Ultimate Spellbook Stats
Karthus Trinkets
Karthus Boots
Karthus Mythic Items
Average Jungle Duo Queue Champions for Karthus Top Lane in Ultimate Spellbook(49% - 51% win rate with Karthus)
Even Top Lane Matchups for Karthus Top Lane in Ultimate Spellbook(49% - 51% win rate for Karthus)
