Tier: Off MetaWin34.44%Role7.43%Pick0.19%Games: 15KDA: 2.00Score: 43.19
Karthus Support is ranked Off Meta Tier and has a 34.44% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 15 Karthus Support games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Sorcerer's Shoes, Malignance, Shadowflame, Rabadon's Deathcap, Zaz'Zak's Realmspike, and Horizon Focus. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Flash and Placeholder. Starting items should include Amplifying Tome, World Atlas, and Health Potion.
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Karthus Summoner Spells


Win %
Pick %
38%
87%
36%
93%

0%
13%

0%
7%
Karthus Starting Items
Win %
Buy %



3
67%
20%



0%
7%
Karthus Runes
Win %
Pick %
46%
41%
34%
32%
0%
13%
Karthus Items

38%

42%

38%

44%

50%

100%

40%

63%
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 %

40%
67%

20%
67%

0%
7%
Karthus Boots
Win %
Buy %

38%
87%

0%
13%
Karthus Support Items
Win %
Buy %

50%
40%