Tier: Off MetaWin37.64%Role5.06%Pick0.06%Ban0.65%Games: 273KDA: 1.70Score: 38.76
Karthus Support is ranked Off Meta Tier and has a 37.64% win rate in LoL Patch 14.9. We've analyzed 273 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Liandry's Torment, Archangel's Staff, Shadowflame, and Zaz'Zak's Realmspike. 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 Exhaust. Starting items should include World Atlas, Control Ward, and Oracle Lens. Karthus's Best Support matchups include Leona, Nautilus, and Senna. Karthus's Best Support counters are Camille, LeBlanc, and Pyke.
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Karthus Summoner Spells


Win %
Pick %
47%
90%
52%
56%

45%
34%

37%
7%

44%
6%

50%
4%
Karthus Starting Items
Win %
Buy %



49%
89%


2
50%
1%
Karthus Runes
Win %
Pick %
45%
32%
48%
23%
50%
19%
39%
4%
Karthus Items

48%

52%

49%

51%

54%

50%

48%

77%
Karthus Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Karthus Item Purchase Order






















Karthus Trinkets
Win %
Buy %

48%
76%

44%
78%

67%
4%
Karthus Boots
Win %
Buy %

52%
67%

44%
22%

50%
1%

0%
0%

0%
1%
Karthus Support Items
Win %
Buy %

50%
65%

59%
6%

50%
1%

0%
1%