Tier: DWin53.69%Role30.62%Pick1.10%Ban2.28%Games: 2496KDA: 2.27Score: 52.67
Karthus ADC is ranked D Tier and has a 53.69% win rate in LoL Patch 12.23. We've analyzed 2496 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Shadowflame, Zhonya's Hourglass, Void Staff, and Rabadon's Deathcap. 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 Exhaust. Starting items should include Doran's Ring, Health Potion, and Oracle Lens. Karthus's Best ADC matchups include Aphelios, Vayne, and Swain. Karthus's Best ADC counters are Kalista, Veigar, and Sivir.
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Karthus Summoner Spells


Win %
Pick %
54%
100%
54%
93%

52%
4%

53%
1%

56%
1%

58%
0%
Karthus Starting Items
Win %
Buy %


2

53%
92%



67%
0%
Karthus Runes
Win %
Pick %
54%
85%
51%
3%
54%
2%
48%
1%
Karthus Items

55%

55%

58%

58%

56%

57%

55%

50%
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 %

55%
68%

53%
65%

49%
12%
Karthus Boots
Win %
Buy %

55%
97%

63%
1%

100%
0%

29%
0%

0%
0%

0%
0%
Karthus Mythic Items
Win %
Buy %

55%
92%

47%
3%

54%
1%

100%
0%

50%
0%

50%
0%