Tier: Off MetaWin49.76%Role7.67%Pick0.28%Ban5.18%Games: 17978KDA: 2.22Score: 49.59
Karthus Mid Lane is ranked Off Meta Tier and has a 49.76% win rate in LoL Patch 13.18. We've analyzed 17978 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Shadowflame, Archangel's Staff, Zhonya's Hourglass, 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 Teleport. Starting items should include Doran's Ring, Health Potion, and Oracle Lens. Karthus's Best Mid Lane matchups include Annie, Corki, and Lissandra. Karthus's Best Mid Lane counters are Singed, Vel'Koz, and Fizz.
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Karthus Summoner Spells


Win %
Pick %
49%
81%
48%
48%

50%
41%

50%
22%

46%
3%

48%
2%
Karthus Starting Items
Win %
Buy %


2

50%
57%


2

48%
22%
Karthus Runes
Win %
Pick %
50%
34%
49%
24%
48%
18%
49%
3%
Karthus Items

50%

50%

52%

51%

53%

57%

49%

56%
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 %

49%
85%

51%
31%

50%
9%
Karthus Boots
Win %
Buy %

50%
88%

47%
7%

44%
0%

49%
0%

40%
0%

43%
0%
Karthus Mythic Items
Win %
Buy %

50%
82%

47%
11%

46%
2%

47%
1%

56%
0%

54%
0%