Tier: Off MetaWin44.82%Role2.70%Pick0.08%Ban5.38%Games: 4904KDA: 1.67Score: 46.65
Karthus Support is ranked Off Meta Tier and has a 44.82% win rate in LoL Patch 13.21. We've analyzed 4904 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Shadowflame, Rabadon's Deathcap, Shard of True Ice, and Void Staff. 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 Spellthief's Edge, Health Potion, and Oracle Lens. Karthus's Best Support matchups include Annie, Maokai, and Lissandra. Karthus's Best Support counters are Veigar, Malphite, and Milio.
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Karthus Summoner Spells


Win %
Pick %
50%
83%
49%
58%

51%
35%

49%
8%

49%
8%

53%
3%
Karthus Starting Items
Win %
Buy %


2

51%
81%


2

38%
4%
Karthus Runes
Win %
Pick %
50%
34%
48%
23%
51%
18%
52%
2%
Karthus Items

52%

51%

54%

59%

52%

58%

49%

59%
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%
71%

50%
69%

49%
5%
Karthus Boots
Win %
Buy %

52%
80%

49%
11%

40%
1%

46%
0%

38%
0%

67%
0%
Karthus Mythic Items
Win %
Buy %

51%
82%

51%
7%

56%
1%

45%
1%

67%
0%

71%
0%