Tier: DWin32.73%Role34.16%Pick2.68%Ban23.04%Games: 55KDA: 2.00Score: 43.76
Karthus Mid Lane is ranked D Tier and has a 32.73% win rate in LoL Patch 8.24. We've analyzed 55 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Morellonomicon, Rabadon's Deathcap, and Void Staff. For runes, the strongest choice is Sorcery (Primary) with Summon Aery (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Exhaust. Starting items should include Health Potion, Doran's Ring, Corrupting Potion, Refillable Potion, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Aatrox and Irelia. Karthus's Best Mid Lane counters are LeBlanc and Cassiopeia.
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Karthus Summoner Spells


Win %
Pick %
33%
100%
29%
51%

38%
38%

33%
5%

50%
4%

0%
2%
Karthus Starting Items

34%

34%

0%

0%

32%
Karthus Runes
Win %
Pick %
49%
27%
30%
52%
0%
2%
0%
3%
Karthus Items

25%

33%

36%

46%

32%

21%

32%

38%
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 Trinkets
Win %
Buy %

32%
96%

42%
44%

100%
2%
Karthus Boots
Win %
Buy %

33%
98%

0%
2%

0%
4%

0%
2%