Tier: Off MetaWin28.57%Role3.80%Pick0.14%Ban3.35%Games: 7KDA: 2.30Score: 44.76
Karthus Mid Lane is ranked Off Meta Tier and has a 28.57% win rate in LoL Patch 25.04. We've analyzed 7 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Liandry's Torment, Shadowflame, Rabadon's Deathcap, and Void Staff. For runes, the strongest choice is Inspiration (Primary) with First Strike (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Exhaust and Teleport. Starting items should include Doran's Ring, Health Potion, and Stealth Ward.
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Karthus Summoner Spells
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Win %
Pick %
40%
71%
25%
57%
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20%
71%
Karthus Starting Items
Win %
Buy %


2

29%
100%
Karthus Runes
Win %
Pick %
67%
43%
0%
29%
0%
14%
0%
14%
Karthus Items
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67%

40%

25%

67%

100%

100%

33%

100%
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

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
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
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
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
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
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
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
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Karthus Trinkets
Win %
Buy %
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33%
86%

33%
43%
Karthus Boots
Win %
Buy %

40%
71%
Karthus Situational Items
Win %
Buy %

25%
57%

100%
14%

0%
14%

0%
14%