Tier: Off MetaWin57.60%Role3.45%Pick0.03%Ban0.14%Games: 82KDA: 2.38Score: 54.93
Karthus ADC is ranked Off Meta Tier and has a 57.60% win rate in LoL Patch 10.25. We've analyzed 82 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Zhonya's Hourglass, Archangel's Staff, Morellonomicon, and Demonic Embrace. 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 Stealth Ward. Karthus's Best ADC matchups include Ezreal, Jhin, and Lucian. Karthus's Best ADC counters are Miss Fortune, Twitch, and Tristana.
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Karthus Summoner Spells


Win %
Pick %
60%
99%
74%
43%

64%
17%

42%
23%

46%
16%

0%
1%
Karthus Starting Items
Win %
Buy %


2

65%
66%


2

48%
30%
Karthus Runes
Win %
Pick %
66%
63%
49%
14%
60%
2%
100%
1%
Karthus Items

72%

64%

80%

64%

59%

72%

58%

83%
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 %

58%
99%

83%
22%

67%
4%
Karthus Boots
Win %
Buy %

64%
91%

50%
5%

0%
1%
Karthus Mythic Items
Win %
Buy %

72%
48%

47%
46%

100%
2%

50%
2%

0%
1%