Tier: Off MetaWin52.87%Role4.79%Pick0.07%Ban0.31%Games: 419KDA: 2.16Score: 56.09
Karthus Support is ranked Off Meta Tier and has a 52.87% win rate in LoL Patch 13.4. We've analyzed 419 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Liandry's Anguish, Archangel's Staff, Shadowflame, Rabadon's Deathcap, and Shard of True Ice. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (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 Alistar, Morgana, and Rell. Karthus's Best Support counters are Ashe, Brand, and Seraphine.
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Karthus Summoner Spells


Win %
Pick %
47%
89%
47%
50%

48%
38%

50%
9%

40%
7%

36%
3%
Karthus Starting Items
Win %
Buy %


2

47%
85%


2

71%
2%
Karthus Runes
Win %
Pick %
50%
26%
41%
29%
45%
18%
77%
2%
Karthus Items

48%

46%

58%

56%

52%

52%

44%

48%
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 %

44%
71%

49%
63%

50%
8%
Karthus Boots
Win %
Buy %

48%
73%

48%
10%

100%
0%

33%
1%

0%
0%
Karthus Mythic Items
Win %
Buy %

46%
74%

42%
10%

73%
3%

67%
1%

50%
0%

25%
1%