Tier: Off MetaWin60.25%Role12.90%Pick0.17%Ban0.37%Games: 432KDA: 2.76Score: 59.22
Karthus Mid Lane is ranked Off Meta Tier and has a 60.25% win rate in LoL Patch 14.5. We've analyzed 432 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Archangel's Staff, Liandry's Torment, Shadowflame, and Rabadon's Deathcap. 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 Teleport. Starting items should include Doran's Ring, Health Potion, and Oracle Lens. Karthus's Best Mid Lane matchups include Hwei, Lux, and Kassadin. Karthus's Best Mid Lane counters are Neeko, Karma, and Yone.
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Karthus Summoner Spells


Win %
Pick %
54%
79%
58%
52%

48%
30%

38%
29%

44%
4%

40%
3%
Karthus Starting Items
Win %
Buy %


2

51%
53%


2

54%
31%
Karthus Runes
Win %
Pick %
54%
35%
43%
21%
52%
18%
70%
5%
Karthus Items

51%

52%

53%

54%

57%

53%

51%

47%
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 %

51%
87%

46%
30%

51%
9%
Karthus Boots
Win %
Buy %

52%
82%

48%
6%

100%
0%

0%
1%

0%
0%

0%
0%
Karthus Situational Items
Win %
Buy %

54%
18%

46%
18%

48%
12%

54%
9%

56%
7%

38%
8%