Tier: Off MetaWin42.56%Role5.85%Pick0.06%Ban0.77%Games: 246KDA: 1.64Score: 46.44
Karthus Support is ranked Off Meta Tier and has a 42.56% win rate in LoL Patch 14.9. We've analyzed 246 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Malignance, Liandry's Torment, Shadowflame, Rabadon's Deathcap, and Zaz'Zak's Realmspike. 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 World Atlas, Health Potion, and Stealth Ward. Karthus's Best Support matchups include Neeko, Alistar, and Leona. Karthus's Best Support counters are Braum, Nami, and Lux.
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Karthus Summoner Spells


Win %
Pick %
46%
87%
46%
57%

51%
28%

46%
17%

33%
5%

25%
3%
Karthus Starting Items
Win %
Buy %


2

48%
87%


2

29%
3%
Karthus Runes
Win %
Pick %
47%
40%
47%
23%
45%
17%
44%
4%
Karthus Items

47%

45%

49%

53%

54%

45%

45%

81%
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 %

45%
70%

45%
69%

62%
5%
Karthus Boots
Win %
Buy %

47%
70%

38%
11%

100%
0%

0%
0%
Karthus Support Items
Win %
Buy %

45%
76%

100%
1%

33%
1%

100%
0%

0%
0%