Tier: BWin54.51%Role7.27%Pick0.14%Ban0.63%Games: 165KDA: 3.30Score: 52.81
Karthus Support is ranked B Tier and has a 54.51% win rate in LoL Patch 14.16. We've analyzed 165 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Sorcerer's Shoes, Malignance, Liandry's Torment, Zaz'Zak's Realmspike, and Archangel's Staff. 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 Alistar, Pyke, and Yuumi. Karthus's Best Support counters are Milio, Bard, and Rakan.
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Karthus Summoner Spells


Win %
Pick %
48%
93%
58%
51%

41%
38%

41%
10%

60%
3%

50%
4%
Karthus Starting Items
Win %
Buy %


2

49%
54%


2
100%
1%
Karthus Runes
Win %
Pick %
55%
34%
42%
34%
56%
25%
0%
1%
Karthus Items

47%

49%

52%

51%

50%

44%

47%

37%
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 %

47%
91%

53%
42%

0%
1%
Karthus Boots
Win %
Buy %

49%
81%
Karthus Support Items
Win %
Buy %

50%
76%

67%
2%

50%
1%