Tier: Off MetaWin37.39%Role3.10%Pick0.06%Ban0.72%Games: 40KDA: 1.76Score: 45.69
Karthus Support is ranked Off Meta Tier and has a 37.39% win rate in LoL Patch 14.19. We've analyzed 40 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Sorcerer's Shoes, Malignance, Liandry's Torment, Zaz'Zak's Realmspike, Shadowflame, and Rabadon's Deathcap. 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 World Atlas, Health Potion, and Oracle Lens. Karthus's Best Support matchups include Lux. Karthus's Best Support counters are Thresh.
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Karthus Summoner Spells


Win %
Pick %
34%
88%
43%
52%

50%
25%

67%
8%

29%
18%

0%
3%
Karthus Starting Items
Win %
Buy %


2

34%
88%


2
0%
3%
Karthus Runes
Win %
Pick %
46%
32%
38%
30%
33%
29%
0%
3%
Karthus Items

46%

46%

48%

21%

67%

55%

44%

91%
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%
63%

33%
52%
Karthus Boots
Win %
Buy %

46%
65%

40%
13%
Karthus Support Items
Win %
Buy %

21%
70%

100%
3%