Tier: DWin52.33%Role8.72%Pick0.24%Ban1.41%Games: 244KDA: 2.03Score: 51.40
Karthus ADC is ranked D Tier and has a 52.33% win rate in LoL Patch 25.06. We've analyzed 244 Karthus ADC games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Sorcerer's Shoes, Malignance, Shadowflame, Liandry's Torment, 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 Exhaust and Flash. Starting items should include Doran's Ring, Health Potion, and Oracle Lens. Karthus's Best ADC matchups include Tristana, Draven, and Kai'Sa. Karthus's Best ADC counters are Twitch, Ezreal, and Kalista.
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Karthus Summoner Spells


Win %
Pick %
51%
85%
50%
86%

56%
15%

78%
4%

37%
8%

50%
2%
Karthus Starting Items
Win %
Buy %


2

52%
92%
Karthus Runes
Win %
Pick %
49%
59%
52%
24%
58%
4%
57%
3%
Karthus Items

51%

50%

53%

51%

49%

49%

52%

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 %

52%
77%

50%
54%

44%
4%
Karthus Boots
Win %
Buy %

50%
90%

75%
2%

100%
0%

0%
1%
Karthus Situational Items
Win %
Buy %

45%
18%

69%
5%

36%
10%

70%
4%

67%
2%

43%
3%