Tier: Off MetaWin62.50%Role2.74%Pick0.04%Ban3.18%Games: 7KDA: 2.55Score: 52.83
Karthus Top Lane is ranked Off Meta Tier and has a 62.50% win rate in LoL Patch 25.04. We've analyzed 7 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Blackfire Torch, Malignance, Sorcerer's Shoes, Liandry's Torment, Shadowflame, and Seraph's Embrace. 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 Stealth Ward.
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Karthus Summoner Spells
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Win %
Pick %
67%
86%
67%
86%

100%
14%

100%
14%
Karthus Starting Items
Win %
Buy %


2

100%
43%
Karthus Runes
Win %
Pick %
100%
21%
69%
38%
100%
14%
0%
14%
Karthus Items

67%

67%

71%

100%

75%

50%

71%

100%
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

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


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
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
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
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
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



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

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Karthus Trinkets
Win %
Buy %

71%
100%
Karthus Boots
Win %
Buy %

71%
100%
Karthus Situational Items
Win %
Buy %

100%
14%

100%
14%

100%
14%

50%
29%

100%
14%

100%
14%