Tier: Off MetaWin46.57%Role1.71%Pick0.02%Ban0.76%Games: 58KDA: 1.88Score: 48.37
Karthus Top Lane is ranked Off Meta Tier and has a 46.57% win rate in LoL Patch 25.04. We've analyzed 58 Karthus Top Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Archangel's Staff, Blackfire Torch, Liandry's Torment, and Shadowflame. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Teleport and Flash. Starting items should include Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best Top Lane matchups include Teemo and Yone. Karthus's Best Top Lane counters are Dr. Mundo, Kayle, and Riven.
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Karthus Summoner Spells


Win %
Pick %
59%
71%
70%
57%

64%
19%

32%
33%

50%
14%

100%
5%
Karthus Starting Items
Win %
Buy %


2

48%
53%


2

67%
31%
Karthus Runes
Win %
Pick %
54%
54%
71%
12%
60%
11%
100%
2%
Karthus Items

57%

52%

64%

67%

62%

57%

58%

50%
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 %

58%
86%

65%
29%

67%
5%
Karthus Boots
Win %
Buy %

52%
76%

71%
12%
Karthus Situational Items
Win %
Buy %

64%
24%

88%
14%

100%
9%

67%
10%

67%
5%

67%
5%