Tier: Off MetaWin35.62%Role2.49%Pick0.05%Ban0.80%Games: 47KDA: 1.65Score: 45.05
Karthus Support is ranked Off Meta Tier and has a 35.62% win rate in LoL Patch 14.24. We've analyzed 47 Karthus Support games to compile our statistical Karthus Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Liandry's Torment, Zaz'Zak's Realmspike, and Shadowflame. 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 Pyke. Karthus's Best Support counters are Soraka and Lux.
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Karthus Summoner Spells


Win %
Pick %
50%
85%
42%
51%
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56%
19%

67%
13%

29%
15%

50%
4%
Karthus Starting Items
Win %
Buy %


2

50%
89%
Karthus Runes
Win %
Pick %
63%
41%
72%
19%
21%
15%
100%
3%
Karthus Items

56%

52%

58%

53%

50%

62%

47%

75%
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 %

47%
77%

55%
62%

0%
4%
Karthus Boots
Win %
Buy %

52%
53%

55%
23%
Karthus Support Items
Win %
Buy %

50%
72%

50%
4%