Tier: Off MetaWin55.24%Role8.01%Pick0.18%Ban4.07%Games: 41KDA: 2.68Score: 52.11
Karthus Mid Lane is ranked Off Meta Tier and has a 55.24% win rate in LoL Patch 25.04. We've analyzed 41 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Malignance, Sorcerer's Shoes, Zhonya's Hourglass, Liandry's Torment, and Shadowflame. For runes, the strongest choice is Sorcery (Primary) with Arcane Comet (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. Karthus's Best Mid Lane counters are Sylas.
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Karthus Summoner Spells
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Win %
Pick %
57%
90%
52%
66%
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63%
20%

67%
15%

100%
5%

100%
2%
Karthus Starting Items
Win %
Buy %


2

50%
78%

100%
2%
Karthus Runes
Win %
Pick %
71%
37%
43%
30%
58%
16%
40%
6%
Karthus Items

67%

63%

54%

65%

59%

67%

59%

77%
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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




Karthus Trinkets
Win %
Buy %

59%
90%

46%
32%

57%
17%
Karthus Boots
Win %
Buy %

54%
85%

50%
5%

100%
2%
Karthus Situational Items
Win %
Buy %

64%
27%

67%
22%

71%
17%

100%
10%

40%
12%

100%
5%