Karthus ADC is ranked B Tier and has a 51.68% win rate in LoL Ultimate Spellbook Patch 11.24. We've analyzed 567 Karthus ADC games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Liandry's Anguish, Sorcerer's Shoes, Archangel's Staff, Zhonya's Hourglass, Shadowflame, 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 Placeholder and Flash. Starting items should include Amplifying Tome, Tear of the Goddess, Health Potion, and Stealth Ward. Karthus's Best Spellbook ADC matchups include Ziggs, Yasuo, and Xerath. Karthus's Best Spellbook ADC counters are Veigar, Akshan, and Sivir.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
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
3200
1100
2600
2600
30003600Karthus Ultimate Spellbook Stats
Karthus Trinkets
Karthus Boots
Karthus Mythic Items
Average Support Duo Queue Champions for Karthus ADC in Ultimate Spellbook(49% - 51% win rate with Karthus)
Even ADC Matchups for Karthus ADC in Ultimate Spellbook(49% - 51% win rate for Karthus)
Even Support Matchups for Karthus ADC in Ultimate Spellbook(49% - 51% win rate for Karthus)
