Karthus Top Lane is ranked Off Meta Tier and has a 51.12% win rate in LoL Ultimate Spellbook Patch 14.20. We've analyzed 604 Karthus Top Lane games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Blackfire Torch, Liandry's Torment, Shadowflame, and Rabadon's Deathcap. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Sorcery (Secondary). The optimal Summoner Spells for this build are Placeholder and Flash. Starting items should include Amplifying Tome, Sapphire Crystal, and Glowing Mote. Karthus's Best Spellbook Top Lane matchups include Sion, Urgot, and Jax. Karthus's Best Spellbook Top Lane counters are Yorick, Cho'Gath, and Quinn.
Karthus Summoner Spells
Karthus Starting Items
Karthus Runes
Karthus Items
Karthus Skill Order
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