Karthus ADC is ranked Off Meta Tier and has a 45.66% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 91 Karthus ADC games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Sorcerer's Shoes, Blackfire Torch, Malignance, Liandry's Torment, 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, Doran's Ring, Health Potion, and Stealth Ward. Karthus's Best Spellbook ADC matchups include Caitlyn, Swain, and Tristana. Karthus's Best Spellbook ADC counters are Twitch, Kai'Sa, and Miss Fortune.
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
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32003600Karthus Ultimate Spellbook Stats
Karthus Trinkets
Karthus Boots
Karthus Situational 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)
