Karthus ADC is ranked Off Meta Tier and has a 46.02% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 1028 Karthus ADC games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Malignance, Blackfire Torch, Sorcerer's Shoes, 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 Swain, Ezreal, and Samira. Karthus's Best Spellbook ADC counters are Zeri, Tristana, and Malzahar.
Karthus Summoner Spells
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Karthus Starting Items
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Karthus Runes
Karthus Items
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Karthus Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
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![]() | 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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Karthus Ultimate Spellbook Stats
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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
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Karthus Boots
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

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
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Karthus Situational Items
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


