Karthus Mid Lane is ranked Off Meta Tier and has a 52.59% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 106 Karthus Mid Lane games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Sorcerer's Shoes, Malignance, Archangel's Staff, 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, Tear of the Goddess, and Refillable Potion. Karthus's Best Spellbook Mid Lane matchups include Ahri, Akali, and Aurora. Karthus's Best Spellbook Mid Lane counters are Galio and Katarina.
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 Jungle Duo Queue Champions for Karthus Mid Lane in Ultimate Spellbook(49% - 51% win rate with Karthus)
Below Average Jungle Duo Queue Champions for Karthus Mid Lane in Ultimate Spellbook(under 49% win rate with Karthus)
Even Mid Lane Matchups for Karthus Mid Lane in Ultimate Spellbook(49% - 51% win rate for Karthus)
