Tier: Off MetaWin46.15%Role7.22%Pick0.20%Games: 37KDA: 2.50Score: 48.43
Karthus Support is ranked Off Meta Tier and has a 46.15% win rate in LoL Ultimate Spellbook Patch 14.21. We've analyzed 37 Karthus Support games to compile our statistical Karthus Spellbook Build Guide. For items, our build recommends: Malignance, Sorcerer's Shoes, Liandry's Torment, Zaz'Zak's Realmspike, Shadowflame, and Seraph's Embrace. 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 Fated Ashes and Health Potion.
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Karthus Summoner Spells


Win %
Pick %
43%
100%
50%
81%

100%
3%

0%
8%

0%
5%

0%
3%
Karthus Starting Items
Win %
Buy %


100%
3%



2
33%
8%
Karthus Runes
Win %
Pick %
63%
32%
38%
50%
100%
3%
0%
9%
Karthus Items

45%

35%

39%

50%

48%

67%

55%

71%
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

















Karthus Ultimate Spellbook Stats

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Karthus Trinkets
Win %
Buy %

55%
54%

38%
57%

0%
3%
Karthus Boots
Win %
Buy %

35%
84%

83%
16%
Karthus Support Items
Win %
Buy %

50%
49%