Karthus·Mid Build
P
Q
W
E
R| Win rate | 49.8% |
| Pick rate | 0.2% |
| Ban rate | 2.2% |
| Matches | 448- |
Karthus Build
Most Popular
Win Rate 49.0% based on 102 matches
Import this build directly into your game client:
Recommended builds


Most Popular
49.0%

2nd Most Popular
48.3%Top Players ALL
rãndom OTP
80.0%19Hz infrasound#Toph OTP
28.6%Mandioguila OTP
25.0%runes





















spells

D

F
items
Starter Items
Time Target


@ 11 sec
Early Items


@ 2 min
Core Items



@ 19 min
Full Build






ability order
Q
E
W
Skills





situational items




Karthus Matchups Overview
Karthus General information
Karthus tips and tricks
Farm with
Q in the early game to make it easier for your to pick up CS.
Deactivate your Defile
E once the skirmish has finished as it will eat through your mana bar.
Keep an eye on the minimap at all times and use your
R to pick up kills on low health
Karthus combos
Every combo you need to master the champion!
The Best Karthus Builds, Runes and Items for Mid in Emerald +
Most Popular
If you want to use the most popular Karthus Mid build, you should take Exhaust and Flash as your Summoner Spells. For runes, you should pick Dark Harvest as your keystone, followed by Taste of Blood, Sixth Sense and Ultimate Hunter in the primary tree, as well as Presence of Mind and Last Stand in the secondary tree. For rune shards, you want Adaptive Force in offense, Adaptive Force in flex and Health Scaling in defense, though it depends on the matchup. Finally, for your items, you should build Blackfire Torch as your first item, followed by Sorcerer's Shoes and Shadowflame. For your last 3 items, you should build Rabadon's Deathcap, Void Staff and finish with Stormsurge. For the skill order, you want to stick with Q - E - W. Right now, this build has 49.0% winrate over 102 matches played.
Optional
Your second option for Karthus Mid build would be to take Exhaust and Flash as your Summoner Spells. The runes that this build takes advantage of are Dark Harvest as your keystone, Cheap Shot, Grisly Mementos and Ultimate Hunter in the primary tree, and Axiom Arcanist with Gathering Storm in the secondary tree. The shards used in this build are Adaptive Force in offense, Adaptive Force in flex and Health Scaling in defense. The items for the build are Blackfire Torch, which you should build first, followed by Sorcerer's Shoes as your second item and Liandry's Torment as your third item. The rest of the items in order are Shadowflame, Rabadon's Deathcap and Void Staff. The skill order for this build is Q - E - W. In the current patch, this build has a 48.3% win rate over 58 matches.
Situational Karthus Runes and Items
Depending on the context of your game, your matchup, and enemy champions, you might want to consider building some situational items or take specific runes. Carefully examine your team, enemy team, game state , and your matchup to plan your Karthus build accordingly! For example, when it comes to rune shards, you might want to take either Armor or Magic Resist, depending on which champion you are about to lane against.
Furthermore, if you want a more detailed breakdown, you should also check out Karthus runes page.

Probuilds
Check out the latest and best Karthus Probuilds used by pros from around the world, featured by lolvvv.
New Champion: Zaahen
New champion is live! Check out the latest Zaahen build now!

In-depth Build Stats
Dive into even more Karthus builds stats with additional analysis from our friends at LoLalytics.
Karthus Counters - Best and Worst Matchups for Mid in Emerald +
Best Matchups
In Patch 25.24 the best possible matchups for Karthus Mid are:
- vs. Zyra - win rate over games.
- vs. Teemo - win rate over games.
- vs. Xerath - win rate over games.
- vs. Karma - win rate over games.
- vs. Cassiopeia - win rate over games.
Consider picking Karthus into these matches to increase your chance to win a game. These are the most popular Mid matchups that currently are in favor of Karthus.
Worst Matchups
We highly recommend avoiding picking Karthus in the current patch into the following Mid matchups:
- vs. Gwen - win rate over games.
- vs. Swain - win rate over games.
- vs. Jayce - win rate over games.
- vs. Mordekaiser - win rate over games.
- vs. Rakan - win rate over games.
These champions are considered as Karthus counters in the current patch, and playing such a matchup will decrease your chances of winning a game.
Additional Notes
If you want to find out more about best and worst matchups, as well as specific matchup statistics, we highly encourage you to check our Karthus counters page. Keep in mind that while the champion may counter or be countered, it also comes down to your individual skill, the skill of your opponent, your team, and enemy team compositions.