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Recommended Items
Runes: Dark harvest
+9 Adaptive (5.4 AD or 9 AP)
+9 Adaptive (5.4 AD or 9 AP)
+6 Armor
Spells:
Exhaust
Flash
Items
Ability Order Ability leveling
Death Defied (PASSIVE)
Karthus Passive Ability
Threats & Synergies
LeBlanc
Pokes you for almost free, easy escape, better roams. Though if she misses the chain that is you best time to punish. take barrier and hope for her misplay. try to catch her W point after a missed chain.
Pyke
His ult plus your ult basically puts opponents at half hp always. That and the cc he provides make him unmatched.
Pyke
His ult plus your ult basically puts opponents at half hp always. That and the cc he provides make him unmatched.
Champion Build Guide
![]() | I play Karthus, a lot of Karthus. I may not be any challenger mid player, I got diamond for a while with Karthuswhen I played ranked more. I have 2.4 (old MP picture) million mastery points on Karthus and play way too many normal/aram games for my own good. I may not be able to tell you how to get to challenger, but I might be able to tell you how to build and play Karthus. |
MOST RECENT KARTHUS BUFF OR NERF
A very small Q dmg nerf that will make next to no impact. But the mana nerf to E passive does hurt a bit. Though with a bit more reserved poke or better farming it really should not be too bad, less so if you play the aery rune page. |
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MOST RECENT ITEMS AND RUNES CHANGES
RIP every rune
Well, they nerfed every rune that karthus uses. aery lost 5% ap scaling, same with dark harvest, first strike lost 1% of its extra dmg and comet got killed (though we don’t use it anyway. Realistically, this is not too bad, aery is only for early poke, so its scaling does not matter much. DH suffers a bit more but in practice I barely noticed it, if at all. First strike... oh no... 1%.
Tips to keep in mind when learning Karthus
There is no one best build, no build that you will build 100% of the time. People may try to tell you what build is the only good one but they are almost always wrong. There can be a build you feel most comfortable with and that is fine, but all builds have their uses in certain situations. Karthus is deceptively versatile in builds. I encourage you to play and try different builds. Some of them will surprise you at how well they work. Your play style will change based on build and lane match up. To play Karthus effectively you will have to learn new play styles e.g( poke, aggressive, safe,). Often you will be switching mid game depending on items, levels, and how strong you are. All to make sure you don't lose a lead by not adjusting play styles. This will also apply to builds as you might have to shift what you are building to go into a fast ![]() ![]() |
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Karthus is not always a "just press R champ" there will be games where your ![]() ![]() One of the most important tips is that just starting out, you may feel useless outside of pressing ![]() ![]() ![]() ![]() |
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When I just starting out on ![]() |
ITEMS
First Item
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In terms of starting items, ![]() ![]() ![]() |
Second and Third Item
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Second item has quite a few options but for simplicities sake, I am going to narrow it down to just two options. Starting with ![]() ![]() |
Forth Item
fifth Item... Kinda
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The last item will almost always be one of these two items. If you needed gw in the game then you probably built it earlier and deathcap ends up last. But in the case you don't need anti-heal, ![]() |
Uhhh.. Shadowflame
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This item complicates the simplicity of this section kind of. ![]() ![]() ![]() |
RUNES
Main tree
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I'm going to be honest, I love the ![]() ![]() ![]() |
Secondary Tree
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The precision tree is in every ![]() ![]() ![]() ![]() ![]() |
A BIT ABOUT PLAYSTYLE
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While I do not like the run in and die playstyle, starting out with it is a great way to figure out if you like it and get an idea of good times to int into the enemy team. To maximize damage with ![]() |
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One of the two main summoner spells for ![]() ![]() |
GOOD MID
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The other of the two main spell though this is basically only taken mid. As opposed to exhaust, this is for opponents that can get out of a trade for free such as ![]() |
GOOD BOT
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If you are going bot you basically always take this. Though if you have a duo and want to be aggressive ![]() |
EHHHH... MAYBE
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Only taken top lane as not to set yourself even further behind as you already have for picking ![]() ![]() |
BAD
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This is almost never taken unless you feel like going absolutely crazy on your lane opponent. The problem with ![]() |
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This is the rune page most player go with and for good reason. While generally not as good in lane as ![]() ![]() |
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I will be explaining the whole inspiration tree here as it stays the same basically every game. Starting off, ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
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With some testing the rune is good and an option to take for games. There are some deciding factors that I take into account when deciding if I want to take the rune. The main one being how good my ult is in any given game. Things like how many ![]() |
![]() | Its a bunch of free ability haste on the ability that needs it most. Not much to say here. If your ult is crucial against the opposing champs than this is a must. |
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Many people will argue between witch of the two are better, both are great and help a ton. While ![]() ![]() |
![]() | This rune is taken if you are using the aery rune line. nice to have as it basically makes sure you don't run out of mana even if you poke a ton. |
![]() | Ability Haste for free is nice and this rune will still be used though the third part of the rune we don't use all that much. |
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Easy sustain in lane, this rune grants a surprising amount of healing over the duration of the game. The other two in the tree ![]() ![]() |
![]() ![]() ![]() | Pick your poison, all grant you 30 AP, just figure out which one you are going to stack the fastest or most reliably. |
STARTING ITEMS
Currently not good
Good
![]() | This item is good for mana and helps you be aggressive in lane, Though might present some mana issues if you are not carful. If you starts a mana mythic this is the better choice. |
SITUATIONALLY GOOD
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While I don't take it often first item, it is still good. I buy it when I am already ahead or feel strong. But more often in the ludens build. If you want to start it over ![]() |
SITUATIONALLY GOOD
![]() | When you want the aery rune but still want sustain this can be great. Also is better with rav hunter out of the game. You lose a bit of all in pressure but helps with poke over time. |
MYTHIC ITEMS
BAD CURRENTLY
GOOD
BAD CURRENTLY
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This item did see some experimentation at first but since has fallen completely out of favor. With a change that lowers the omnivamp and removes the pen the item only became less useful on ![]() |
EHHH... MAYBE FOR FUN
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This item is kinda cool but lacks a large enough amount of ability haste and reliable DMG. While it does give you AP for every legendary it still cant compare to the DMG of any other mythic. The passive, while cool, is unreliable and only lasts 1.5 seconds so with low ability haste around 1 ![]() |
SITUATIONALLY GOOD
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This item is the only other item that has seen some decent play on Karthus. Mainly due to the flat pen. It also has no need for tear. A single ![]() |
NOT GOOD
LGENDARY ITEMS
GOOD
IN A WIERD SPOT
SITUALTIONALLY GOOD
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If the ![]() |
EHHH... MAYBE
SITUALTIONALLY GOOD
![]() | I mean yeah, the item is needed for teams that heal. You build it if they heal, don't if they don't. I like to think of the number of healing reduced as extra damage because it kind of is. |
KINDA DECENT BUT HAS TOUGH COMPETITION
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This item finally has a combo item again, this time with ![]() |
NOT GREAT
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This item sucks on karthus. The main issue is its competing with the ![]() ![]() ![]() |
GOOD
Okayish...
SITUATIONALLY GOOD
GOOD
Builds - lots of words
[*] Anguish big DPS
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Due to the nature of this build you will want to be in fights longer to maximize dmg, thus aery often does better in this case. Aery also can often out dmg ![]() ![]() ![]() |
Playing lane
One major plus of this build is the fact that you don't get





When to run this build
This build is now the best build for lane and JG (jg taking DH though). It works in any scenario against any team. Only

[*] Ludens Full Pen
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THIS BUILD FEELS QUITE A BIT WORSE SINCE THE DURABILITY PATCH, I RECOMEND GOING ANGUISH UNTIL SOMETHNG CHANGES Of course when you hear full pen you are taking ![]() ![]() |
Playing lane
This build in lane plays aggressive as your main goal is to get a lead, ask for ganks and play to your lead. Of course







When to run this build
As is said before, this build works best into no tank teams. This is the same as

[*] First Strike Tear Snowball
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This build is quite uncommon but the point of it is to gain a massive item/gold advantage. This is done by basically ulting off cooldown to proc first strike. Things like ![]() ![]() ![]() ![]() |
Playing lane
This is the one build right now that builds







When to run this build
I mentioned it a bit before, but this build works best if you know the matchup well. You want to have the least chance of falling behind as possible due to the disadvantages you have with this build. It also helps if the enemy jg is a hard farming jg so you can avoid ganks/dives.
BUILDS BELOW THIS LINE ARE EITHER MEME OR NOT CURRENTLY VIABLE
[*] Night harvester tear
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The rune page to take is the classic ![]() ![]() ![]() ![]() |
Playing lane
While this is the big DMG build the start of the lane phase will be mostly passive on your part. This is because you are forced to start tear and lose a majority of pressure in lane. Though killing the opponent is not out of the question with some good poke before a fight. At first back hopefully you can buy a







When to run this build
This build is nice but even so mainly is only taken when the opponents team has no tanks. It can obliterate squishy targets but fails to do meaningful dmg vs tanks and bruisers. Though in ADC this build becomes a bit more possible as you can guarantee fighting one squishy target.
[*] RiftMaker Sustain - for fun build
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Dark Harvest in an attempt to make up for the loss in DMG with this build and ![]() ![]() ![]() |
Playing lane
This build in fact has less DMG than most previous karthus builds with old items and on top of that less healing even with the omnivamp from







When to run this build
This can be taken into tanks but even then




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Top lane is the least played role for Karthus, that he can be played in, and for a few reasons. Now more than ever, with ROA gone, top lane becomes more difficult to play. Even if you do take the new ![]() ![]() ![]() ![]() |
ADC KARTHUS
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ADC Karthus on the other hand is almost if not just as viable as mid Karthus. Having a support can solve a lot of problems for Karthus and help him make use of early game ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Pointers on playing late game
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Karthus is often seen as a late game champion, but he is not as strong late as you many think. By the time late game rolls around yes you may have 1000 AP, depending on the build, but everyone in the game will almost certainly have a way to survive your ![]() ![]() ![]() |
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Late game means that inevitably, there will be a lot of team fights. In team fights too many new Karthus players think the right play is always run in like a madman with ![]() ![]() |
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While in mid game you may have been able to kill anyone you wanted, especially when you are strong, but in late game prioritizing the correct targets is essential. Even if you are late game you will do meaningless dmg to the full tank ![]() ![]() |
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