Karthus build for Mid Patch 14.23

Detail build guide Karthus build or position Mid with the highest win rate. Runes, items, and skill build guide in Patch 14.23.
Karthus
Karthus the Deathsinger
Death Defied Lay Waste Q Wall of Pain W Defile E Requiem R
D Win rate 48.16% Pick rate 1.81% Ban rate 0.64% KDA 2.29
65%

Karthus runes

52.17% WR (23 Matches)
Inspiration Inspiration
Glacial Augment Unsealed Spellbook First Strike
Hextech Flashtraption Magical Footwear Cash Back
Triple Tonic Time Warp Tonic Biscuit Delivery
Cosmic Insight Approach Velocity Jack Of All Trades
Sorcery Sorcery
Summon Aery Arcane Comet Phase Rush
Nullifying Orb Manaflow Band Nimbus Cloak
Transcendence Celerity Absolute Focus
Scorch Waterwalking Gathering Storm
DEFENSE FLEX FLEX OFFENSE OFFENSE OFFENSE FLEX DEFENSE DEFENSE

Karthus Summoner spells

Exhaust Teleport
46.15% WR (26 Matches)

Karthus item build

Starter items

Doran's Ring Health Potion Health Potion
38.71% WR (31 Matches)

Boots

Sorcerer's Shoes
38.24% WR (34 Matches)

Core items

Tear of the Goddess Rylai's Crystal Scepter Rod of Ages Liandry's Torment
37.50% WR (8 Matches)

Karthus skill order

Skill Priority

Lay Waste Q Defile E Wall of Pain W
42.31% WR (26 Matches)

Skill Path

Lay Waste Q
Lay Waste
1 4 5 7 9
Wall of Pain W
Wall of Pain
3 14 15
Defile E
Defile
2 8 10 12 13
Requiem R
Requiem
6 11
Death Defied P
Death Defied

Karthus combos

Karthus combos
Basic Q + W + Q
Basic Q + W + A
Medium Q+W+E+QAQA+P+QQ+R+Q
Medium Q + W + E + A + QAQAQA
Medium Q + W + A + Q + A