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 48.73% Pick rate 1.75% Ban rate 0.55% KDA 2.24
78%

Karthus runes

38.46% WR (13 Matches)
Domination Domination
Electrocute Dark Harvest Hail of Blades
Cheap Shot Taste of Blood Sudden Impact
Zombie Ward Ghost Poro Eyeball Collection
Treasure Hunter Relentless Hunter Ultimate Hunter
Precision Precision
Press the Attack Lethal Tempo Fleet Footwork Conqueror
Absorb Life Triumph Presence of Mind
Legend: Alacrity Legend: Haste Legend: Bloodline
Coup de Grace Cut Down Last Stand
DEFENSE FLEX FLEX OFFENSE OFFENSE OFFENSE FLEX DEFENSE DEFENSE

Karthus Summoner spells

Flash Teleport
35.71% WR (14 Matches)

Karthus item build

Starter items

Doran's Ring Health Potion Health Potion
35.29% WR (17 Matches)

Boots

Sorcerer's Shoes
40.91% WR (22 Matches)

Core items

Blackfire Torch Liandry's Torment Shadowflame
50.00% WR (2 Matches)

Karthus skill order

Skill Priority

Lay Waste Q Defile E Wall of Pain W
47.37% WR (19 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