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
C Win rate 48.89% Pick rate 3.03% Ban rate 0.84% KDA 2.59
93%

Karthus runes

0.00% WR (1 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
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
DEFENSE FLEX FLEX OFFENSE OFFENSE OFFENSE FLEX DEFENSE DEFENSE

Karthus Summoner spells

Flash Teleport
0.00% WR (1 Matches)

Karthus item build

Starter items

Doran's Ring Health Potion
0.00% WR (1 Matches)

Boots

Core items

Karthus skill order

Skill Priority

Lay Waste Q Defile E Wall of Pain W
0.00% WR (1 Matches)

Skill Path

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