Karthus build for Patch 14.23

Detail build guide Karthus build or position 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 49.86% Pick rate 1.34% Ban rate 0.26% KDA 2.34
75%

Karthus runes

46.72% WR (137 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

Exhaust Smite
50.29% WR (171 Matches)

Karthus item build

Starter items

Scorchclaw Pup Health Potion
44.96% WR (129 Matches)

Boots

Sorcerer's Shoes
49.58% WR (238 Matches)

Core items

Blackfire Torch Liandry's Torment Shadowflame
43.24% WR (37 Matches)

Karthus skill order

Skill Priority

Lay Waste Q Defile E Wall of Pain W
56.12% WR (196 Matches)

Skill Path

Lay Waste Q
Lay Waste
1 3 5 7 9
Wall of Pain W
Wall of Pain
4 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