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
A Win rate 52.78% Pick rate 3.67% Ban rate 4.27% KDA 2.38
71% 24%

Karthus runes

55.26% WR (152 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 Smite
53.10% WR (113 Matches)

Karthus item build

Starter items

Scorchclaw Pup Health Potion
50.56% WR (89 Matches)

Boots

Sorcerer's Shoes
54.76% WR (168 Matches)

Core items

Blackfire Torch Liandry's Torment Shadowflame
55.56% WR (18 Matches)

Karthus skill order

Skill Priority

Lay Waste Q Defile E Wall of Pain W
54.33% WR (127 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