Karthus Mid Build: Items & Boots

Most Karthus Mid players rush Blackfire Torch first (55% of games), finished at a median of 11.0 minutes. Spellslinger's Shoes are the usual boots (80%). The standard summoner spells are Exhaust + Flash (32%). The game usually starts with Doran's Ring + Health Potion + Health Potion + Stealth Ward.

Karthus boots

Option	Players	Win Rate	Games
Spellslinger's ShoesMost played	80.0%	51.3%	152

Karthus starting items

Option	Players	Win Rate	Games
Doran's Ring + Health Potion ×2 + Stealth WardMost played	36.8%	52.9%	70
Doran's Ring + Health Potion ×2	35.8%	47.1%	68

Karthus summoner spells

Option	Players	Win Rate	Games
Exhaust + FlashMost played	32.1%	57.4%	61
Flash + Teleport	31.6%	48.3%	60

Every option is listed with its own pick rate, win rate and game count from ranked games this patch. Options under 40 games are left out.

Which item Karthus players finish first and which three-item core they build, with the median completion minute and the middle 50% of games — the timing to beat if you want to spike before your opponent.

First completed item

Items	Finished	Players	Win Rate	Games
Blackfire Torch	11.0 min 9.6-12.3 min	54.8%	54.9%	102
Malignance	10.3 min 9.5-12.0 min	37.1%	46.4%	69

The completed items Karthus players build most this patch, with the share of games each one appears in and its win rate. Situational items sit low in pick rate for a reason — read the win rate next to the game count.

Option	Players	Win Rate	Games
Blackfire TorchMost played	63.2%	53.3%	120
Shadowflame	62.1%	55.1%	118
Malignance	51.6%	49.0%	98
Liandry's Torment	39.5%	48.0%	75
Rabadon's Deathcap	31.1%	57.6%	59