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But yeah, everyone has their own opinions but just because it doesn't fit yours.. Doesn't mean you can call it a not so great guide :)
Sometimes you can play aggressive, sometimes not it does depend on the situation, not every Karthus will have the same playstyle/strategy. Playing against a Karthus, i would recommend blue buff asap as a good Karthus can be very strong to mid against.
Stay far and play safe, throw those flash frosts out there if one hits follow it up, if not, oh well. Just my opinion though.
Your passive btw, cannot save you from Karthus unless you're by your tower, lay waste ftw.
HOWEVER your champions to fight against with karthus should be something like this instead because a. dodging his "mini bombs" (lay waste) Isn't that at all, and there harder to dodge than what you see it to believe here. Also bait a karth to req when u have ur egg up? Only ******ed karth player's would even dream of it with ur egg up, there's a way to tell.
Maybe it should be like this, since I have experience as a Karth player and somewhat as anivia: (Karthus: He can be a pretty hard champ to outzone. His Q is faster than your's, and his defile does a decent amount of damage. The only real way to defeat him is to get really up close and personal. Throw your Q right near him and detonate it. Then ult in and frostbite him. This kind of pain usually throws him off, and will finish him good. Make sure you either have your passive up, or a healer nearby because if you don't, you'll be taking a good amount of damage from him through this, and could be subjugated to a Requiem to the face. (Most of the time vs. a good karth if your good is usually a stand off)
there u go ^^ P.S i guess it's not really a big deal since most karth player's i see are complete nooblets, I'm sure your used to rofl stomping them though. Just wait til you face my karth, you'll change ur how to fight karth section for sure :P
but because of the extra tankiness of your build, and because I like it and used one similar of this, I shall vote a +1! Good work sir.