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LoL Best Karthus Middle Build Guides 2026

Build guides for Karthus Middle on MOBAFire. Find recommended items and runes by high ranked players to learn the best Karthus Middle builds. Create your own champion guide!



Season 2 Builds
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

just gotta ULT all day

Build by xxxVULCANxxx updated November 4, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus

Build by nyahbinghiPolska updated October 28, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

The Deathsinger

Build by minnyman2011 updated October 27, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Maximum Trolling Karthus

Build by Sayren updated October 22, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus +1000AP pure ownage

Build by Mitchken updated October 20, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

DOMINE mid com mimurso's KARTHUS !!!

Build by mimursoo updated October 18, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus - KS From the Mid Lane

Build by Igotsnacks updated October 18, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus Awesome AP Champ

Build by Enyaphylia updated October 12, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus- The Unkillable

Build by BurnedRose updated October 7, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Ultimate Karthus

Build by JulioMaia updated October 4, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

King of Mana - Karthus build

Build by Asklepios121 updated September 26, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

karthus tank build

Build by motaba24 updated September 23, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

Karthus 1000+ and more

Build by BaNNeR updated September 18, 2012
Rating Pending
LoL Champion Karthus Build Guide
LoL Champion Karthus Build Guide

kartus carry you to win!

Build by mirnir updated November 13, 2012
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