![Karthus](/img/champions/Karthus.png)
Chaotic Karthus
Spells and Runes
![Barrier](/img/spells/Barrier.png)
Barrier
![Heal](/img/spells/Heal.png)
Heal
Precision
Lethal Tempo
Overheal
Legend: Tenacity
Last Stand
Domination
Sudden Impact
Treasure Hunter
Ability Haste
Move Speed
Health
Items
Item 1
![Titanic Hydra](/img/item/legendary/3748.png)
Titanic Hydra
Item 2
![Mikael's Blessing](/img/item/legendary/3222.png)
Mikael's Blessing
Item 3
![Spirit Visage](/img/item/legendary/3065.png)
Spirit Visage
Item 4
![Anathema's Chains](/img/item/legendary/8001.png)
Anathema's Chains
Item 5
![Staff of Flowing Water](/img/item/legendary/6616.png)
Staff of Flowing Water
Boots
![Ionian Boots of Lucidity](/img/item/boots/3158.png)
Ionian Boots of Lucidity
Elixir
![Elixir of Wrath](/img/item/elixir/2140.png)
Elixir of Wrath
Last Item
![Randuin's Omen](/img/item/legendary/3143.png)