Kai'Sa vs Karthus — Bot Lane (ADC) Matchup Guide

How to win lane as Kai'Sa against Karthus · 48.99% win rate over 2,135 Emerald+ games · Updated 2026-07-27

Verdict: Karthus is favoured — Karthus owns 5 of the 7 game windows to Kai'Sa's 2. Play it patient and win your windows. Kai'Sa wins 48.99% of games vs Karthus in bot lane (adc) (2,135 Emerald+ games analysed).

Favour timeline — who owns each window

StageFavouredWhy
Level 1KarthusLevel 1 favors Karthus as Lay Waste out-ranges and pokes you off CS.
Level 2KarthusLevel 2 stays his with layered Q poke before your dash is available.
Level 3Kai'SaLevel 3 is yours: you dash through the Q delay and burst the immobile Karthus.
Levels 4-5KarthusLevels 4-5 swing to Karthus with Wall of Pain zoning and mana to spam Q.
Level 6KarthusLevel 6 is his: global Requiem punishes your poke and Death Defied keeps damaging.
First itemKarthusFirst item favors his safe-range carpet-bomb poke you can't close on.
Two+ itemsKai'SaBy 2+ items your mobility flanks past the Wall to delete him before his death-passive matters, flipping it.

Early game (levels 1–5)

Level 1-2 favors Karthus: his Lay Waste out-ranges everything you have and pokes you off the wave before your dash is online.

Read the rest of this matchup

The full Kai'Sa vs Karthus report continues with the mid-game plan, the late-game and teamfight plan, every power spike to play around, and the win conditions for both sides — plus cooldown tracking and the live enemy-jungle tracker inside the app.

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Playing the other side? Karthus vs Kai'Sa guide →
All Kai'Sa bot lane (adc) matchups →