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

How to win lane as Karthus against Kai'Sa · 58.65% win rate over 1,069 Emerald+ games · Updated 2026-07-27

Verdict: Karthus is favoured — Karthus owns 6 of the 7 game windows to Kai'Sa's 1. Karthus wins 58.65% of games vs Kai'Sa in bot lane (adc) (1,069 Emerald+ games analysed).

Favour timeline — who owns each window

StageFavouredWhy
Level 1KarthusBefore her Plasma stacks, Kai'Sa can't contest your level 1 Lay Waste poke.
Level 2KarthusAt level 2 you still out-range her without W online.
Level 3Kai'SaLevel 3 W plus a full Plasma proc lets Kai'Sa burst and out-trade you.
Levels 4-5KarthusBy levels 4-5 your Requiem threat and poke recovery swing it back to you.
Level 6KarthusLevel 6 Requiem out-classes her reposition ult by executing low Plasma trades.
First itemKarthusYour first AP item out-pokes her before she completes R-engage items.
Two+ itemsKarthusWith two items Requiem snipes her out of dives, out-scaling her mobility.

Early game (levels 1–5)

Levels 1-2 are yours: before Kai'Sa's Plasma stacking and W come online she can't trade into your Lay Waste range, so you poke and farm freely.

Read the rest of this matchup

The full Karthus vs Kai'Sa 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? Kai'Sa vs Karthus guide →
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