How to win lane as Karma against Milio · 52% win rate over 6,490 Emerald+ games · Updated 2026-07-27
| Stage | Favoured | Why |
|---|---|---|
| Level 1 | Karma | Level 1 Karma's Q out-ranges Milio's kit entirely, so she owns the poke war. |
| Level 2 | Karma | Level 2 she still pokes freely while Milio only heals, no trade-back. |
| Level 3 | Karma | Level 3 RQ burst punishes Milio hard through his weak early shields. |
| Levels 4-5 | Karma | Mid-lane Karma's Q spam and mana item keep Milio's team perpetually chunked. |
| Level 6 | Karma | Level 6+ Milio's ult exists but his single-target early heals still can't out-value RQ burst. |
| First item | Karma | Two-item Karma's RE + RQ zoning still outpaces Milio's mid-game peel. |
| Two+ items | Milio | Full build Milio's stacked heals, range boost, and cleanse ult out-scale Karma's utility. |
Karma completely out-ranges Milio at levels 1-2; her Q pokes from outside his effective range while all he can do is heal chip damage. Sit on the poke and force him to burn mana healing. Ward the tribrush bush and respect only jungle ganks, since Milio brings no engage of his own.
The full Karma vs Milio 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? Milio vs Karma guide →
All Karma support matchups →