Ekko vs Karthus in Mid lane is a favourable lane on patch 26.14. The one thing to respect: his damage over time wins long fights — keep every trade short. Below is the exact page the OTP runs — runes, skill max order, summoner spells, item build and the four tips that decide the lane, plus a quick quiz before you lock in.

⇄ ChangeYOU · MIDEKKOthe Boy Who Shattered Time

⇄ ChangeENEMY · MIDKARTHUSthe Deathsinger

VS

Favors youPre-6 EasyPost-6 EasyTake Ignite

How to play it

✓ DO

Don't sit in Defile

His Defile grinds you down over time, so keep trades short and never linger in the aura.

Fight after level 2

Trade with W from level 2 on — you win the 1v1 unless he's a full item ahead.

Zhonya's for his ult

Pick up a Zhonya's later so you can survive his Requiem in fights.

✕ DON'T

⛔

Never grind out a long, extended trade — his damage over time beats you there.

Runes

DOMINATION

SORCERYuniversal page

SHARDS

No rune change for this matchup — run the universal page, our every-game default.

Spells

FLASH

IGNITE

Items

Start

Core

→

→

Last 30 days Emerald+ - 56% WR - 780 games

Skill order

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18
	Q			Q	Q		Q	Q
			W											W	W		W	W
		E							E	E		E	E
						R					R					R

MAXQ→E→W

IMPROVE YOUR MACRO

Winning lane is only half the game — rotations, wave control and objective tempo decide the rest. Train the map on MOBA Trainer.

IMPROVE YOUR MACRO →