loltyler1 
Clid 
Diamond IV 
Who wins Karthus vs Rek'Sai?
MID.GG has 3 high-elo VODs of this matchup so far, not enough games yet to call it.
Karthus vs Rek'Sai at a glance
VOD library Not enough games yet
In 3 high-elo games (latest patch 26.20), Karthus won 67% against Rek'Sai. The average game ended 7.0/5.0/9.3 for Karthus. That is not enough games yet to say who the matchup favours.
Pro build
The most played Karthus setup into Rek'Sai takes Deathfire Touch (Sorcery and Domination) and builds Blackfire Torch, Liandry's Torment and Rabadon's Deathcap. It shows up in 2 of 3 games with a 50% win rate. The main alternative also takes Deathfire Touch but runs Last Stand and Triumph (1 game).
How they built Karthus into Rek'Sai
Taken from the 3 VODs on this page, patch 26.17–26.20.
Most played setup
Runes
Core items
One-off setup
Runes
Core items
Streamers who play Karthus
Every streamer in the library with ranked Karthus games, most games first. Each links to their VODs on MID.GG.
Common questions about Karthus vs Rek'Sai
What should Karthus build against Rek'Sai?
The most-played setup is the Deathfire Touch rune page, taken in 2 of the 3 high-elo VODs on MID.GG, with Blackfire Torch, Liandry's Torment and Rabadon's Deathcap as its most common core items.
Latest Karthus vs Rek'Sai games
The most recent games in this matchup, newest first.
- Victory Karhus
Master 
13/7/11K / D / A Patch 26.20 JungleWatch in the app - Defeat lolmalice
Grandmaster 5/2/1K / D / A Patch 26.19 JungleWatch in the app - Victory lolmalice Grandmaster 3/6/16K / D / A Patch 26.17 JungleWatch in the app
Related pages
