MacroMind matchup data: real ranked games, not opinions
Fizz vs Karthus
Fizz vs Karthus in Mid: who wins more often?
Across 34 ranked games in Mid, Fizz beats Karthus in 50% of them.
Global ranked sample: games from every region and every rank pooled together, not one server's stats. Data runs through patch 26.12; curves updated 2026-08-07.
By 15 minutes the median game has Fizz ahead by 219 gold.
Fizz at 15:00
- Gold: +219
- CS: -5
- XP: -294
Typical gap to Karthus, from 33 games that reached 15:00.
Your Fizz game plan against Karthus
In the median game here, the first death comes near 5:27 and level 6 lands around 5:23. Until your spike is online, treat the all-in window with respect.
Fizz in Mid: the items that actually get built
The most-finished Fizz core is Lich Bane, Zhonya's Hourglass, Rabadon's Deathcap: 56.1% across 3,296 games when all three got done. All matchups, patches 26.1-26.12.
Most games start Doran's Ring + Health Potion + Health Potion; the first finished item is usually Lich Bane (20,623 games).
Skill plan: Fizz players max E first and take E at level 1.