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In order:
1. health regen pendant -> red pot -> Giant's Belt -> Merc Treads -> Rylai's Scepter -> Rabadon's Deathcap -> Lichbane
-i found i never really needed boots until late mid game, i mean, you already have a good initiation. Also, Deathcap over lichbane because i find it slows your dps if you have to auto attack twice after the mark, they tend to move away. Heck, sometimes its even hard to hit the first mark when chasing.
Down because if think akali can be played really better...
Other runes, other starting items, exhaust is a good s.s choice but ignite is still more valuable on akali, secure kilsl in early mid, and in endgame, dealing 500 pure dmg on ennemy always is great.
have u tried it out? if not don't vote... Other Runes? You need Magic Pent. AP and Dodge is really good for her. I don't need trolls to vote on my guides thanks.
Other runes, other starting items, exhaust is a good s.s choice but ignite is still more valuable on akali, secure kilsl in early mid, and in endgame, dealing 500 pure dmg on ennemy always is great.