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I had already been testing Spirit Visage, but kinda forgot to update this guide.
Thanks for the reminder.
EDIT:
In case anyone sees this build, and didn't read the latest update.
Innverating Locket was removed, so this build is no longer possible. Archived~
So, when tanking, people would rather opt for Amumu, Galio, Garen, or even Malphite now.
Still, aside from Mordekaiser and maybe Mundo, no one can compete with the ridiculous amount of survivability that Gragas can offer. :D