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1. There is hardly any content. You fail to explain the majority of what's going on with the build, with no explanations for why you pick certain items in the build other than Rylai's, and you don't explain which items are important to swap out for others depending on the situation. It occurs again with runes, as you give a very brief glance at them, and again with matchups, where there are hardly any listed and no reasoning behind their placements. The guide feels very incomplete.
2. A lot of the information is inaccurate. For instance,
3. Following from the inaccuracy point, saying she has no bad matchups is just incorrect. Any champion that can CC her easily, poke her while abusing her short range, or all-in her quickly and early is a solid counter to Kai'Sa. Some examples would be
4. This is a more minor point than the others, but adding visuals and color to the guide would improve it immensely after you add and amend information. Things like pictures of rune pages, videos for abilities, icons for items such as
5. You spelled Kai'Sa wrong in the title :p
I'd be more than happy to come back and review the guide if and when it's updated and polished, but I thought for now some constructive criticism would be helpful. Wish you the best!