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I can add that Rammus is very flexible, you can play any build into him, as long as it has a minimum of resists, if you wanna check some other more off-meta but better to snowball builds, make sure to check mine (sry for advertising in your comment section)
132 master players played ranked with Rammus over the past 2 days and these are the item winrates.
Don't trust Rammus mains. Trust data.
I think rushing a jungle item is the most reasonable plan atm to compensate for slow clearing. But don't try to powerfarm in higher elos, jungle exp and gold are nerfed too hard. Only way to win is to gank a lot and enable someone on your team to carry.
I still rush
Predator might be a thing tho!
The problem is that nothing really competes with chemtank and deadmans rush at the moment.
With the new changes to jungle coming Rammus is probably going to be hurt even more than the champs with fast clear right? :(
Looks like someone's had a few impressive games with it recently though:
Still, Dead Man's plate is my go to 6th item atm, since it's amazing for backline access, picks, engage and burst damage.
Dps vs practice dummy can be inflated because they have so much health and %-health damage like BOTRK does maximum damage.
What items do we sacrifice for rageblade or botrk? Sunfire? It so cheap and early mega spike. Deadmans/RG? If we can't reach our target and juke CC then DPS doesn't matter. It's a tough call and depends on enemy tools and skill.