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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 Turbo Chemtank and Dead Man's Plate before I start to worry about Bramble - and only if they have a lot of healing or sustain, or Thornmail late game vs auto attackers.
Sunfire Aegis seems to be performing better than Turbo Chemtank at the moment though. Stay up to date on Leagueofgraphs.com item stats by elo.
Gargoyle Stoneplate, Abyssal Mask and Anathema's Chains are also performing really well.
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? :(