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1) Tenacity does not stack. So Eleisa's Miracle isn't needed when u got Mercury's Treads...
2) Sth wrong with ability Sequence, Masteries and Runes - write about other choices, really increase q and w before e?
3) You need to improve your build, check jhoijhoi's guide how to make a guide.
Core items are:
Shureyla's
Randuins
Tri-F
You don't need madreds as that is a highly situational item for if the other team has like mundo, voli, sej, that all stack hp and madreds most certainly doesn't belong on skarner that is suppose to be a tank. Elise's pendent of w.e is terribad item....regen isn't that useful in fights unless you are Mundo and this make u miss key item.
Your core items are there because. Tri-F for constant procs, slow, MS. Randuins for active. And shureyla's for that boost of speed to catch your enemy in ur ultimate.