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the current builds always contain atleast botrk and runaans hurricane, the only flexibility you have when itemizing an ADC is choosing a different starting item or boots, sometimes anti heal early on and then what items you need as your 3rd and 4th ones.
Also, what item is your priority when building BotRK? The life steal or the pickake? Or attack speed?
If you are in trouble because of burst from syndra or zed for example it's not the best choice imo. But its definitely not an offensive item, there are better alternatives