Main rune set

Greater Mark of Attack Damage AD Marks, since he scales off AD and he is a auto reliant champion needing AD to back up his damage. Greater Seal of Armor I take Armor Seals due to Aatrox's very weak base stats. If I were going vs a full AP team then I would switch these with Scaling HP

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Greater Glyph of Scaling Magic Resist Scaling MR Glyphs helps him out for those mid/late game mages. If you are going against a AP top then take Flat MR Glyphs Greater Quintessence of Attack Speed AS Quints because Aatrox is a auto reliant champion and AS works well with his W.

Flash Flash is a must on Aatrox as it gives him a blink to initiate or to escape. Teleport Teleport is a must on Top Laners now as it helps them have a impact during Early/Mid game as they can gank or counter gank. It helps you keep up in CS or to teleport to a objective to defend it.

_____ Ignite Ignite is a nice spell if you want to have kill pressure in lane or if your against someone who likes to heal. Teleport is still better, but it all comes down to preference.

This is Aatrox's passive. It is what gives him 30%/35%/40%/45%/50%/55% attack speed. It also revives him for the 35% of the current blood well. Thanks to Riot showing love on this champion its cooldown is 225/220/175/150 seconds at levels 1/6/11/16.

• This passive is a built in Guardian Angel that you can use to bait enemies, tower dive, or even recover from a mistake. I find myself getting many kills against stupid people trying to tower dive me when I have my passive up and/ or if they are hiding under tower at 100 hp thinking that if I tower dive them the turret will save them.
  
  
• Try to keep your blood well full as it restores your HP when you die (if it is up). It also gives you free attack speed.

This is your gap closer. It can be used to initiate knocking everyone in the middle circle for 1 second, or as a escape if you get caught out/ganked.

• At level 2 you should go in with a 3rd strike Blood Price and your Q, then auto attacking and igniting for first blood or to blow their summoners.
  
  
• Use the carefully as it has mediocre range and can be interrupted by displacements.

Blood Thirst is your main way to stay sustain in lane. Every 3rd hit it will proc giving you HP, BUT will receive 3x the HP if you are below 50% HP.
Blood Price is your main damage tool. Every 3rd strike you will do bonus AD on your auto attack at the cost of your HP.

• Blood Thirst Can be used to bait enemies into skirmishes as you will heal the damage they have thrown at you. It can also be used to bait enemies if they tower dive you or if you are put in a 2v1 situation.
  
  
• Blood Price This ability HITS LIKE A TRUCK early game. You can use this to trade very well when you all in or to poke someone when they go up for a CS. Try to stay in Blood Price until you have 60%-50% of your HP left. Then switch to Blood Thirst for the increase heal.

This is your early game poke. It deals magic damage so when people build armor vs you it will still do damage, and it slows for 40% for 1.75 / 2 / 2.25 / 2.5 / 2.75 seconds. The damage on this skill is only good when built full ad because of Riots over nerf because he was being seen competitive.

• If you land Blades of Torment, you can easily follow up with a Q,W combo due to the slow. It makes landing the Q a lot easier and due to the "fear factor" of being slowed, people will run away as you harass them. (The "fear factor" is when a enemy is to scared to attack for some unknown reason or they are being to cautious of what could happen since they are slowed. I will see me winning trades due to the "Fear Factor" because people let me harass them for free as they run.)
  
  
• The skill shot gets skinnier the longer it goes making it hard to hit. It is easier to hit up close so use it when they try to go for a CS.

This is a stale ultimate in my opinion due to it only being a steroid. Aatrox gains 40%/50%/60% attack speed and his auto attack range increases to 325 for 12 seconds. With recent buffs hitting a enemy with Massacre will fill your blood well for 20% (100% maximum)

• You will get a amazing spike level 6 due to this ability's base 200/300/400 magic damage and the increase attack speed & range. A "All In Kill Combo" should be Q-R-W-Auto-E-Auto-Auto-Ignite(if you take ignite).
  
  
• Use it wisely because if you ult as soon as you pop your passive the 12 second duration still goes so that will waste 3 seconds of your ult duration.

Ravenous Hydra This item gives AMAZING Attack Damage and Lifesteal! It will help you wave clear and in team fights it will help you do damage due to you having mostly single target damage. I would take this item 100% of the time. The HPregen really helps Aatrox as well because Aatrox has poor HPregen. Statikk Shiv HEAR ME OUT, I do agree that Aatrox does not need to be going a full glass cannon crit build, but he is auto reliant and this gives him a very nice spike in DPS. Lets go over what it offers. * Movement Speed: This is very much needed on Aatrox due to being kited fairly easily. * Attack Speed: He REVOLVES around Attack Speed and this has very nice AS considering it has low cost and the build path is easy. * Crit: Aatrox is AUTO ATTACK RELIANT! I think it is fine to have a little crit on this guy since he cant really utilizes Triforce like Irelia,Jax, and Trundle. Also this really increases his DPS. The 20% Crit Chance is fine and probably the most you will need since he can auto attack very fast. * The Passive: This helps Aatrox deal mix damage and as well as wave clear extremely fast making him a exceptional split pusher. * Its Cheap: Aatrox's items cost a lot of money and having a cheap cost efficient item that can serve well into full build and selling it for a Phantom Dancer.

Spirit Visage Spirit Visage is Aatrox most cost efficient defensive item! Aatrox can make use of everything this item gives and the 20% increase healing WORKS WITH BLOOD PRICE AND BLOOD WELL! I would not get this ONLY if they had a full AD team Randuin's Omen This item helps Aatrox deal with those pesky ADCs and any other AD champion. The active is very nice as it can help slow enemies for you to keep attacking since you can be kited. This item works well with you Q since you can do a Q+Randuin's Omen combo.

Maw of Malmortius This is a replacement item for Statikk Shiv if you are going against AP. The LifeLine passive sheild is very nice as it can bait fights and the UNIQUE passive where you get 1 AD for every 2% of your HP missing (Cap:35 AD) is also amazing on Aatrox healing him more on his Blood Thrist and making him dangerous at low HP. Guardian Angel This item combine with your passive gives you 3 lives! Ever since the 5.11 patch where your passive GA cooldown was lowered to 225/200/175/150 second cooldown. This basically GARENtees you to have 2 lives 85% of the time! This will pop before your Blood Well passive does.

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Warmog's Armor This item offers a lot of health and HPregen which is what Aatrox really needs badly! Combine this with Spirit Visage & Hydra and you will have amazing HPregen and it will make up for your health cost. Thornmail This item is the bane of all the Tryndaqueers, Samurais, and xfioramaster18's out there! With great power...Comes complete ownage. This item should be built if you ever face Tryndamere, Fiora, Yasuo, Master Yi, or a fed heavily auto reliant adc. (maybe even a full AD Rengar.)

Maw of Malmortius The only real thing to say on this item is the fact that you will get it vs AP teams or AP laner. Most things are explained about this item in other Viable Items.