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Not a fan of the Rammus build. Ghost and Flash are amazing for both initiating and catching fleeing enemies. If you really need Cleanse, buy a Sash. And obviously, any tank item build must be very dynamic, but I'd rarely go for thornmail so fast, certainly not as a default choice.
That's really the thing. There's no proper way to build Rammus every round. Heck I personaly jungle Rammus and my first completed item is a Wriggle's Lantern then a HoG (or two if I've gotten enough successful ganks). Honestly these are just some good item choices for items on him. You could easily drop the Randuin's for a Banshee's Veil and maybe get it before the Sunfire cape. Its just tanks are so situational that there's no build for them. Maybe core items for some tanks, like a RoA on Singed, but that's about it.