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It only takes 5 stacks to make Mejal's pay for its self. That is why I always get it. 5 Stacks is ridiculously easy to get for Vlad even if your team is not owning the opposing group. They may not be owning but as Vlad I can still wreck havoc and get 10+ stacks without much problem.
But I agree that spirit Visage is questionable for Vlad. But that is me. Force of Nature would be a better substitute if you want health regen.
Quite strong build, would like to see some more in-depth description though.