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Noxious blast in this build is a harassement spell that's ''weak'' but still taunts your enemy into comming back to the fight since they loose health slowly early game , In this build, its a hit and run spell because of its power and its cooldown is too long for it to pause a real threat.
When I go for the kill I attack pretty much in this order noxious blast and if it occurs miasma then mass twin fang until i can cast noxious blast again and if they run miasma / noxious blast for slow or pursuit.
I mean, Noxius Blast does way more damage!