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Gargoyle of Demacia!
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Counters any AP champion due to his passive
Flash ulti is one of the best initiations in the game
Bulwark makes you tanky in lane even at level 2
Saves allies well, with slow/shield/whirlwind
Ulti fairly long cooldown
Ulti can be stopped, unlike Amumu
Not as powerful in team fights without ulti
Passive useless vs AD heavy team
Costs 6300 IP
I prefer Clairvoyance because I like to find the jungler and keep checks, as well as prevent ganks and seeing baron/dragon, but I only take it if my team does not have a support who holds it already.
You can also take Fortifyif you like.
Ghost can be good if you wanna catch people/escape if needed.
Exhaust gives you more CC!
Ignite if you wanna get early kills, but try not to KS your carries...
Teleport get back in lane=more farm or get into team fights faster, a must have if you take solo top.
Clarity is not necessary because you'll have chalice!
Heal ... I guess you can take it but I don't see why you would.
Cleanse If you think you need it, get quicksilver instead, more MR and gives you AP
Mercury Treads as a tank, you rarely get any other boots, plus the MR gives you AP
Sight Ward win games! Buy wards! Especially since you're a tank, one that can get high CS.
Heart of Gold just for the little bit of tankiness and gold per 5, and maybe build into a Randuin's Omen later.
Sunfire Aegis Gives you more damage for creep and to champs when they're pulled into you! Plus decent health and armor. I personally don't use it, but it's a decent item for him and I know a lot of people out there still like it.
Banshee's Veil bubble is always nice, it might prevent you from getting interrupted on your ultimate as well as give you more AP.
More Sight Ward!!! and Vision Ward on dragon/baron
Because you are a tank, items are always situational.
Firstly, Aegis of the Legion is always a good item unless someone else is taking it. Since you'll be at the center of team fights, your team gets nice all around stat bonuses, and it's a really cheap item.
For AP heavy teams:
Force of Nature gives you a lot of MR and AP and the health regeneration passive and move speed help so much.
Abyssal Mask gives you a lot of AP for a tank. It's really helpful if your team has a lot of AP as well, and is useful for all team fights since you'll be the center of all the fighting because of your ultimate.
Quicksilver Sash is especially helpful for those annoying stuns, like if the other team has an Amumu, or for those long surpresses from Malzahar or Warwick, but they'd be fools to waste surpresses on the tank.
For AD heavy teams:
Randuin's Omen is an amazing item. It may lower your damage output on your ultimate, but who cares? You're the tank, you don't need to do the DPS. With this item you can lower the DPS of all their AD carries, as well as slow them down a **** ton. Not to mention the HP, HP Regen and Armor you get from this item is really nice.
Thornmail is decent, it returns all that damage when you ult them. And its cheap as well. I personally don't like it unless their team is almost all AD.
Frozen Heart is nice as well. Since you'll be at the center of fights, you'll lower all their attack speed. The CDR is really nice for your ultimate as well. And again, you're the tank. Who cares if your ulti DPS goes down a bit? Keep your carries alive.
If you don't know what else to build, you might as well get a Guardian Angel Nothing wrong with being able to suicide while saving your team and then coming back to life to do it again :D. I rarely ever get it, but that's just a personal preference.
You can also get a Zonya's Hourglass If you need some armor and want that stasis. Plus all that AP so you can add more hurt to your skills.
Did I mention buy Sight Ward
Kennen will stun you if he has Slicing Maelstrom on when you ulti him.
Xin Zhao will knock you up if he has his Three Talon Strike on
Blitzcrank will knock you up with his Power Fist.
Udyr will stun if he's in Blazing Stampede
Leona will stun you if she has Shield of Daybreak on
Other than that, just try to catch everyone before they can stop you.