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Ok, this build seems weird because of the 3 blood thirster's, but when you have at least 2 of the blood thirster's you are unstoppable, the full stack allows you to have 75 % life steal and up to 500 atk damage. So imagine critting for about a 1000 and get 750 of the health. and then with ur ult's passive, ur atk speed goes up so you get that ... basically you never die.