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and if you have trouble staying alive you can always choose to take a item like RoA after deathcap.
But I tried alot of malzahar builds with items like RoA, but my score became much better with this built and I farmed better. And farming is really important.
To kill - malza doesn't need to spam skills to kill people, he only needs one combo to do so, especially with the massive AP ratio on his ulti.
Also, I think rushing Morello's Tome is an awful idea - The AP you get from it isn't too great, you shouldn't be having mana problems, and you, as the AP carry, should always have blue buff, bringing you to max CDR anyway, so the 20% CDR goes to waste.
Lol...kidding.
Could you please explain why you get those items, instead of just saying which items you pick? Don't you think it's better to start with something a bit more defensive, like a ROA or a Rylai's?