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Twitch The Plauge Menance
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Great Mark of Strength: This should help you in early game. The extra damage should be enough to take out your opponents. Giving you the advantage right from the beginning of the game. This should be an insta win espically if you get all three kills.
Greater Mark of Might: More Attack Damage its just in seals :P
Greater Quistennce of Alacarity: More attack speed to give you more firepower when using expunge.
Other Summoner Spells:
Cleanse (pesky CC)
Clarvoyance (surprisingly this has actually allowed me to set up ganks on the opponent rather then them setting ganks on us I only suggest using this if you have another person like Yi and then a tank of ethier Shen or Nunu (Taunt/Slow)
Ghost (allowing you to iniate fast and also being able to run out is a pretty good deal)
Fortify (lol wut)
Rally(your gonna just end up leaving the flag anyway so why does it matter)
Revive(No no no no no no no this is only good if your losing and you dont even know if you are gonna loose you shouldn't espically with my guide :O)
Teleport (This is nice but you kinda have to use a ward because using it on a minion or a tower alerts your opponent and then the run away so its a waste)
Berserker's Greaves: An all around good item for anyone that wants attack speed. That person is Twitch. But this item should be replace with another Phantom Dancer after you get infinity Edge.
Phantom Dancer: Extremely good item for Twitch. Attack Speed,Critical strike and movement speed.key parts to ganking everyone/ killing everyone and thing. (if your looking for more attack speed then just go with Sword of The divine its cheaper it just dosen't have the stats.
Black Cleaver: Essintal for taking out tanks and totally killing little squishy targets. You can sub this for Blood Thirster but i get it just so i can pick on the squishy targets armor allowing me to do even more damage. (this should only be replace with Blood Thirster you will not get the same ownage benefit from any other item about)
Madred Blood Razor: Well this item is good for all heavy AD and attack speed based characters. Has the certain stats for Twitch and the uniqe passive allowing you to damage or mortally wound your target,.
Infinity Edge: Lots of damage and a good crit buff increase.
Sword of the Divine: The only reason why i dont use this item is because good attack speed but nothing else. i mean also its uniqe effect.
Atmas Impaler: Good item overall
Tiamat: Lots of damage and hp and mana regenration.