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Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
I always first start out on twitch by buying Berserkers greaves, this adds some attack speed and moving speed to get away if needed (or chase after people).
Once I got the Berserkers Greaves I get 2x avarice blade, for the crit and extra gold per second. The first thing I get after the avarice blades is the cloak of agility for the infinity edge for some more critical strike chance.
From there on out just build the infinity edge.
Once you got enough money to get recurve bow for Madred's bloodrazor, do sell an avarice blade and buy it. I would get the madred's razors last to build your madred's bloodrazor. Now the reason why we build a madred's bloodrazor is because it is very strong vs tanks, and has an on hit effect which is very useful on twitch as he has among the highest attack rates of any champion in the game.
After we built the bloodrazor, we will proceed to bloodthirster (Will greatly improve your survivability and damage, especially vs tanks when combined with the bloodrazor). I usually go for the B.F. Sword before I get the vampiric scepter, but this one is up to you.
Once we get the bloodthirster, we proceed with the phantom dancer. I usually wait until I got enough money to buy it whole, because we wont have enough spots to build it up anyways and I want to keep any Avarice blade I purchased for as long as possible for the extra gold income.
The last item we buy is the black cleaver for extra damage and armor piercing. If you want you can also swap this item around with the Phantom Dancer, but I personally like the extra attack speed for the bonus of madred's bloodrazor, and want to keep this one to kill squishy's even faster than we already did (3 hitting a tristana, Teemo or something of the like really won't be a big deal).
Now, the skills is something I am not exactly sure about yet, the things I know is that you should get Ambush and Spray and Pay maxed out as soon as possible, and you will want some Debilating Poison. Expunge won't be that important later game because it will hit less than your normal crits.
The runes I got like that for some extra crit and critical strike damage. Remember that I am trying to go for a build that hits as hard as possible, and I am talking 1k+ crits here.
Masteries same story, we want to pierce defence, add critical strike rating, add attack rating, and add critical strike damage.
I hope you guys like this build! I got me a 23/10/8 in a losing game versus overfed champions!