Tiamat rework hurt him alot. (left with almost no clear speed early)
Rangers Trailblazer removal hurt him a bit. (left with almost no clear speed early)
Botrk nerf makes it unviable with the increased price. (should honestly just cost 3k gold now) (or grant 15% lifesteal like before)
Statikk Shiv just got nerfed. 30-100 damage based on level instead of 50-150 is huge. (the old 100 flat was fine)
Unless snowballing pretty much the only viable build is devourer > rageblade wich takes far to long to stack on him.
even if snowballing, he gets dumpstered by annyone because itemizing is too hard now.
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