Vlad with Tides of Blood, Spirit Visage, and Runic Armor pretty much cancel grevious wounds
1.08^4 x 1.2 x 1.08 = 1.76 times healing
1.76 x .6 grevious wounds = 1.06 times healing
Discuss
5 Comments
Petrico2 votesCosts health to maintain and you're still at 1x instead of 1.75x
Visage is still a nice item but you wont have it at the start of the game when people have ignite or even Executer blade 
GetMariahCarried1 votesI planned to discuss, but then you told me to. I'm rebellious, so I'll just post instead.
Hayaishi21 votesyou cant tell me what to do!
xl Kirito lx1 votesVlad's still down 10% cdr from masteries / Ionian boots.
GetMariahCarried1 votesHello scaling cdr runes. Love'em.
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