Since melees who aren't tanks struggle in ARAM, bring back Sanguine blade for melee only
https://i.imgur.com/L4PICnx.png[/img]
Sustain is one of the very few ways bruisers or melee carries can hope to put a fight against ADCs and ranged AP pokers but, by the time they'll get their lifesteal going, the opponent will most likely already have some grievous wound source because of their superior gold income from poke kills. Sanguine blade offers enough early aggressivity and sustain to give most melees an actual chance to be more than a deadweight until they miraculously scale (if they can)
Sanguine blade is a terrible item