Grievous wounds def needs to be removed, it isn't a healthy mechanic(PLEASE READ)
In the current state of the game if grievous wounds was removed Soraka would be pick pan, Swain would steamroll the game, ADCs will be more bullshit, and Aatrox will gain 0.05% win rate.
Grievous wounds in its current form does not allow certain champs to function to their strengths without being either obsolete or op to make up for weakened healing.
Grievous wounds vs Illaoi in teamfights makes her worthless but Grievous wounds vs Vladimir keeps him in check and not immortal.
We need to make it so Grievous wounds is no longer in this game but must change other champs that would be ridiculous without it

plus every AD that buys lots of lifesteal or just 2 lifesteal items
and
in particular is not a fair item. and im saying this as someone who uses it on a regular basis when facing
have conditional while
has full 24/7 all physical damage.
will get out of control
if they get it.