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My personal build is more a tanky fiddle, as people will always focus a well played fiddle: rank 1 boots (kill golem at lvl 1) - Mejais - Catalyst - RoA. From here it depends. Another RoA, Rylai's, Frozen Heart, Abyssal Scepter, Guardian Angel. I focus purely on damage items that are 'tanky'. I have like 125 games as fiddle so I play him well, and a well played fiddle will always be focused.
Best way to be successful on fiddle is to have a tank on your team that initiates. As Fiddle you NEVER initiate. The only way I initiate is if im so fed that i can literally kill their entire team by myself (which has happened, lol).