6th item depends.
Doran Shield>Boots>Doran's Sword>Merc Treads/Berserkers>Frozen Mallet>Atmas>Banshee's Veil>Black Cleaver (Usually I don't get Black Cleaver unless it's a really long game).
I was thinking some thing like this:
Bare in mind I would play him as a jungler, the madreds is only b/c I would start off with the razor. Potentially I could sell it late game and replce it with a totally different item.
Doran's Blade 1-3
Merc Treads/Ninja Tabi
Chain Vest/Negatron Cloak or both
Randuin's/GA/Other defensive item
I build an early Brutalizer if I'm stomping my lane and don't need the health from Doran's Blades, or if I'll need the armor pen. I upgrade to Youmuu's later.
Wriggles for jungling, or if I start with Cloth Armor+5 Hp pots against AD harass and I want quick buffs. I also grab it in situations where life steal would be useful.
I go Phage -> Mallet instead of Triforce if I need to be tankier for some reason.
6th item would probably be an appropriate offensive item. Madred's/PD/SoTD against Jax/etc.
I buy a ward or two every time I go back.
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