Needs a buff. With the stack HP and win meta it's a terrible item
unless used with on hit champs which need to build AS and be very
squishy to do it. Which in turn they die fast so it becomes useless even more.

I'd just rather have Madreds back.

The only thing I don't like about Blade of the Ruined King is the current health damage, beyond that the life steal and active, and icon are pretty cool. One of the disadvantages of stacking health over armor is that life stolen isn't mitigated, so life steal ends up being rather effective against such a defensive route.

I'd rather see Kitae's introduced at the same time as Blade of the Ruined King then see madred's again, it would allow you to build up against health stackers the same way you build up against armor stackers, via comboing 2 items that help counter a specific type of defense rather than solely relying on 1. Kitae's and Blade of the Ruined King would average out to 4.5 max health shred with each attack as well, which doesn't strike me as very abuse-able in the overpowered sense. Kitae's 30 AD and 40% AS are considerably cheaper than Madred's 40 AD and 40% AS as well, which was really the main draw of the item in the first place.

I don't like the base stats on the item. If it had attack speed instead of AD, it would synergize with the proc. If you wan a 40/10 item, why not stinger? 40 AS 10 CDR. Cutlass is just a bad base for the passive.

currently in PBE

45 AD

5% of targets current health.

I think they should release Kitae's Razor into SR, makes it a perfect niche item to counter warmogs.