Blood Razor may be situational, but it is almost always the best choice. You shouldn't ever be the only DPS on your team, and even without the passive, Bloodrazor is an excellent choice for Tristana. The problem with going Razor, Malady, Cleaver and then choosing what else to get is that it takes way too long. Going Bloodrazor gives you all the survivability you need, combined with the attack speed and damage you will need until Cleaver. Malady is a money sink, and while it gives you life steal and attack speed, the effect is not equal to a Bloodrazor built into a Cleaver will give you in that same period of time.
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