Rammus is all about singling out a target, his whole kit is around just ****ing up someone's day. Powerball catches up and slows them, taunt lasts 3 seconds and lets him drag them around, lowers their armor so his increased damage from his passive (boosted with DBC) hits harder, DBC returns damage on their autoattack which they're forced to do because they're taunted, and tremors is a strong AoE that they're standing in because of taunt and the slow from powerball.
Rammus is a **** when it comes to 1v1s, he's designed that way, throw one person in front to intercept powerball and give Cait a LW and some lifesteal and Rammus is dead.