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Tap each threat level to view Izanami’s threats
Tap each synergy level to view Izanami’s synergies
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So when you're referencing builds, in almost all situations you'll see builds proposed in the order they suggest purchasing. Some things are not directly intuitive, however. Let's go over it.
The first section is suggesting which items to buy at the very beginning of the match. In this case, if you're following this build, you would purchase Death's Toll, Morningstar, 4 Healing Potions, and a Multi Potion at the start. Also, since you are able to get 1 relic at the start of the match for free, they suggest (wisely) to get Purification Beads.
Then we look at the full build: