Talk:Skarner/@comment-3578129-20131209103730/@comment-20434720-20140115024618

Guinsoo's sustain is far from reliable, but the other stats are so cost efficient on him it'd be a waste not to get them. However, in conjunction with hextech gunblade and spirit visage the effective sustain while the Guinsoo's low-health passive is triggered is:

SV: (20% +10%) *1.2 = 36% SV

LS: (12% + 10%) * 1.2 = 26.4% LS

Basically hextech gunblade provides reliable sustain, and in intense combat, guinsoo's kicking in makes the healing strong enough that you actually get some large results out of it. Pulling some numbers from some crunching I did regarding this build, an empowered Q does 300 damage. Hit 3 targets with it and the AOE penalty can be ignored. at 36% SV, this is an amazing 108 health restored. Likewise, an AA with that build deals 204 damage (does LS apply to bonus damage from sheen?), healing for approx. 51 health. Throw an E at an entire minion wave and you'll get 288 health back.

If I were to take second wind from the defensive masteries... huehuehue!

SV will also help alleviate the problems with having health too low to start out with (2700 total)