Talk:Twisted Fate/@comment-26433263-20150531035002/@comment-25122281-20150705173652

Yeah, the problem with lifesteal and spellvamp is that their healing is abysmal compared to that of AD carries. Spell vamp only really works on his W, so every 3.6-6 seconds (4.8 with 20% cdr from Nashor) he gets 24 + 20% AD + 10% AP health (something around 100 if he has 500 AP, but like half of that would be neglected by enemy MR). And every auto will give him 12% AD (with Hextech Gunblade, of course) as healing, so about 18 hp (not counting the enemy armor).

I don't think Nashor's Tooth would work on TF for the very reason it's such a niche item - it provides sustained damage and for that you need some kind of sustained healing to stay in battle for as long as possible. I checked on probuilds, and even Teemos don't build it.