User blog comment:KrAd NiWa23/Avaria, The Chain Mistress/@comment-5433392-20130826193902

With those health costs, early trading would be awful. Go in for a Q and get hit by an auto back. You get for 80 to 100 damage (implying both chains hit) and take 60 damage + whatever their auto damage is. Then you need to gain 90 more pain with autos to regain only 25 health. The only way I can see her played like this is a pure ADC while trying to max attack speed and life steal. Trying to take with anything but autos but use your full combo it means you'll take 165 damage + 5% of your current health.