User blog comment:RoznosicielCiast/What about Liandry's Torment for Skarner?/@comment-4956864-20130225010609

"His E marks targets with some kind of debuff, which heals him when target earns damage from him. And that's the point - hit minion wave with it, Liandry then activates it on every target hit without your effort = massive heal without any problem"

Can't you proc it with the Spirit of the Lizard Elder too? (thus making other builds possible, specially building from a machete)