Talk:Swain/@comment-24823977-20141008123905/@comment-24621775-20141016102230

Spirit Visage is great, WotA is pretty meh in my opinion. The problem is that none of Swain's abilities get the full 20% spell vamp; his Q & E are DoT, his W & R are AoE. So you're giving up a valuable item slot for an item that only helps his healing moderately (and he already vamps super hard naturally with his ult). Spirit Visage has better natural synergy, because it simply enhances his Ult's healing, as well as giving valuable stats like CDR/ Health/ MR.