User blog comment:Willbachbakal/(Item Concept) Revamping Life Steal/@comment-1920550-20150826005801/@comment-1330314-20150826012719

If you're someone like, who's really aggressive and dependent on his spells, you might want to pick Essence Reaver over the competition due to the combination of AD and spell-based healing it would provide (by contrast, would do a terrible job of killing squishies and  would offer both less overall sustain and defenses he might not need). AD assassins would also pick it for the raw AD and burst healing it would provide, since they don't make particularly good use of life steal now and need more CDR options, and in general AD casters would likely make better use of it than its rivals ( and would be amazing with it too).