User blog comment:Qwertyfatcat/Another way of playing Malzahar/@comment-5774371-20130416150658

Seems doable. I guess this is kinda like Elise. most people stack health items and Magic Pen like Warmogs, Rylais or Sunfire Cape and Torment and Magic Pen Boots. Since he does damage for % health he can build health early if you want. But i reckon trying this Mid since Malzahar counters alot of Ap Casters, and with Health items he will just as hard to kill.