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If you can get one with Maim and/or Crit chance on it, then that's ideal. Lot's of HP and high evasion is ideal. Poe claws with elemtal dmg.
1) In levels 1-5, RW actually has the exact same total base damage as RQ. Therefore, a W2+Q does the same damage as Q2+W, only that it heals you and is more guaranteed damage (if you dont land the explosion of Q2, W2 is strictly better). 2) E2's damage is reasonably strong in lategame teamfights. It's almost the same as Orianna's ult. Your Q2+W has a total 2.1 AP ratio with bases to match. Your Q+W+E2 has a total 1.8 AP ratio with bases to match. Only instead of a slow field and semi-unreliable damage, you get an AoE speedboost and shield for your team and likely more stacks on your passive. If the enemy is bunched up, then almost always use E2. This would be different if you were like Rengar, where your empowered abilities had separate cooldowns. Because you'd be able to use Q+Q2 rather than Q+E2. However, that isn't the case, so Q2 by itself is actually comparable to damage than Q+E2. People actually forget this a lot. 3) W2's effectiveness is obviously based on your own durability as well as how low you are. If you begin an engage, hold your mantra and W cooldown until you get low on health. Also, your shields and heals both scale off resistances. If you are being focussed, things like Frozen Heart and Visage can be really effective. 4) Use W before you Q2 if you can. Remember, not landing the explosion means your mantra is only adding 25 (+0.3 AP) early on. Even later on, just use W2 if you're not going to land it. Or E2. Both are way stronger if you don't land the explosion. Basically, never use Q2 for solely the initial damage unless you're poking or zoning from afar. 5) If you're chasing and you have an ally in front of you, always shield them over yourself for the speed-boost. I see way too many Karma's selfishly shield themselves just so they can land a Q or something, when their teammate can use it much more. Just some tips from a diamond Karma main. =)
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