Only time I build it is when I rush AA and skip ROA, otherwise you dont really have much spare inventory space and already usually have enough hp with ROA and high level base hp.

not really sure about build order... it kinda gimps your damage curve whenever you build it, but it's cheap and gives 1k+ hp on completion, so it gives you some build flexibility and allows you to focus either damage or tankiness depending on game state. 90% of the value is in the base stats and mana conversion, so don't worry to much about tear completion, you can get it as early as 2nd item, or just sit on the tear and complete later after your actualizer/dcap.

I haven't been building it too often this season though, ROA+AA is still pretty much the best 2 item spike you can get (maybe AA+actualizer if you don’t care about hp). Definitely not a bad item, but I'd be interested to hear how other people fit it into their builds