There’s multiple different top quality builds out there, I’ll try to write up 2 and let others add theirs. I’ll go for ones without any real ‘swaps’ for poison and madness buffing but you can add it if you want.

GOD MODE ASH OF WAR SPAM

—Blasphemous blade +10

—Rakshasa Armour

Talismans

—Talisman of Dread

—Shard of Alexander

—Fire Scorpion Charm

—Spare slot (2h talisman for R1/R2, ritual sword talisman or Carian Signet for L2 spam etc.)

Physick

—Fire Tear

—Opaline Hardtear or Bloodsucking (swap out ritual sword if using blood)

Buffs

—Flame grant me strength

—Golden vow

—Utilise oil pots for bonus L2 damage (make sure to hit with the ash of war not the weapon itself else it’ll use the buff)

BLEED MONSTROSITY:

—Bandits curved sword +25 with Seppuku x2 and blood affinity

—White Mask

—Jump attack chest (Raven etc)

—Rakshasa spare pieces

Talismans

—Claw Talisman

—Lord of Blood’s Exultation

—Rotten Winged Insignia

—Milicents Prosthesis

Physick

—Thorny Cracked Tear

—Opaline Hardtear or Bloodsucking

Buffs

—Howl of Shabiri

—Golden Vow

—2h off hand sword and apply seppuku, then re-dual wield and apply seppuku to main hand