Items
Starting Items

Stout Shield
This item is practically self explanatory, because this will allow him to be able to survive in lane much longer than anyone else can, and with creeps being the main damage against you, OR jungle neutrals, this item is versatile in either situation.

Quelling Blade
This item is particularly good for jungling, but also a necessity for laning, since this tiem gives you the potential to do more damage, and get more last hits, and even more denies if that is what you need to do in your lane. Especially since Lifestealer is a melee character, the bonus damage is increased, making last hitting quite easy.

Tango
This is simple, if you get hit a bunch, you can stay in lane longer...
Core Items
Power Treads VS.
Phase Boots
Personally, I prefer Phase Boots, while the HP gain and attack speed from Power Treads are noted, but the speed boost, something much needed on a Lifestealer especially for a good gank to occur, and the raw attack damage make Lifestealer quite a bit more effective. However, Power Treads can be used until you fully figure out this character, but once you learn him, Phase Boots will be superior.

Mask of Madness
This is the part you may be like "Wait...why!?" Simple, the lifesteals STACK. This way, you now gain a lifesteal based off of hoe much life they and, and how much damage you are doing. Plus, the attack speed bonus will allow you to massively regain health if you ever get low. Don't forget with open wounds, you are now getting 3 lifesteals at once. Once you get this item, if you die, it was probably a 4 or 5 man gank on you.

Armlet of Mordiggian
This is an AMAZING item on any strength hero, and Lifestealer is no exception. The strength gain when active makes you even tankier than before, and the 40 hp drain per second is hardly ever noticeable if you are attacking.

Skull Basher
Another simple and self explanitory item, if they are stunned they can't move or attack you, hence you get free damage to them,and with a Mask of Madness activate,you will be hitting 2 to 3 times before their stun ends, they will not be able to walk away from that one easily.
Luxury/Situational Items

Abyssal Blade
I mean might as well, getting some bonus damage allowing our Mask to get more lifesteal and better yet, we already built a Skull Basher, so there is no reason not to upgrade it for 3800.

Daedalus
Not truly necessary, but if you have free farm, and want to out put more damage, and get the occasional crit, this is not a bad item. But DO NOT just rush for this item, this is an item you would get AFTER you are already fed.

Heart of Tarrasque
Any character can benefit from this, but with our build idea of high damage and high sustain, this fits in quite well. Due to not needing to ever go base again, and the Armlet now being active the whole time, you are able to just wreck down fields of enemies. Definitely get if the opportunity is given to you.

Monkey King Bar
This is for dealing with that Phantom Assasin or a Faceless Void, so you are still able to output damage, and not miss, giving you guaranteed contact and lifesteal.

Vanguard
If you already had a stout shield, why not just upgrade it to a Vanguard, because honestly, the HP regen and the block chance from a melee hero is nice.

Sange and Yasha
The armor given due to the agility gain is nice, along with the strength gain and the maim chance, this allows you to become an even more effective ganker, especially with the increased movement speed given by Yasha.

Assault Cuirass
Overall, probably up there is Heart of Tarrasque in usefulness. Due to the armor gain, and the aura, and attack speed bonus for you and your team. You gain the benefits as well as your teamates, making your teamfights even more useful than before. Plus the enemy aura armor loss can make a tanky character, just plain meat for you to feast on.
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