Atma's Impaler was a unique item in League of Legends that converted maximum health into attack damage, removed in patch V4.21. It provided 45 armor and 15% critical strike chance, with a passive that converted 1.5% of maximum health into bonus attack damage.

The item cost 2300 gold and was built from Chain Vest and Avarice Blade. Its base stats were 71.74% gold efficient, reaching 100% efficiency when the champion had 1204 maximum health.

Notable features:

• Added directly to attack damage (not an on-hit effect)
• Granted same AD as B.F. Sword (40) at 3333 health
• Only armor item specifically beneficial for attack-based characters

Popular item combinations included:

• "Fratma's" (Frozen Mallet + Atma's)
• "Atmog's" (Warmog's + Atma's)
• "Fratmog's" (both combinations)
• "Atrimog's" (Trinity Force + Atma's + Warmog's)

Champions with large health pools like Sion and Cho'Gath benefited greatly from this item. By level 13, it became cost-efficient for every champion due to base health scaling.

The name references the Ultima Weapon (Atma Weapon) from Final Fantasy VI, which dealt damage based on the hero's health.

Major patch changes:

• V4.21: Removed from the game
• V1.0.0.152: Recipe changed, cost reduced to 2300g
• V1.0.0.138: Health to damage conversion reduced to 1.5%
• V0.9.22.15: Passive made unique, armor reduced to 50

Titanic Hydra was introduced in patch 5.16 as its spiritual successor, offering HP scaling damage in a different format.

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