Starting with level 1 manticore gives you a lot of MP5 in the lane phase and just a over all good item to start with.
Starting with Chalice of Healing with you're left over gold is a great option free potions every back keeps you in lane longer and in the fights longer and saves you on gold.
Starting Relic you don't need to go with blink pending how aggressive you want to be but engaging or securing a kill with blink early game is a great option , you can always be safe and go with shell or meditation.
You can swap contagion for pestilence pending how mage heavy the enemy team is, bacchus has built in anti heal on his belch 50% so grabbing that aura will boost it to 75% so take advantage of that.
Physical - if the enemy ADC or team is running CRIT builds just swap out heartward for spectral armor.
Magical - if the enemy team is mage heavy replace sovereignty with heartward early game.
Sentinel's Embrace
AURA - You gain 8 GP5 if you have the lowest gold on your team. Evenly split 80 Physical and Magical Protection among all allied gods within 70 units and yourself. If you are alone you only gain 30 Physical and Magical Protections.
Manticore's Spikes
PASSIVE - When you hit an enemy god with Hard Crowd Control, they drop Spikes on the ground that lasts for 7s. When you or an allied god pick up a Spike, they gain a buff that causes their next ability to deal bonus Magic damage equal to 3% of their own Max HP. This effect lasts 15s and is doubled if you are the one who picks up the Spike.
Hand of the Gods
This consumable deals 20000 True damage to Jungle Monsters around you. This only affects Monsters on your side of the Jungle.
Chalice of Healing
This consumable heals 250 Health over 25 seconds per use. Comes with 3 uses that are refilled if you enter the Fountain, sells for 0 gold.
Y10 Blink Rune
Using this item will allow you to teleport up to 45 units away instantly. This item can not be used if you have taken or dealt damage in the last 3s. Cooldown - 140s.
Sentinel's Embrace
AURA - You gain 8 GP5 if you have the lowest gold on your team. Evenly split 80 Physical and Magical Protection among all allied gods within 70 units and yourself. If you are alone you only gain 30 Physical and Magical Protections.
Manticore's Spikes
PASSIVE - When you hit an enemy god with Hard Crowd Control, they drop Spikes on the ground that lasts for 7s. When you or an allied god pick up a Spike, they gain a buff that causes their next ability to deal bonus Magic damage equal to 3% of their own Max HP. This effect lasts 15s and is doubled if you are the one who picks up the Spike.
Sovereignty
AURA - Allied gods within 70 units have their Physical Protections increased by 15 and their HP5 increased by 25.
Pridwen
PASSIVE - When your Ultimate ability has finished casting, you gain a Shield equal to 90% of your Protections from items and abilities for 5s. When destroyed, by timing out or being depleted, it explodes in a 30 unit radius and deals Magical damage equal to 75% of your Protections from items and abilities and slows targets by 25% for 3s. This can only occur once every 45 seconds.
Heartward Amulet
AURA - Allied gods within 70 units have their Magical Protections increased by 15 and their MP5 increased by 30.
Sentinel's Embrace
AURA - You gain 8 GP5 if you have the lowest gold on your team. Evenly split 80 Physical and Magical Protection among all allied gods within 70 units and yourself. If you are alone you only gain 30 Physical and Magical Protections.
Evolved Gauntlet of Thebes
AURA - Allies within 70 units receive 10 Physical Protection and 10 Magical Protection.
Pridwen
PASSIVE - When your Ultimate ability has finished casting, you gain a Shield equal to 90% of your Protections from items and abilities for 5s. When destroyed, by timing out or being depleted, it explodes in a 30 unit radius and deals Magical damage equal to 75% of your Protections from items and abilities and slows targets by 25% for 3s. This can only occur once every 45 seconds.
Pestilence (old)
AURA - Enemy gods within 55 units have their healing reduced by 25%. This does not stack with similar Auras.
Sovereignty
AURA - Allied gods within 70 units have their Physical Protections increased by 15 and their HP5 increased by 25.
Heartward Amulet
AURA - Allied gods within 70 units have their Magical Protections increased by 15 and their MP5 increased by 30.
Aura Bacchus - This is a great build if you want to be a team player full aura bacchus providing you're team with lot's of hp5 mp5 and protection and also making you really tanky over all.
Sentinel's Embrace
AURA - You gain 8 GP5 if you have the lowest gold on your team. Evenly split 80 Physical and Magical Protection among all allied gods within 70 units and yourself. If you are alone you only gain 30 Physical and Magical Protections.
Manticore's Spikes
PASSIVE - When you hit an enemy god with Hard Crowd Control, they drop Spikes on the ground that lasts for 7s. When you or an allied god pick up a Spike, they gain a buff that causes their next ability to deal bonus Magic damage equal to 3% of their own Max HP. This effect lasts 15s and is doubled if you are the one who picks up the Spike.
Sovereignty
AURA - Allied gods within 70 units have their Physical Protections increased by 15 and their HP5 increased by 25.
Pridwen
PASSIVE - When your Ultimate ability has finished casting, you gain a Shield equal to 90% of your Protections from items and abilities for 5s. When destroyed, by timing out or being depleted, it explodes in a 30 unit radius and deals Magical damage equal to 75% of your Protections from items and abilities and slows targets by 25% for 3s. This can only occur once every 45 seconds.
Pestilence (old)
AURA - Enemy gods within 55 units have their healing reduced by 25%. This does not stack with similar Auras.
Spear of Desolation
PASSIVE - If you receive a kill or assist on an Enemy God all of your non-ultimate cooldowns are reduced by 2 seconds and your ultimate cooldown is reduced by 6 seconds.
If you're team isn't securing kill's or you feel you're team is lacking damage you can add spear of desolation toward the end of the build to help with damage or securing kills you could also opt for divine ruin for 115% anti heal with you're belch 50% + 25% + 40% from divine and the aura if the enemy team healing is a problem.