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In terms of levelling start with 1 (Sanity Break) or 3 (Rushing Terror)it comes down to preference
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Just a quick comment on the build...IMO the build, while it can do damage, doesn't seem optimized to me. In a jungle role, you're looking to do more burst damage with gank potential. Sustained pressure is okay, but I just don't think Chronos' Pendant is a good item for him, at least not in that mid-game slot.
An option should be included for anti-heal via Divine Ruin, which is also going to be better for his damage output against squishies.
And while items like Rod of Tahuti increase damage potential for all magical gods, Cthulhu's scaling frankly sucks. He's not meant to focus on high power. He's got solid base damage, so to me, Tahuti isn't a good option. Instead, he should build at least a BIT tanky... Ethereal Staff at the very least.