The best replacement for spell vamp is lifesteal.

The best alternatives to spell vamp are rated as following:
★★★★★  lifesteal
★★  lifesteal kayle
★★  lifesteal lol
★  lifesteal teemo

Your alternative for spell vamp is not listed? Suggest!
Speaking about spell vamp, one probably shouldn't forget about singed.

Other search terms related to spell vamp and their ratings are:
★★★★★ singed
★★★★ teemo
★★★ nunu
★★★ fiddlesticks
★★★ vlad
★★ amumu
★★ mordekaiser
★★ vladimir
★ sunfire cape
★ mundo
★ kennen
swain
You have in mind a companion for spell vamp and it is not yet here? Propose!



Google Trends

Scale is based on the average worldwide traffic of spell vamp in all years. Click on graph for more.
spell vamp
lifesteal
lifesteal kayle