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The only damage items you need on him are whatever botos (CDR ones are nice) Gem of Isolation, and a penetration item (Spear of Magus works well, as does Obsidian Shard).
Beyond that I normally get Shield of Regrowth (CDR plus Passive procs on his corpses for speed and spamming 1) and 2 other defense items, or Chronos Pendant and a situational.
Ah Puch is a god that is great for gettng kills, but he can get assists just as easily since you might do most of their health in damage, and your Hunter or Assassin finishes them off.
Personally I just do the bog standard power/pen build and for the most part he'll tear a god a new one with his 2 1 3 combo (or 1 2 3) and most squishies caught in that will die... horribly.