Thanks for the comparison to extra health! Out of combat regen would work too so that it’s not just a better extra health. But another thing to note is this item has the implicit cost of occupying an active slot (no worries early game but it means it’s more likely to get sold later), no upgrade...
Satanic Barrier - T1 Vitality
Passive
+75 Health
Active
Gain a 150 Health Barrier for 2 seconds
When the barrier expires, remaining barrier is dealt to you as damage
This damage cannot reduce you below 1 Health
Cooldown: 24 seconds
Designed as a skill-expressive, early-game defensive tool...
