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This is my first guide, and I am awful at code, so please excuse any errors. This guide is for a very aggressive Medusa, one who will often run through an enemy team. I have used this build extensively, often with great success in 3v3 Joust.
Medusa is a very strong hunter that scales very well throughout the game. Early game she can be a bit weak, but the Bluestone helps to make up for some of her weakness and she can often stay in lane for an extended period of time. I often single out the member of the enemy team who seems to be the strongest and try to burst them down so that my team can 3v2 the enemy team, either forcing them under tower or killing them. Try not to get too greedy early game.
Early Game - Kill the minion wave quickly, using Acid Spray to poke your enemies behind the minions. When the wave is gone, try to get some damage in while they hit your minions, don't get too greedy, your lifesteal isn't very good yet.
Mid Game - At this point you should be able to do a good bit of damage to most enemies and clear the wave very efficiently. Don't forget to get your attack speed buff and their attack speed buff any time you think you can get away with it. If you managed to get early kills you should be able to stay ahead and easily push minions and take the enemy tower.
Late Game - Now you should be able to very quickly kill almost any enemy and you will easily push waves. If you got early kills and managed to stay alive, you should be snowballing out of control and the enemy's best chance is to try to 3v1 you. At this stage you should focus on getting the enemy hunter out first, followed by the rest of their team. Your ultimate is great for the beginning of the 3v1, but you should try to never initiate into their team by yourself unless they are so far behind that they don't stand a chance.
I know it isn't very pretty, but hopefully this guide will be helpful in learning how to dominate with Medusa. I tried to be thorough, but if you see any issues or have some suggestions, please leave me a comment. Thanks.
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