Patch 7.41e
Medusa

Medusa Counters & Build

Agility
50.55%
Win rate
0.264%
Pick rate
5
Counters
7.41e
Patch

Medusa is countered by Anti-Mage, Nyx Assassin and Slark, and performs best against Undying, Witch Doctor and Doom — patch 7.41e, legend–ancient.

Countered by

5

These heroes beat Medusa more often than their general strength explains.

Anti-Mage
Anti-Mage 919 matches
−7.3%

WhyAnti-Mage establishes an early advantage by heavily winning the lane and directly counters Medusa's core survivability. Medusa relies on Mana Shield absorbing 98% of damage using mana, which Anti-Mage rapidly depletes with Mana Break while applying heavy movement slows via Persecutor as her pool empties. Once Medusa is out of mana, Mana Void deals massive area damage based on her vast missing mana pool.

Nyx Assassin
Nyx Assassin 372 matches Low data
−4.9%

WhyNyx Assassin likely troubles Medusa later in the match because Mind Flare scales directly with her massive maximum mana pool and can directly deplete it with the Mana Burn facet, severely undermining her Mana Shield durability. Furthermore, Spiked Carapace can easily reflect Medusa's indiscriminate damage from Mystic Snake, Gorgon's Grasp, or Split Shot to stun her in teamfights.

Slark
Slark 680 matches
−3.1%

WhyMedusa's reliance on Mana Shield to survive prolonged engagements allows Slark to continuously drain her attributes and amass bonus Agility with Essence Shift. Furthermore, Slark can purge the root from Gorgon's Grasp using Dark Pact, while Pounce keeps Medusa leashed and Shadow Dance enables him to fight undetected or disengage to regenerate.

Sniper
Sniper 928 matches
−2.0%

WhySniper establishes an early advantage by clearly winning the lane against Medusa, using Keen Scope and Take Aim to safely outrange and harass her. His immense range allows him to continuously whittle down Medusa's Mana Shield from outside her threat radius, while Headshot and Concussive Grenade knock her back, disarm her, and slow her movement to prevent her from closing the gap.

Centaur Warrunner
Centaur Warrunner 581 matches Low data
−1.7%

WhyCentaur Warrunner can punish Medusa's reliance on continuous attacks from Split Shot with Retaliate, which reflects damage back to her based on his high strength pool. Additionally, Stampede grants maximum movement speed to his entire team, making it much easier for allies to disengage and maneuver away from Medusa's Stone Gaze or quickly close the distance past Gorgon's Grasp.

Strong against

5

Medusa outperforms against these.

Undying
Undying 1,211 matches
+4.6%

WhyAlthough Medusa loses the lane to Undying's early pressure, she heavily counters him as the game progresses. Her survivability relies on Mana Shield absorbing 98% of damage with mana rather than raw health, making Undying's Decay strength steal far less threatening. Furthermore, Split Shot allows Medusa to effortlessly clear Tombstone zombies during teamfights while simultaneously damaging enemy heroes.

Witch Doctor
Witch Doctor 1,050 matches
+4.0%

WhyMana Shield absorbs 98% of incoming damage with mana rather than health, effectively neutralizing Maledict's burst damage which relies on lost health to deal damage. Additionally, targeted spells trigger Medusa's Cold Blooded passive to return a petrifying snake that stuns Witch Doctor, while Stone Gaze forces him to turn away and prevents him from freely channeling Death Ward in teamfights.

Doom
Doom 745 matches
+3.3%

WhyMedusa's Mana Shield absorbs 98% of incoming damage with her mana pool, heavily mitigating Doom's damage over time and Infernal Blade's max HP burn. Additionally, when Doom targets her with his spells, Medusa's Cold Blooded passive automatically retaliates by petrifying him for one second with a Mystic Snake. Outside of the even laning phase, Stone Gaze and Gorgon's Grasp punish Doom's attempts to close into melee range.

Necrophos
Necrophos 1,179 matches
+3.1%

WhyMedusa loses the lane to Necrophos slightly, but takes over later in the game because Mana Shield absorbs 98% of incoming damage before her health pool drops, largely neutralizing the missing-health burst of Reaper's Scythe. Furthermore, targeting Medusa with single-target spells triggers Cold Blooded to counter with a Mystic Snake that stones Necrophos for one second. Mystic Snake also restores Medusa's mana pool while exploiting the increased magic damage Necrophos suffers during Ghost Shroud.

Kez
Kez 325 matches Low data
+3.0%

WhyMedusa's defensive kit heavily disrupts Kez's melee-range engagements, as Stone Gaze punishes him for facing her while executing close-quarters combos. Additionally, targeting Medusa with single-target spells like Grappling Claw or Talon Toss triggers Cold Blooded to petrify Kez, while Mana Shield absorbs the bulk of his burst and percentage-based damage.

Best allies

5

Pairs that win more together than apart.

Marci
Marci 210 matches Low data
+2.5%

Popular build

legend–ancient

The eight most-bought items, in the order they are usually finished. Chosen by purchase frequency rather than win rate — an item's win rate reflects how the game was going, not what the item did. The minute is the median completion time: what to aim for.

  1. Null Talisman 2min 6,815 builds
  2. Wraith Band 2min 1,000 builds
  3. Yasha 12min 10,901 builds
  4. Manta Style 17min 10,924 builds
  5. Butterfly 25min 7,773 builds
  6. Eye of Skadi 32min 6,927 builds
  7. Crystalys 33min 3,884 builds
  8. Daedalus 37min 3,203 builds

Patch 7.41e · legend–ancient · updated 2026-08-24. Figures are shrunk toward the expected result by sample size, so a large number on thin data is deliberately damped rather than shown raw.