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Medusa build, counters and guide for Dota 2 7.41
Medusa wins 48.2% of its 9,706 Divine+ games on patch 7.41f (games from 2026-09-15 to 2026-10-30). Medusa is played as Carry (pos 1) in 90% of its 41 Divine+ games with a recorded position. Below: starting items, the item build and when its core items come, counters and lane notes – measured from recent pro and Divine+ games and rebuilt as the patch and the meta move.
Data through 2026-10-31 · patch 7.41f · page updated 2026-11-01
Medusa at a glance
| Divine+ win rate | 48.2% over 9,706 games |
|---|---|
| Main position | Carry (pos 1) |
| Primary attribute | Agility |
| Attack type | Ranged |
| Roles | Carry, Disabler, Durable |
Medusa abilities
The spells on the hero's ability bar and its innate ability, as the game lists them.
Which position Medusa is played in
| Position | Share of Divine+ games | Divine+ tier | Pro tier · picked / banned |
|---|---|---|---|
| Carry (pos 1) | 90% | C | – |
| Mid (pos 2) | 7% | – | – |
| Soft support (pos 4) | 2% | – | – |
Share of the 41 Divine+ games with a recorded position (patch 7.41f). Tiers are this patch's tier list at that position, from Divine+ and pro games.
Medusa starting items
The most common whole starting basket of recent pro and Divine+ players at each position, with the newest games counted most.
Carry (pos 1)
Brought whole by 16% of the 3,149 players counted at this position.
Medusa item build
The items that Divine+ and pro players of this hero complete most often at each position, with the share of games that finished each one.
Carry (pos 1)
Divine+ players
100%
100%
95%
92%
68%
57%
54%
30%
37 Divine+ games at this position.
Pro games
- 100%
- 100%
- 100%
- 100%
- 100%
86%- 83%
- 77%
10 pro games on this patch at this position, the newest counted most.
When Medusa finishes core items
The game minute at which Divine+ players complete each key item: the median, and the range the middle half of them fall in.
Carry (pos 1)
| Item | Median | Middle half | Games |
|---|---|---|---|
| Yasha | 12:43 | 11:01–14:19 | 37 |
| Manta Style | 16:48 | 15:34–18:11 | 34 |
Medusa counters and matchups
From the Divine+ draft tables the coach drafts with: each number is how many points of win chance the matchup moves when the two heroes meet, with both heroes' own win rates taken out. Only matchups that clearly stand out are listed.
Heroes that are hard on Medusa
Heroes Medusa is strong against
Laning against Medusa
- At level 3, Medusa deals about 528 damage to a typical laner in 8 seconds of fighting, mostly through spell burst – more than 113 of the other 126 heroes (items not counted).
Quick answers about Medusa
What is the best item build for Medusa?
Divine+ players at Carry (pos 1) most often finish Power Treads, Yasha, Magic Wand, Manta Style.
What starting items should I buy on Medusa?
At Carry (pos 1) the most common starting basket of recent pro and Divine+ players is Magic Wand.
Who counters Medusa?
In Divine+ drafts Medusa struggles most against Anti-Mage, Dark Seer, Sniper.
Which position is Medusa played in?
Mostly Carry (pos 1): 90% of its Divine+ games with a recorded position.
Play Medusa with a live coach in your ear
Highground is a live voice coach for Dota 2: it watches your game while you play and tells you the item, danger and map calls, tuned to your hero and position.