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Ill probably try bloodstone build since i never tried to change zsmj's medusa build.
+1
And readability still lacking overall, a bit too eye-tiring on item listing sections especially, feedbacking you incase you may want to fix them this time.
A lot of more current Medusa play revolves around getting online a lot quicker as the meta doesn't allow for long drawn out games and 4v5.
So we see points into stats as early as level one with the maxing of shields and snake first and split shot after level 10.
We see the first big item being a Maelstrom or MKB into Skadi into Butterfly. You go phase or treads and get either a HOTD or MoM.
Linkens can still be had if you're against line ups that can proc Linkens but what we're really after is getting DPS going on Medusa. With shields and stats taken early she can solo a lane no problem.
I would just like to add that +46 dmg for 2400g is also a very good early item or maybe 2.
The first reason is that Linkin is very expensive and gives low dmg. So alot of the time you are there shooting away doing no dmg while your team dies. For 1 Linkin you get 2*46dmg +500gold.
Take into account that only base dmg is reduced for split shot. So the 2*46 dmg isn't reduced at all by split shot. And you have to farm alot to get the necessary item. So the extra dmg wil boost you lvling and farming speed alot. So 15 minutes into the game you can ulti and shoot 200dmg spit shot in 700 aoe. Oké you might die a few times more. But you will be able to contribute much more in the early game and farm up very fast.
Cheers
While the Bloodstone HotD build is a good build - I myself did pretty well every time I tried it - I think the core items are redundant and too expensive. A
The Refresher build severely lacks damage. Also, as the
I like all your builds a lot, these are my only concerns about them. Other than that, I really can't think of anything wrong.