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In pubs it can certainly be good, but in a stack or organized team your support can get the medallion.
A core can get it much earlier than a support would, and thus get more impact from it. It's basically an alternative to the usual like Ring of Aquila pick-up on Agility carries. Thus whilst yes, supports can get it in organised stacks, it's still a decent pick-up on certain cores IMO.
It's a great increase in EHP (7 armour is probaly around 25-30% decrease in damage at early stages), offers some levelof mana sustain (Which is important to early brawlers), and is a big increase in early damage (Again, it's removing about 25-30% of Physical resistance) which is what snowballers want. On a core it also gives more solo-potential. Again important for snowballers I argue.
Sanvitch got it.
But sofa didnt.
How would he? Hes a non living thing. XD
A viper gets upto 80 bonus physical damage from his nethertoxin; you will love medallion on him.
Hes already stacking utility like mek and aghs so he is very well fitted to buy a medallion.
Keeping on these lines:
best pa build ever
Just Putting it out there : i have 12/14 wins with PA and medallion strat. It works, you start with 3-1-1-1 or 2-2-1-1 if you dont have last hits troubles. Get phase and medallion in 10-13 minutes at the latest, then start your carrier as a first rate ganker.
You can buy a bkb mid game or linkenspehere if they have a bkb piercing spell. Follow up with Skull Basher and Manta Style if you need chaos element and a nifty dispel .
Your core 90% of the time is medallion phase and bkb.
You will never need smoke of deciet for rosh as you can rely on blur. That thing is so good at scouting roshan enemy attempts and also to go in without being seen.
Medallion also increases roshan potential as sanvitch so aptly concluded.
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Since you just can't have enough Chaos Breaker.
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