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Magic wand doesn't even build from 3 branches anymore.
Q is medusa's primary source of farming in the midgame. A value point at 4 makes it possible for you to deny and last hit at the same time, as well as potentially get harrass in without aggroing the creeps.
Bloodstone is awesome, but if you're building towards it with a soul ring, there's no point in maxing E second, a maxed snake lets you easily refill your mana with a lane or a good jungle camp. Better to get Q online so you can farm and contribute a bit more to teamfights.
And hello, medusa isn't squishy. she doesn't need a salve, she has her mana shield. She barely needs tangoes. With a Faerie Fire and a Mango she has decent passive regen, a bit more damage, and a little burst refill if it's really needed.
Shields, gods no, not stout, not Poor Man's, and especially not Vanguard. Those items are pure waste on a ranged hero. none of those items reduce how much damage mana shield tanks, and so even if they were effective on ranged heroes, all they do is leave you with a little more HP when your mana is all gone.
Midas is just a waste. It's for speeding up the farm of heroes with slow farm. Medusa can already farm like a beast.
Power treads are great on medusa for the reasons listed, but why in heck would you get treads AND soul ring/bloodstone? one or the other is plenty for mana sustainability.
Armlet?? Medusa isn't a melee Strength hero, getting this isn't a desperation move, it's just pure crazy. If your bloodstone is built, you don't need helm of iron will, you just leave mana shield on and farm until it's time to push or defend.
Your MKB information is simply wrong. Split shot's secondary arrows do get true strike, but does not apply to buildings. You still miss from downhill or into AW's bubble if you're aiming at a tower.
A better cheap damage item to consider instead of Armlet is Maelstrom. It cheaply speeds up farm, increases teamfight damage, and upgrades into Mjolnir for even more damage plus a nice active ability.
Desolator is simply an awful item on medusa. Vlads is the worst lifesteal option for her, and she needs some. on a level 16 Medusa, Treads Armlet Deso Vlads gets 175 DPS against an enemy with 15 armor. for 9500 gold. You can outstrip that with Treads or Phase boots, Mask of madness, and a single damage item for similiar cost. Heck, Treads Aquila MoM Maelstom beats it with less than 7000 gold.
BKB is decent for countering a lot of stuns, but what you really want it for is to counter mana burn. Antimage, PL, and Riki can all wreck Medusa in the late game without it.
Refresher orb is gimmicky and should be reserved for games when your team has like, no lockdown. Plus it's passive is totally redundant with bloodstone. It's a decent item if you go skadi instead though, especially since you can get a single perseverance after skadi to fill your sustainability needs, then make Refresher, Lotus, or Linkins depending on what you need.
Many thanks for your input.
Best Medusa build if you want to.go the no.stats way
Phase boots
Assault cuirass
octarine core
Mjollnir
Daedalus and
Rapiras
Moonshard
Substitute your items with these as per situation
Sheepstick
Linken sphere
Aegis
Lotus orb
Shiva's guard
Monkey king bar
Black king bar
Bloodthorn
I see you're new to dotafire
Kyphoid is like a mad genius. He can have good ideas sometimes but take everything he says with a grain of salt.
It literally blocks 16 dmg. 16! That is almost nothing. You might as well get a
And an Armlet of Mordiggan on
As you love experementing, did you ever try out a
First of all, a medusa safelane should always have her first point in the mystic snake as if used correctly, will give very nice mana sustain as well as a very annoying harassing tool.after that a manna shield is essential.
Secondly,after putting a point in her ult we should also put 2 points in the split shot as it is a great farming tool till the mid game because medusa has enough damage now.A mana shield could be maxed later since two points are enough to show its effieciency or survive ganks.
I also have an issue on building a blood stone on medusa. a bloodstone for an item is not worth paying the price on medusa. Try rushing nothing else but an eye of skadi, it gives 25 points in each of ur stats, thats insane, as medusa needs everything, she gets the tankiness, the mana regen as well as the amazing slow, try experimenting an eye of skadi as ur core.
After the eye of skadi i usually get daedulus, but its totally up to the player, do what u feel like however i recommend getting a moon shard against a huskar, as soon as he jumps on u ult, then turn of the split shot and mow him down with the attack speed.
Oh and i almost forgot, always remeber a medusa's ult can pierce through a BKB thats the best part man, it is unavoidable.
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Mystic Snake level 1 is just too weak and a waste of mana. I'd rather get one early level in the 
Mana Shield to get more survivability in the lane. Although it is weak early on, I still try to max it out as soon as possible, since it not only harasses well, it also helps when you want push / get last hits. Especially since this build focuses on mana regeneration, you can use it to farm without any worries (remember the 
Power Treads switching).
Split Shot at level 7+8: I personally don't have enough damage at this point to be able to last hit well with the 
Split Shot damage reduction. This might be my lack of skill. Maybe I'll add a section concerning the skill choice one of these days.
Regarding theI added you on steam, look for a dubious friend request, thats me.