Offlane Medusa might sound like troll pick bait, but trust us—it’s the real deal in Patch 7.38c. With rising popularity in pro and pub scenes alike, this newly rediscovered strategy is proving to be one of the most consistent, frustrating, and effective tools in the offlane meta. Pro player and content creator Speed breaks down how this build works, why it counters some of the most picked carries, and how you can use it to dominate your lane and snowball the map.

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Why Offlane Medusa Works: Matchups, Facets, and Anti-Meta Strengths

Undilation Facet: The Key to It All

The core of the strategy relies on the Undilation facet, which locks Medusa’s movement speed at 310 and makes her immune to slows. That alone is massive—especially in a meta where popular laners and carries like Phantom Assassin, Ancient Apparition, and Pangolier rely heavily on slows to trade and kill.

Additionally, Undilation makes Medusa a surprisingly fast ranged core, allowing her to harass and reposition in lane more effectively than typical offlaners.

Why She’s Picked in Pro Play

Originally picked into PA, offlane Medusa’s laning prowess has shown potential againsta wide array of cores, not just one niche matchup. Her passive tankiness through Mana Shield, resistance to slows, and spammy, mana-based nukes make her nearly impossible to dislodge in lane.

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Mastering the Laning Phase: Snakes, Mangoes, and Grasp

Starting Items and Core Skill Build

  • Starting: Null Talisman components, Stick, Branches (no Tangos needed)
  • Skills:
    • Max Mystic Snake (W) first for trading and mana sustain
    • Max Gorgon’s Grasp (E) second—it’s your root and second nuke
    • Take Stone Gaze (R) at level 6

How to Snake Effectively

  • Snake bounces increase damage per hit.
  • Try to bounce off mana-carrying creeps and enemy heroes.
  • Don’t waste snake on 3 melee creeps—look for at least one ranged creep or hero.

With Gorgon’s Grasp, remember: the damage is higher when targets are caught in the center of the spell. Hitting the middle zone of the hex pattern deals significantly more damage.

Itemizing the Right Way

  • Meteor Hammer is the first big spike:
    • Synergizes with Kaya
    • Gives health, mana sustain, and spell amplification
    • Lets you siege towers and push waves
  • Atos comes next:
    • Sets up your root combo with E + Meteor Hammer
    • Easy to land, great for zoning carries

Mangoes and Clarities are essential early purchases to maintain mana and effective HP through Mana Shield.

Post-Laning: Pushing, Farming, and Fighting

After taking your lane tower:

  • Push mid or rotate to off-map jungle camps
  • Look for 3+ mana-creep stacks to snake and heal
  • Group with your 4 and pressure with Meteor Hammer

Clarity abuse is a must. It synergizes with Kaya and Meteor Hammer’s regen amp and keeps you topped off without being tied to base.

Common Build Paths

  • Kaya → Meteor Hammer → Atos → Blade Mail or Blink
  • Optional Later Items:
    • Gleipnir (range and AoE boost)
    • Hex (control vs cores)
    • Mjollnir (adds damage if you want to hybrid scale)
    • Diffusal Blade / Orchid (for aggressive midgame options)

Meta Strengths and Counters

What She Counters

  • Phantom Assassin: Can’t slow her, struggles vs Mana Shield
  • AA, Pango, Ringmaster: Mostly rely on slow-based spells
  • Slow-based control heroes in general (Veno, Jakiro)

What Counters Her

  • Hard stuns and burst magic damage
  • Silences, especially if you’re caught without enough mana
  • Heroes with no mana cost spells (can’t abuse snake regen)

Still, due to her flat movement speed and tankiness, she’s hard to gank or zone—especially if she maintains full mana.

Offlane Medusa is no longer a gimmick—it’s a lane-winning, tempo-pushing powerhouse. Between her uncounterable laning phase, consistent farm, and flexible teamfight presence, she’s one of the most innovative offlane picks of the current meta.

Whether you’re countering PA, cheesing the offlane, or just want to see your opponents panic when their slows don’t work, Undilation Medusa is here to carry.

Just don’t forget your clarities.

FAQs

Q: Why is Meteor Hammer so good on Medusa?

A: It gives health, spell amp, regen, and lets you siege towers—everything she needs.

Q: When do I leave my lane?

A: Only after you get Meteor Hammer. Stay in lane, farm, and scale.

Q: What’s the best creep to Snake for regen?

A: Mana-bearing creeps, especially Satyrs or stacked Ancients.

Q: Can I play this in lower MMR games?

A: Absolutely. Just remember to buy clarities, play safe, and never gank.

Q: Should I go right-click or full-spell build?

A: You can do either. Hybrid scaling with Blade Mail + Mjollnir is solid. Gleipnir and Hex are strong utility tools.