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Shards of glass are being stabbed into you ffs
Overdose probably shoots empty needles too, the speed boost comes from somewhere else.
Crossbow has actual medicine. Medic just quickly changes the healing needle for a poisonous needle if the target is an enemy. He's that fast.
Blutsauger has invisible, really long wires attached to them that connect them to the gun. Whenever a guy is hit, the needles absorb their blood and bring it back to the gun, where an off-screen tube transfuses it into medic.
Damn, this'd work a lot better if 'The' wasn't there.
Stock: Normal syringes like in actual hospitals with no medicine inside, just pure needles.
Overdose: Same as stock, the speed boost probably comes from within the gun and connects to the Medi Gun, not related to the needles.
Crossbow: I'd say medicine, but if it was normal medicine it would heal enemies as well. So I think it's based on the same energy that the Medi Gun uses and is put into a crossbow.
Blutsauger: Since you have a constant HP loss, and HP on hit, it's logical to say it has some sort of system based on blood. It requires blood in order to work, so if you aren't taking other peoples blood it takes your own in order to stay active. What it shoots is a mystery to me, maybe some sort of micro teleporter that transports blood via. the molecules in the air when it penatrates the enemies skin.
Blutsauger: Quantum teleportation allows blood to flow into the medic's body through an unknown machine below his clothes.
Overdose: Same thing, but uses adrenaline instead of just blood.