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Windrangers ult + Diffusal blade.
In team fights long range heros with high attack speed and a diffusal blade will nuke her.
pl, naga, am
+
diffusal blade
the game starts with hero selection
only vs a first time playing noob dusa
play with lion on eat he mana away, pugna can really make life hard for dusa too.
There are far too many combos that shut medusa down before you even need to think of the best which is axe and undying combo.
draft is part of the game