Medusa
* Fiend's Grip provides mana drain, which can heavily damage 
Mana Shield and prevent Medusa from using 
Stone Gaze.
* Even if she does use Stone Gaze, Nightmare can buy enough time to protect allies and reset the fight.
Additional:
* 
Fiend's Grip leaves Medusa defenseless, since not only does it deal damage, it also drains mana.
Troll Warlord
* Low-health, normally mobile carries who rely entirely on raw attack damage are vulnerable to Bane's nukes and disables: 
Anti-Mage, 
Clinkz, 
Drow Ranger, 
Faceless Void, 
Gyrocopter, 
Juggernaut, 
Meepo, 
Mirana, 
Monkey King, 
Morphling, 
Phantom Assassin, 
Phantom Lancer, 
Riki, 
Shadow Fiend, 
Slark, 
Sniper, 
Terrorblade, 
Troll Warlord, 
Weaver.
Additional:
* 
Nightmare and Fiend's Grip help to control/disable Troll Warlord in team-fights.
Medusa
* Medusa is a fairly immobile hero that deals damage around her with 
Split Shot. Sniper should outrange her and should stay out of harm's way from Split Shot.
* More importantly, Sniper should have enough attack range to fire at Medusa during her Stone Gaze without turning to stone, so the ultimate is mostly wasted against him.
Additional:
* Sniper can outrange both Medusa's arrows and Stone Gaze, allowing him to focus her down during a teamfight.
Troll Warlord
* Melee heroes who may struggle to get close to Sniper: 
Wraith King, 
Kunkka, 
Doom, 
Tidehunter, 
Underlord, Troll Warlord, and etc.
Additional:
* 
Shrapnel and 
Headshot allows Sniper to kite Troll Warlord effectively.
* 
Take Aim together with certain items such as 
Hurricane Pike allow Sniper to sit and fire at Troll Warlord from a safe distance.
Medusa
* He can use either his own or his double's 
Flux to bypass the spellblock from Linken's Sphere, using the leftover Flux + 
Spark Wraith to slow Medusa's already low move speed to a crawl.
* Arc Warden has a farming advantage with double 
Hand of Midas, and can generally bully Medusa with other items that benefit from duplication.
Troll Warlord
* 
Fate's Edict can disarm Troll, rendering him useless in a teamfight, especially if he has already used Battle Trance.
* 
Fortune's End and 
Purifying Flames can provide ample magic damage to help burst down Troll Warlord quickly in the early to mid game.
* 
False Promise can save an ally from Troll Warlord's initiation, forcing him to switch targets and lose his Fervor stacks, or waste time during Battle Trance.
Medusa
* With 
Smoke Screen, Riki will silence and catch Medusa in a surprise with high miss chance flushing her from positions easily in team fights.
* He can deal a huge amount of damage through 
Cloak and Dagger, even through Mana Shield.
Medusa
* Webbed areas can be used to hit and run, covering distance hastily weakening her on the way and initiating ganks.
* Even though Medusa can hunt down Spiderlings easily when given enough range, 
Silken Bola will cause her attacks to miss and get her swarmed in no time.
* Medusa usually does not build a Black King Bar to benefit from Mana Shield fully while Broodmother can fit a 
Diffusal Blade to burn away all of Medusa's mana.
Additional:
* 
Spin Web will allow Broodmother to pick her own fights and sometimes slip away to ambush Medusa.
* Though Medusa's Split Shot and Mystic Snake can help Medusa deal with Broodmother's spiderlings, Broodmother will create too much of them for her to handle, allowing her to outnumber Medusa's targets from Split Shot and shield her team in process.
Troll Warlord
* Shadow Shaman's long disables are effective at kiting and wasting the duration of Battle Trance.
* 
Mass Serpent Ward are especially effective against Troll Warlord during Battle Trance, as trapping him inside them during the duration is effectively another hard disable, as Troll cannot attack the wards or use Phase Boots to escape.
Medusa
* Phantom Lancer with Diffusal Blade will very quickly burn Medusa's mana, making Mana Shield significantly less effective.
* 
Doppelganger's 1 second invulnerability can be used to dodge Medusa's petrification from Stone Gaze, as well as Mystic Snake.
* Phantom Lancer's illusions outnumber Medusa's targets from Split Shot, likely shielding his team in the process.
Troll Warlord
* 
Cold Embrace can protect Troll Warlord's target, especially during Battle Trance.
* 
Winter's Curse can turn Troll Warlord's high physical damage and attack speed against his allies.
Additional:
* Cold Embrace will protect your ally from being damaged if he gets focused by Troll, although be careful as 
Fervor will keep gaining stacks even while Cold Embrace is active.
* Fervor works on allies.
* His high attack speed will help to kill his cursed ally faster.
Troll Warlord
* Troll Warlord can't switch targets at will, in order to build Fervor stacks, which makes it easy to use Decrepify in order to save allies
* During 
Battle Trance, Pugna can easily use Nether Blast, Decrepify and Life Drain on him
Troll Warlord
* 
Frost Blast and 
Chain Frost can kite Troll Warlord effectively.
* 
Frost Shield can single-handedly waste most of the duration of Battle Trance, due to the extreme resistance to physical damage Frost Shield provides. In addition, Troll Warlord is incapable of switching targets during Battle Trance, so he cannot pick an easier target.
* Troll Warlord has little to no ability to regenerate HP, so Frost Blast together with Frost Shield can harass him effectively.
Medusa
* Silencer burns easily through her effective HP from Mana Shield, by taking away her intelligence.
* 
Arcane Curse punishes her repeatedly casting 
Mystic Snake to keep her mana pool high. He can force her to use 
Manta Style before he has cast 
Global Silence and 
Medusa usually does not want to build 
Black King Bar.
Medusa
* Axe can take advantage of Medusa's awfully low HP to insta-kill her with 
Culling Blade, making it extremely difficult for her to farm for items to compensate for the lack of strength during early and mid-game while Axe is continuously harassing around.
Troll Warlord
* Troll Warlord's high attack speed means Counter Helix will proc extremely frequently even without creeps near him. This, combined with a 
Blade Mail means Axe can easily solo kill Troll Warlord even in later stages of the game.
* Battle Trance does not save Troll Warlord from a Culling Blade.
Additional:
* Troll Warlord has significant attack speed due to Fervor and Battle Trance, giving Axe a higher chance to proc 
Counter Helix and seriously injure Troll Warlord due to his relatively low maximum health.
* Axe often purchases Blade Mail, which can help Axe turn Troll Warlord's farm and high physical damage against him. The bonus armor provided by 
Berserker's Call means that Troll Warlord will take a lot more damage than Axe.
* Culling Blade is still capable of killing Troll Warlord during Battle Trance if his HP is low enough.
Medusa
* Mana Shield reduces the effectiveness of Counter Helix.
* Stone Gaze makes it very difficult for Axe to initiate on Medusa and her allies.
Medusa
* E.M.P. allows Invoker to burn Medusa's mana to weaken Mana Shield.
* Medusa's lack of mobility makes her easy to kite with Invoker's spells.
Additional:
* 
E.M.P. is a large mana burn nuke which can hit Medusa's Mana shield with enough damage to lose even more mana.
* 
Deafening Blast disarms Medusa's ability to deal pseudo-AOE damage during teamfights.
* 
Cold Snap allows the opposing team to repeatedly stun Medusa in short succession, preventing her from successfully casting her ultimate due to its long cast time.
Troll Warlord
* Troll Warlord is very susceptible to 
Pierce the Veil due to having low health and reliance on high armor.
* Troll Warlord's ultimate Battle Trance can simply be ignored by using Pierce the Veil.
* Troll Warlord's 
Rampage buff for allies can easily be countered by 
The Calling which will lower their attack speeds back to normal.
Medusa
* Medusa cannot chase Slark in any way and has no disable beyond her ultimate, making her unable to stop him getting away and regenerating before coming back to finish her off.
* Essence Shift particularly removes 1 intelligence point per hit, thus lowering Medusa's mana pool's cap and leaving her much more vulnerable in prolonged fights.
Additional:
* Medusa is especially vulnerable to 
Essence Shift, as both strength and intelligence contribute to her effective HP, while agility contributes to her damage.
* 
Dark Pact when timed right can be used to dispel Stone Gaze right after it petrifies Slark, allowing him to keep attacking Medusa throughout the duration.
Medusa
* Medusa's tankiness doesn't help her very much against Fury Swipes in long teamfights.
* With no escape mechanism and a slow movement speed, getting jumped on by Ursa usually spells a quick end for Medusa in the early game.
Additional:
* Ursa's status resistance from 
Enrage reduces duration of Medusa's Stone Gaze.
* Ursa can stack damage with 
Fury Swipes easily against her Mana Shield in a prolonged team match.
Troll Warlord
* Dark Willow's burst damage and stun prevents Troll Warlord from approaching her until he has Black King Bar.
* Troll Warlord's lack of burst damage makes it hard for him to kill Dark Willow before she slips into Shadow Realm.
Troll Warlord
* 
Atrophy Aura decreases Troll Warlord's damage.
* 
Pit of Malice helps lock down Troll Warlord.
* Battle Trance disallows Troll from running out of both 
Firestorm and Pit of Malice.
Medusa
* Medusa lacks mobility or escape mechanisms. 
Earth Spike and 
Hex can neutralize her strong damage potential and allow for 
Lion's team to focus her down.
* In addition to easily breaking her commonly bought 
Linken's Sphere with its low cooldown, 
Mana Drain can quickly drain her Mana Shield, making her far less tanky.
* Mana Drain, along with Hex, destroy illusions instantly, which may be extremely helpfull and efficient against core builders of Manta Style, like Medusa herself.
Medusa
* 
Bulwark can make each of Medusa's attacks target him instead, reducing Medusa's contribution on team fights.
* 
Spear of Mars stuns Medusa and also pushes her away from teamfights, taking advantage of Medusa's low mobility.
* 
Arena Of Blood blocks Medusa's attacks from outside the arena.
Troll Warlord
* Heroes who cannot fight back during Arena of Blood in the early and mid game: 
Abaddon, Anti-Mage, 
Broodmother, 
Luna, Sniper, Troll Warlord, Weaver, Clinkz.
Medusa
* Medusa's Stone Gaze forces Mars to choose between getting petrified, or turning his vulnerable back on Medusa.
Troll Warlord
* 
Timber Chain can kite Troll Warlord extremely effectively.
* 
Whirling Death and 
Chakram deals lots of damage to Troll Warlord.
* 
Reactive Armor makes Timbersaw extremely resilient to Troll's attack damage and extreme attack speed, especially during Battle Trance.
Troll Warlord
* Clinkz, Sniper, 
Lone Druid, Troll Warlord, 
Legion Commander and Wraith King are some of the Heroes that base themselves on attacks with little or no spell power, so they suffer in the grassy hands of Overgrowth.
Troll Warlord
* Jakiro's reliance on his abilities can cause struggles for heroes who rely on evasion or blinds to get upper hand: Phantom Assassin, 
Windranger, Riki, Troll Warlord, 
Keeper of the Light.
Troll Warlord
* With 
Bloodthorn, Clinkz becomes a strong counter to heroes who rely on evasion and blind such as Windranger, Phantom Assassin, Troll Warlord and Keeper of the Light.
Troll Warlord
* Phantasm gives Chaos Knight a significant advantage against single-target damage dealers: 
Lifestealer, Wraith King, 
Night Stalker, Troll Warlord.
Additional:
* Chaos Knight's tanky illusions easily take advantage of Troll Warlord's lack of AoE damage.
* 
Chaos Bolt can stun Troll for up to 4 seconds and 
Reality Rift prevents Troll Warlord from chasing down foes.
* 
Phantasm increases Chaos Knight's physical damage output up to 4 times and can easily kill Troll Warlord before he has a chance to use Battle Trance or a Black King Bar.
Troll Warlord
* Any heroes with low mana pools will die quickly or even instantly to Sanity's Eclipse: Doom, Phantom Assassin, Troll Warlord.
Additional:
* Outworld Destroyer's pure damage from 
Arcane Orb is very effective at killing Troll Warlord quickly.
* 
Astral Imprisonment removes Troll Warlord from a fight for four seconds, minimizing his contribution to a teamfight, and potentially wasting over half of Battle Trance's duration.
* Troll Warlord gains a measly 1 intelligence point per level, meaning 
Sanity's Eclipse is especially effective, often instantly killing him.
Troll Warlord
* Troll Warlord's high speed attack makes Retaliate deal a lot of damage to him.
Troll Warlord
* Heroes who rely strongly on melee physical damage will fare badly against Omniknight's Guardian Angel: Phantom Assassin, Juggernaut, 
Dragon Knight, 
Lycan, 
Ursa, Troll Warlord
Troll Warlord
* Heroes who rely heavily on melee attacks and lack early spell immunity are easily blocked and interrupted by Ink Swell: Lycan, Ursa, Troll Warlord.
Troll Warlord
* Melee heroes with low mobility can be kited and killed by Viper: 
Treant Protector, Kunkka, 
Alchemist, Troll Warlord, Wraith King, 
Tiny, 
Sven.
Troll Warlord
* In general, Brewmaster's Cinder Brew and Thunder Clap makes him good against physical damage carries: Ursa, Clinkz, Faceless Void, Troll Warlord, 
Templar Assassin, Phantom Assassin.
Medusa
* Heroes who take a long time to become strong are in for a rough mid game, such as 
Outworld Destroyer, 
Magnus, Medusa, and Anti-Mage.
Medusa
* Other heroes who has armor and slow debuffs won't allow Medusa to disengage from combat: Tidehunter, 
Bristleback, 
Slardar.
Medusa
* Heroes with extremely slow movement speed will cripple against Solar Bind: Medusa, 
Viper
Additional:
* 
Will-O-Wisp will keep Medusa busy after she got hit by 
Blinding Light.
Troll Warlord
* Other heroes that rely on physical attacks to deal damage and not their abilities: Troll Warlord, Sniper, Monkey King, Sven.
Troll Warlord
* Heroes with high physical damage output but lack of reliable escape mechanisms are always a good target for a solo gank: Sniper, Shadow Fiend, Troll Warlord, Drow Ranger. Those heroes, however, are dangerous if they manage to close the gap, so take caution.
Medusa
* Other heroes who has armor and slow debuffs won't allow Medusa to disengage from combat: Tidehunter, Bristleback, Slardar.
Troll Warlord
* Heroes that rely on physical damage are ineffective against Dragon Knight due to his high armor: Phantom Assassin,
Bloodseeker, Lifestealer, Troll Warlord, Sven
Medusa
* 
Burning Spear's damage over time can rapidly burn Medusa's mana and health alike.
* 
Inner Fire can slow and disarm Medusa and also allow Huskar to follow up with Life Break.
Troll Warlord
* Carries that can out damage Huskar will do well against him: Legion Commander, Faceless Void, Troll Warlord, Phantom Assassin.
Additional:
* Whirling Axes (Melee) provides a 60% miss chance, resulting in Huskar's attacks missing a lot of the time if it isn't dispelled.
* Troll Warlord's Fervor ramps up in a very similar way as Huskar's 
Berserker's Blood: as soon as Huskar has high enough health regeneration, Troll Warlord has a high enough attack speed to negate it.
Medusa
* With her passive Split Shot, Medusa can be easily interrupted by Spiked Carapace during combat, especially during her precious Stone Gaze.
* Mana Burn quickly destroys Mana Shield, especially if Medusa only increases her mana pool by bolstering intelligence (which has the added bonus of increasing Mana Burn's damage).
* Uncontrollable damage from Mystic Snake and Split Shot can trigger Spiked Carapace.
* Medusa lacks single target damage, making a Burrowed Nyx Assassin hard to kill.
Additional:
* 
Vendetta burns a significant amount of mana on hit, and the damage from the ability drains Medusa's mana pool even further.
* Due to the passive nature of Mystic Snake and Split Shot, it can possibly proc Nyx's 
Spiked Carapace if he's within range of Medusa's abilities and isn't invisible.
* Medusa lacks single target damage, making Nyx with 
Aghanim's Scepter extremely hard to deal with if Medusa is the team's main damage source.
Troll Warlord
* Heroes who build Black King Bar as either core or situational item will be able to fight back against Nyx Assassin and freely attack him as Spiked Carapace cannot pierce spell immunity at all: 
Axe, Broodmother, 
Dawnbreaker, 
Enigma, 
Huskar, 
Jakiro, Legion Commander, 
Lina, Luna, Lycan, Slardar, Slark, Troll Warlord, 
Witch Doctor.
Troll Warlord
* 
Frostbite can disarm and root Troll Warlord if he doesn't have a Black King Bar or a Manta Style to dispel it.
* 
Crystal Nova and 
Freezing Field both significantly slow Troll Warlord, making him much more vulnerable to ganks or stuns.
* The magical damage from Freezing Field does a large amount of AoE damage, and Troll Warlord is not capable of cancelling Crystal Maiden's channel.
Troll Warlord
* Heroes with a low attack speed or are fragile will find themselves unable to deal with Troll Warlord's high physical damage and attack speed, like 
Crystal Maiden or Sven.
Troll Warlord
* Primal Roar and the slow from Boars make kiting Troll Warlord very easy.
Medusa
* Heroes with Linken's Sphere as core item: Weaver, Morphling, Medusa.
Medusa
* Enchantress often has a small army of neutral creeps, allowing Medusa to hit her with a later bounce of her Mystic Snake.
Troll Warlord
* Battle Trance and Fervor can help Troll Warlord deal with Encahntress through Untouchable.
Additional:
* 
Untouchable's attack speed slow is easily remedied by Fervor stacks and Battle Trance.
* Troll Warlord is a natural 
Silver Edge carrier, disabling Enchantress' Untouchable.
Medusa
* Mana Shield makes it very hard for Sven to burst her within Storm Hammer's stun duration.
* Stone Gaze makes it very difficult for Sven to fight Medusa at any stage of the game.
* Mystic Snake can slow Sven down enough for allies to capitalize on his commitment in a fight.
Additional:
* Stone Gaze allows Medusa to easily kite and kill Sven.
* Mana Shield negates much of Sven's burst damage.
Troll Warlord
* 
Whirling Axes (Melee)'s blind makes Sven nearly useless in the early game and allows Troll Warlord to take him on comfortably.
* Battle Trance will mean Sven will never take Troll out in a 1vs1 with equal farm.
Additional:
* Berserker's Rage together with Troll Warlord's high attack speed gives Troll a high chance of rooting enemies, which allows Troll Warlord to man-fight Sven.
* Whirling Axes (Melee) provides a 60% miss chance, and the passive armor provided by Berserker's Rage makes Troll resilient to physical damage in early game. Sven's 
God's Strength is much less effective as a result.
* Beware that Sven can farm much faster than Troll Warlord by stacking ancients and clearing them with 
Great Cleave.
Medusa
* Mana Shield makes it very difficult for Bloodseeker to gain his Thirst bonuses.
* Rupture rarely kills Medusa through Mana Shield.
Troll Warlord
* 
Berserker's Rage will repeatedly trap Bloodseeker in a one-on-one fight.
* Whirling Axes (Melee) blinds Bloodseeker, causing him to miss 60% of the time, and therefore reduces his ability to gain the upper hand in teamfights.
Medusa
* Split Shot can destroy Tombstone Zombies and Tombstone itself while still damaging heroes.
Troll Warlord
* Due to Fervor and Battle Trance, Troll Warlord has a significant attack speed, enabling him to crush 
Tombstone quickly.
* Undying usually stays at the front line with no disables, making him an easy target for Troll Warlord.
Medusa
* Heroes with disables that ignore spell immunity will render Phantom Assassin quite useless in teamfights throughout the game: Axe, Enigma, 
Vengeful Spirit, Doom, 
Bane, 
Beastmaster, 
Pudge, Medusa, 
Warlock.
Troll Warlord
* Whirling Axes (Melee) makes it hard for Phantom Assassin to land a 
Coup De Grace.
* Troll Warlord often buys Silver Edge and 
Monkey King Bar, the items that greatly help against Phantom Assassin's Blur ability.
* Battle Trance completely negates Phantom Assassin's large damage output, preventing Troll Warlord from dying easily. The lifesteal also allows Troll Warlord to restore much of his health.
Additional:
* Troll Warlord can build a Silver Edge or a Monkey King Bar to completely ignore 
Blur.
* Whirling Axes (Melee) provides a 60% miss chance, making a Coup de Grace critical strike very hard to land.
* Battle Trance negates Coup de Grace, preventing Troll Warlord from dying to her critical hits.
Medusa
* Mana Shield makes Medusa very hard to take down in Duels.
* Stone Gaze stops Legion Commander from Dueling altogether, regardless of who she targets.
Troll Warlord
* Troll Warlord's melee bash and high attack speed can often help him and his allies win Duels against Legion Commander.
Medusa
* Poof won't damage Medusa and she can use Stone Gaze to disable all of Meepo's clones.
* Mystic Snake will easily become the bane of Meepo early game.
Troll Warlord
* Troll Warlord can root and deal a lot of damage to a single Meepo while lifestealing through the assault from the other Meepos. Meepo needs expensive items like 
Ethereal Blade or 
Heaven's Halberd to be able to fight him.
Troll Warlord
* With Aghanim's Scepter upgraded Infest, Lifestealer can use it on enemy heroes to attack them and disarm them from inside, even if they are spell immune, which can give him the edge over the heroes he's weak against like Ursa, Phantom Assassin, Terrorblade or Troll Warlord.
Medusa
* Lifestealer's low mobility makes him easy to kite.
* Stone Gaze pierces 
Rage, wasting its cooldown and making Lifestealer unable to fight.
Troll Warlord
* Lifestealer is a susceptible target to Fervor due to his non-mobile nature and lack of disables. Troll Warlord's ranged Berserker's Rage can also be used to kite Lifestealer safely. The root from its melee form also pierces magic immunity, which can potentially keep Lifestealer in place even while he is in Rage.
* Both Whirling Axes (melee) and 
Whirling Axes (ranged) can force Lifestealer to cast Rage too quickly and allow Troll Warlord to change strategies mid-fight, especially thanks to their separate cooldowns.
* Battle Trance allows Troll Warlord to survive Lifestealer's Feast and turn the fight in his favor.
Additional:
* The passive armor provided by Berserker's Rage makes Troll Warlord resilient to 
Feast in early game.
* The 60% miss chance given by Whirling Axes (Melee) is useful when Rage is not active.
* Battle Trance can purge 
Open Wounds, negating a large amount of Lifestealer's sustain in fights.
Medusa
* Any hero who can counter-initiate in anticipation without getting caught in Reverse Polarity: Sven, 
Omniknight, Enigma, Luna, 
Naga Siren, 
Mars, Jakiro, 
Venomancer, 
Elder Titan, Faceless Void, 
Rubick, Keeper of the Light, 
Pugna, 
Invoker, 
Spectre, Alchemist, Treant Protector, Lina, 
Oracle, 
Zeus, 
Shadow Shaman, 
Phoenix, 
Razor, Huskar, 
Batrider, Kunkka, Tidehunter, Wraith King, 
Sand King, Medusa, Dawnbreaker.
Troll Warlord
* Any hero who can survive Magnus's initiations and manfight him: Huskar, Faceless Void, Weaver, Abaddon, Troll Warlord, Alchemist, Dragon Knight, Night Stalker, Viper.
Medusa
* Doom does not disable Mana Shield. As such, Doom's damage is largely mitigated by her mana shield. Additionally, Medusa is not reliant on her abilities to be effective during a teamfight, making Medusa an unproductive hero to target.
* Medusa is an ideal Linken's Sphere carrier. Should one be purchased, and without any additional disables, Doom may find that few opportunities exist to effectively lockdown, disable, and kill Medusa.
Medusa
* Split Shot will keep attacking Pangolier even when he is rolling around.
* Stone Gaze stuns Pangolier during Rolling Thunder, or forces him to roll away.
Medusa
* Medusa's Split Shot can make quick work of Enigma's Eidolons and take advantage of their considerable bounty.
* Medusa can also kill Eidolons with her Mystic Snake that can also greatly damage Enigma and drain some of his mana.
* If Medusa activates Stone Gaze at the start of a fight, it can make initiating and landing an effective 
Black Hole exceedingly difficult, because Stone Gaze can cancel Enigma's Black Hole even through spell immunity, which can discourage Enigma from even trying to initiate with Black Hole.
Additional:
* Medusa's Split Shot can make quick work of Enigma's Eidolons and take advantage of their considerable bounty.
* If Medusa activates Stone Gaze at the start of a fight, it can make initiating — and landing an effective Black Hole exceedingly difficult. Stone Gaze can cancel Enigma's Black Hole even through spell immunity, which can discourage Enigma from initiating with Black Hole.
Medusa
* If Medusa activates Stone Gaze before Spirit Breaker reaches her with Charge of Darkness, the charge will inevitably fail.
* Medusa has three ways to counter Spirit Breaker's Charge of Darkness: Stone Gaze can disable Spirit Breaker's Charge of Darkness if he faces Medusa directly. Aghanim's Scepter upgraded Mystic Snake can disable Spirit Breaker and cancel his Charge of Darkness if it hits him. And 
Cold Blooded provided by 
Aghanim's Shard that can cast a single-targeted Mystic Snake at Spirit Breaker if he uses Charge of Darkness on her.
* Mana Shield and overall tankiness allows Medusa to easily survive Spirit Breaker's initiation. And to make things worse, Spirit Breaker is not a common Diffusal Blade nor 
Disperser wielder to counter this problem at all.
* Overall, any attempt for Spirit Breaker to gank and kill Medusa will hurt him more than the other way around.
Troll Warlord
* Due to Fervor and Battle Trance, Troll Warlord is one of the best heroes to deal with 
Supernova.
Medusa
* Mana Shield can tank most of the damage from Reaper's Scythe; with sufficient mana, the kill threshold drops significantly.
* Necrophos has a movement speed equal to Medusa, and is easy to chase down with a slowing item in Medusa's inventory.
Medusa
* Should Luna choose to buy Manta Style, Medusa will be able to kill illusions from them with Split Shot and 
Mjollnir, which is a common item on Medusa.
* Mystic Snake allows Medusa to easily harass Luna and steal mana from her, preventing Luna from retaliating with 
Lucent Beam.
* Medusa can survive 
Eclipse thanks to Mana Shield, which can cause Luna to struggle greatly in bursting down Medusa and force her to buy Diffusal Blade and it's upgrade Disperser.
* Even with Black King Bar, Medusa's Stone Gaze will still be able to disable Luna, which could even discourage her from counter-initiating with Eclipse.
* For the same reasons, Medusa makes a very powerful ally for Luna when they are in the same team.
Additional:
* Should Luna choose to buy Manta Style, Medusa will be able to kill illusions from them with Split Shot and Mjollnir, which is a common item on Medusa.
* Mystic Snake allows Medusa to easily harass Luna and steal mana from her, preventing Luna from retaliating with Lucent Beam.
* Medusa can survive Eclipse thanks to Mana Shield, and since Luna is not a hero that often goes for Diffusal Blade, she will struggle greatly in bursting down Medusa.
* Even with Black King Bar, Medusa's Stone Gaze will still be able to disable Luna, which could even discourage her from counter-initiating with Eclipse.
* For the same reasons, Medusa makes a very powerful ally for Luna when they are in the same team.
Troll Warlord
* Whirling Axes (Melee) provides a 60% miss chance, which can make the attack speed bonus from Hunter in the Night largely ineffective.
* Berserker's Rage together with Battle Trance and Fervor stacks gives him a high chance of rooting Night Stalker, which allows Troll Warlord to man-fight Night Stalker in any stage of the game, regardless of whether or not it's night.
* Night Stalker is not a common Monkey King Bar carrier to counteract this problem.
Medusa
* Her Mana Shield is too tough for Lycan to break.
* Mystic Snake can hit for a massive damage once it spread between his summons.
Additional:
* Can be easily petrified despite his speed.
* Summoned wolves will be targeted by Split Shot or Mystic Snake
Medusa
* Medusa's Split Shot can easily kill Chen's creeps.
* Mystic Snake can quickly kill Chen's creeps and deal intense damage for every killed creep while also draining their mana with each bounce. Aghanim's Scepter upgraded Mystic Snake can also disable both, Chen and his creeps upon impact.
* Mana Shield will make it impossible for Chen to burst down Medusa.
* Stone Gaze can disable Chen from using 
Hand of God to save himself or his allies.
Troll Warlord
* Mobility heroes will often be rooted by Troll Warlord and unable to escape, like 
Storm Spirit.
Troll Warlord
* Heroes that rely on right-clicks will find that their attacks will miss a lot, due to Whirling Axes (Melee)'s miss chance. Such heroes include Phantom Assassin, Terrorblade, and Morphling.
Medusa
* Heroes with a lot of burst damage, especially those who rely on casting spells: Lina, Zeus.
Medusa
* Heroes with cleave or multi-target attacks can quickly take on Familiars and reduce Visage's firepower like Gyrocopter, Kunkka, Magnus and Medusa.
Additional:
* Visage's familiars are easy targets to Split Shot.
* Mana Shield will resist Soul Assumption instances without effort.
Medusa
* Heroes that build Diffusal Blade or can fit it well into their item build will also make Medusa much less tanky: Riki, Naga Siren, Terrorblade, Juggernaut, Spectre, Slark.
Troll Warlord
* Terrorblade cannot go one on one against Troll Warlord as Troll Warlord will overwhelm him faster than the other way around thanks to Whirling Axes (Melee) that will cause his attacks to miss, and Fervor that can give Troll Warlord huge amounts of attack speed to outmatch Terrorblade, even during Metamorphosis.
* Troll Warlord's high attack speed from Fervor combined with 
Skull Basher and 
Abyssal Blade means that Terrorblade will have almost no chance to use 
Sunder to save himself.
* Even if Terroblade manages to use Sunder on Troll Warlord, Troll Warlord will simply be able to nullify it's effect with Battle Trance.
Additional:
* Terrorblade cannot go one on one against Troll Warlord as Troll Warlord will overwhelm him faster than the other way around thanks to Whirling Axes (Melee) that will cause his attacks to miss, and Fervor that can give Troll Warlord huge amounts of attack speed to outmatch Terrorblade, even during Metamorphosis.
* Troll Warlord's high attack speed from Fervor combined with Skull Basher and Abyssal Blade means that Terrorblade will have almost no chance to use Sunder to save himself.
* Even if Terroblade manages to use Sunder on Troll Warlord, Troll Warlord will simply be able to nullify it's effect with Battle Trance.
* Overall, any attempt for Terrorblade to engage and kill Troll Warlord will hurt him more than the other way around.
Medusa
* Heroes that build Diffusal Blade or can fit it well into their item build will also make Medusa much less tanky: Riki, Naga Siren, Terrorblade, Juggernaut, Spectre, Slark.
Troll Warlord
* Troll Warlord's ability to attack as a ranged hero allows him to destroy Juggernaut's 
Healing Ward from afar.
* Battle Trance, when activated during 
Omnislash, allows Troll Warlord to survive the full duration of Omnislash and retaliate once it is over.
Medusa
* Hard carries who just want to farm and be left alone will not appreciate Primal Beast, heroes such as Medusa, Drow Ranger...
Troll Warlord
* The ensnare from melee Berserker's Rage can prevent Primal Beast from dealing further Trample damage and can allow Troll Warlord to relentlessly build Fervor on him.
* Whirling Axes (Ranged) can slow down Primal Beast while trampling and allow Troll Warlord to better control him from range.
* Whirling Axes (Melee) can blind Primal Beast if he attempts to auto-attack Troll Warlord after a fully charged Uproar.
* Battle Trance will make Primal Beast a sitting duck should he be rooted and attacked to death.
Medusa
* Heroes that build Diffusal Blade or can fit it well into their item build will also make Medusa much less tanky: Riki, Naga Siren, Terrorblade, Juggernaut, Spectre, Slark.
Medusa
* Medusa's Split Shot and Mystic Snake combined with Mjollnir, a common item for Medusa, will whittle down all of Naga Siren's illusions, including Naga Siren herself.
* Medusa's Stone Gaze can disable Naga Siren even for the duration of 
Song of the Siren and even if Naga Siren is spell immune, discouraging Naga Siren from even trying to use Song of the Siren to save herself or counter-initiate against Medusa.
Additional:
* Medusa's Split Shot and Mystic Snake combined with Mjollnir, a common item for Medusa, will whittle down all of Naga Siren's illusions, including Naga Siren herself.
* Medusa's Stone Gaze can disable Naga Siren even for the duration of Song of the Siren and even if Naga Siren is spell immune, discouraging Naga Siren from even trying to use Song of the Siren to save herself or counter-initiate against Medusa.
Medusa
* Heroes that build Diffusal Blade or can fit it well into their item build will also make Medusa much less tanky: Riki, Naga Siren, Terrorblade, Juggernaut, Spectre, Slark.
Troll Warlord
* Generally speaking, Spectre is a strong teamfighter but a weak manfighter. She has no tool to deal with troll warlord once he has his sight locked on her.
* Troll often buys Silver Edge and Monkey King Bar, which greatly countered Spectre's passive and item build (Silver Edge can disable passive while providing some damage, Monkey King Bar provides accuracy to counter 
Radiance and 
Butterfly miss chance).
* Black King Bar allows troll to bypass the damage return from Blade mail should Spectre attempts to fight back Troll. However, Black King Bar is generally not very effective against Spectre as her skills can pierce the spell immunity. Still, it offers protection against Blade mail, a common item for Spectre in the mid game.
* Troll has high lifesteal from Battle Trance and 
Satanic, which help him survive the damage from 
Desolate should the break duration is over.
* Battle Trance and Fervor mean Spectre will have a hard time fighting troll and cannot take him down, even with equal farm.
Medusa
* Anti-Mage easily destroys Mana Shield with Mana Break, especially once he has Manta Style.
* Anti-Mage effectively avoids Stone Gaze with Blink, and can reinitiate after its duration is over.
Additional:
* 
Mana Break burns Medusa's mana easily, especially when coupled with a Manta Style.
* Can easily initiate on Medusa with 
Blink, burning her mana or forcing her to use Stone Gaze.
* 
Mana Void is effective against Medusa's big mana pool and mana usage, presenting a huge hazard to Medusa's allies around her since her Mana Shield still gives her some protection if she has mana.
Troll Warlord
* Troll Warlord's passive root, high attack speed, and blind from 
Whirling Axes makes him an exceedingly difficult opponent for Anti-Mage to take down in a one-on-one fight.
* Troll Warlord's low mana causes him to take little damage from Mana Void.
Additional:
* Whirling Axes (Melee) provides a 60% miss chance, preventing Anti-Mage from burning Troll Warlord's small mana pool.
* Troll Warlord's passive root allows him to very effectively fight an Anti-Mage by preventing Anti-Mage from Blinking away. This is even more effective when combined with a Skull Basher or Abyssal Blade.
* 
Counterspell will do nothing to prevent Troll Warlord's high physical damage.
* Due to Troll Warlord's abysmal base intelligence and intelligence gain, he is one of the worst targets to use Mana Void on.
Troll Warlord
* Heroes with mediocre health pools who rely on armor or evasion to survive fights such as Troll Warlord, Windranger, and Terrorblade can be killed by Zeus if caught off guard.
Medusa
* Heroes with a lot of burst damage, especially those who rely on casting spells: Lina, Zeus.
Medusa
* Other heroes who has armor and slow debuffs won't allow Medusa to disengage from combat: Tidehunter, Bristleback, Slardar.
Medusa
* Medusa cares less than other heroes about armor reduction, since Mana Shield blocks 70% of all damage without taking armor/magic resistance into consideration. This makes 60% of your Corrosive Haze ineffective until Medusa's mana is drained.
Medusa
* With
Static Link, Razor can effectively make Medusa useless in teamfights by reducing her main damage output. It can, however, be blocked by a 
Linken's Sphere.
Plasma Field allows Razor to get on top of Medusa, slowing her already slow movement speed to a mere crawl.
Eye of the Storm capitilizes on Medusa's low armor and causes her to be very vulnerable, even through 
Mana Shield.
*
*
Troll Warlord
* Static Link is effective against Troll Warlord, as he mainly relies on attack speed more so than damage.
Battle Trance, as he has no way to break the link.
Static Link can drain most or all of Troll Warlord's damage, making him useless in a teamfight or unable to last hit in lane. This is especially effective during Battle Trance, because Troll has no option to cancel the link.
Storm Surge allows Razor to chase after or run away from Troll Warlord while doing damage with 
Eye of the Storm.
* Static Link is even more effective if Troll Warlord used
Additional:
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