* Riki can detect early Roshan attempts because of Cloak and Dagger if he frequently checks the Pit.
* Ursa cannot Enrage when in Smoke Screen (Black King Bar will help though).
* Even if Ursa gets vision over him, Riki can Blink Strike away or use Tricks of the Trade after Ursa's initiation to avoid all Fury Swipes damage until Earthshock's slow is gone.
Additional:
* Riki can detect early Roshan attempts because of Cloak and Dagger if he frequently checks the Pit.
* Ursa cannot Enrage when caught in Smoke Screen and will miss his attacks (although Black King Bar will help with this issue).
* Even if Ursa gets vision over him and initiates with Earthshock, Riki can Blink Strike away or use Tricks of the Trade after Ursa's initiation to avoid Fury Swipes' damage until Earthshock's slow is gone.

* 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.

* Plasma Field can spot an Ursa sneaking into Roshan's pit
* Static Link has a 800 link break distance, meaning Razor can stay close enough to drain Ursa' damage, but not too close to get attacked
* Static Link cannot be dispelled by Enrage
* With Storm Surge, Razor will usually be faster than Ursa in most cases
* Eye of the Storm melts through Ursa's armor

* 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.

* Slark can detect early Roshan attempts due to Shadow Dance if he frequently checks the Pit.
* Enrage cannot restore attributes stolen by Essence Shift and will reduce his physical damage output.
* Even if Ursa initiates with Earthshock, Slark can Pounce away or use Dark Pact after Ursa's initiation to avoid Fury Swipes' damage until Earthshock's slow is gone.

* 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.
Additional:
* 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.

* Ursa has no sustained AoE to deal with illusions, it becomes worse since Phantom Lancer can create more illusions in a matter of seconds.
* Diffusal Blade can be used to drain Ursa mana. This is a standard item for Phantom Lancer in every match.
* Doppelganger applies basic dispel on Phantom Lancer, which will remove the slow from Earthshock. It also resets fights with more illusions, making hard for Ursa to hit the real Phantom Lancer.
* Manta Style create two more illusions and also applies basic dispel, further complicate the problem for Ursa to deal with.

* 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.

* Bane can use Nightmare and Fiend's Grip to lock down Ursa early game and in team fights, forcing Ursa to buy a Black King Bar and making him very vulnerable to being kited once his Black King Bar is down to 6 seconds.
* Overall, Bane's potent disables force Ursa to build more defensive items and play more defensively in general.

* 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.

* Lion has two low cast point disables (Hex and Earth Spike) to control Ursa before he buys a Black King Bar.
* Hex is one of the few abilities that cannot be dispelled even with an Aghanim's Scepter upgraded Enrage.
* Lion can control Ursa's low mana pool via Mana Drain.

* 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.

* Laser can be cast on a initiating Ursa, normally causing him to waste multiple Overpower attacks, forcing him to either Black King's Bar, or Enrage to protect himself.
* Ursa will probably carry a Linken's Sphere to counter Tinker's Laser. Popping it with Scythe of Vyse is actually preferable, due to Laser's high Pure damage.
* While Ursa is a common Blink Dagger carrier, but he otherwise has no way to close the gap, Baiting him into using his Blink, then blinking away, allows Tinkrt to easily kite Ursa.
* Enrage is generally how Ursa disengages, Due to Tinker's high maneuverability, he can follow him until it runs out. then burst him down with high magic damage.

* 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.

* 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.

* 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.

* If Ursa uses Enrage Brewmaster can use Cyclone to render him harmless during his ultimate.
* Brewmaster has two spells to slow down Ursa, allowing his team to kite around him easily.

* Slardar is one of the few meele heroes who can lane against Ursa in the early game, out harassing him with Bash of the Deep, and running away from a bad engagement with Guardian Sprint
* Corrosize Haze can force Ursa to cast Enrage defensively instead of offensively
* With Corrosize Haze, Slardar's team can quickly dispatch of Roshan, denying one of Ursa's greatest advantages

* Other heroes who has armor and slow debuffs won't allow Medusa to disengage from combat: Tidehunter, Bristleback, Slardar.

* The swarm beetle can waste Ursa's Overpower attacks.
* Ursa has no inherent way of disabling a slippery Weaver by preventing him from Shukuchiing or Time Lapseing away, as the slow from Earthshock is useless against Shukuchi's haste effect.
Additional:
* Earthshock's slow is ignored by Shukuchi.
* Ursa can be kited with Shukuchi and his burst damage will be negated with Time Lapse as long as Weaver survives it.
* The Swarm breaks Ursa's Blink Dagger, forcing him to deal with the beetles.

* Level 4 Mana Burn burns of Medusa's mana every 5 seconds if Medusa only increases her mana pool with intelligence. Additionally, 70% of the Mana Burn damage gets mitigated by Mana Shield, burning even more mana.
* 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.
Additional:
* 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.

* Nethertoxin breaks Fury Swipes, making Viper a decent counter to Ursa in a laning stage.
* Viper Strike is a strong, undispellable slow, making it much easier to kite Ursa for everyone.

* Storm Spirit can steal Aegis of the Immortal during Roshan attempts through the Pit, because of his Ball Lightning.
* Ursa has no way to catch a slippery Storm Spirit, as Earthshock's slow will do nothing to stop Storm Spirit from using Ball Lightning.

* Ursa relies on the Blink-Earthshock combo to slow enemies to burst them, but Windranger can use Windrun to escape through Earthshock's duration.
* Windrun and Focus Fire can easily allow Windranger to kite Ursa and do good amounts of damage in the process.
Additional:
* Windranger can avoid Ursa's primary source of damage, Fury Swipes, by simply using Windrun. The slow from Earthshock is also rendered irrelevant by Windrun.
* Focus Fire and Windrun can be used to kite Ursa.

* EMP 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:
* EMP 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.

* Ursa cannot effectively fight against Phantasm's illusions with his single-target damage.
* Chaos Bolt's potentially long stun with Chaos Bolt gives Ursa little opportunity to Enrage.
Additional:
* Ursa has no way to clear illusion quickly, making him vulnerable to Chaos bolt and Phantasm combo.
* Reality Rift can quickly relocate or reinitiate on Ursa once the duration of Enrage is over.
* Phantasm can be used to dispel Earthshock's slow. Manta Style is another item that counter Ursa greatly.
* Ursa has low mobility, once jumped on by Reality Rift, Ursa struggles to escape.

* 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

* 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,Drow Ranger.

* 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,Drow Ranger.

* Ursa struggles against heroes with strong (and especially undispellable) disables (Disruptor, Puck, Shadow Demon, Outworld Destroyer and etc).

* Heroes that rely on slows to get kills: Lifestealer, Night Stalker, Ursa,...

* Hard carries who just want to farm and be left alone will not appreciate Primal Beast, heroes such as Medusa, Drow Ranger...

* Positioning-reliant heroes (Windranger, Tidehunter, Ursa...), since Earth Spirit can disrupt positioning with his Boulder Smash.

* 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.

* Melee heroes that get kited easily have hard times dealing with Puck without any lockdowns, as Puck is one of the most mobile heroes. Heroes like Sven, Lifestealer, Ursa and Alchemist may have problems to get to Puck without proper initiation items. They also lack reliable lockdowns, as their disables are easily avoidable for Puck, or are just a soft disable.

* Ursa struggles against heroes with strong (and especially undispellable) disables (Disruptor, Puck, Shadow Demon, Outworld Destroyer and etc).

* Heroes who can delivers a big chunk of damage in few hits will find themselves struggle against Templar Assassin's Refraction: Sven, Phantom Assassin, Ursa, Wraith King, Lifestealer

Additional:
* Templar Assassin usually places Psionic Traps inside the Roshan Pit (and can teleport herself to the traps with an Aghanim's Scepter), preventing Ursa from killing Roshan without getting noticed by the enemy team.

* Heroes with evasions: Phantom Assassin, Brewmaster, Hoodwink, Windranger.

* Melee carries such as Sven, Ursa or Lifestealer can be slowed and easily kited with Demonic Purge.

Additional:
* Shadow Demon's Demonic Purge renders Ursa useless even through Black King Bar as it slows him, continually purges his Overpower charges and can not be dispelled by Ursa's Enrage.
* Disruption is a good way to save teammates against Ursa. Disrupting Ursa is also a good way to kite him, as it can not be dispelled by Enrage.

* Heroes who rely heavily on melee attacks and lack early spell immunity are easily blocked and interrupted by Ink Swell: Lycan, Ursa, Troll Warlord.

* Other heroes who has armor and slow debuffs won't allow Medusa to disengage from combat: Tidehunter, Bristleback, Slardar.

* Primal Roar and the slow from Boars makes kiting Ursa very easy.

* Sniper can outrange both Medusa's arrows and Stone Gaze, allowing him to focus her down during a teamfight.
Additional:
* 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.