How Medusa and Necrophos perform as teammates in Dota 2 7.41e, from ranked matches.
In Dota 2 7.41e, Medusa and Necrophos win 47.49% of ranked matches when playing on the same team, over 6,559 matches.
Focusing down Medusa is the standard approach, but that plan gets complicated when Necrophos is on her team. His constant Death Pulse healing makes her Mana Shield much more resilient, forcing opponents to overcommit or accept a long, drawn-out battle. This plays directly into their hands. The longer a fight goes, the more damage Heartstopper Aura deals across the enemy team, and the more time Medusa has to wear everyone down with Split Shot. The duo turns a potential burst target into a durable anchor for the fight.
In practice, this means mid-game teamfights often revolve around the enemy's ability to kill Medusa through the healing. If they fail, she can turn the fight with Stone Gaze while Necrophos secures a kill on a softened target with Reaper's Scythe. However, this pairing can be vulnerable early and lacks its own lockdown. A team with heavy magic burst or strong pickoff can overwhelm Necrophos or isolate Medusa before this attrition plan gets going, which keeps the synergy from being a guaranteed win.
How this pairing performs across skill brackets — the duo's team win rate in recent ranked matches, split by average match rank. Ranks with too few recent matches are omitted. These rows use the last 30 days of quality-filtered ranked matches, all patches in that span combined — a wider window than the patch-scoped count above, so the per-rank match totals can exceed it.
| Rank | Team win rate | Matches |
|---|---|---|
| Herald & Guardian | 51.20% | 375 |
| Crusader & Archon | 46.68% | 1,054 |
| Legend & Ancient | 45.29% | 764 |
| Divine & Immortal | 37.02% | 181 |
This duo's team win rate in each recent balance patch — whether the pairing is trending up or down. Patches without enough matches are omitted.
| Patch | Team win rate | Change | Matches |
|---|---|---|---|
| 7.41e | 47.49% | ▼ -3.8pp | 6,559 |
| 7.41d | 51.25% | ▼ -0.4pp | 81,309 |
| 7.41c | 51.62% | ▼ -0.4pp | 39,791 |
| 7.41b | 52.04% | — | 38,640 |
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Data updated Aug 17, 2026.