Undercity medusas occupy a peculiar place in the Golgari Swarm. Although they live beneath the city, they don’t seem to share the Swarm’s ideology. Their alliance with the Golgari is a matter of convenience, a buffer that lets them live unmolested by the other guilds. The Golgari, in turn, benefit from their power to petrify opponents. Given the chance, though, the medusas would happily use the other denizens of the undercity for their own ends alone.
Nimbler and stealthier than ordinary medusas and much stronger and smarter, undercity medusas are dangerous ambush attackers. They can cast fog cloud once per day and often use it to conceal themselves, but the moment they’re ready to strike, they have to drop it in order to make use of their Surprise Attack trait, which grants them advantage on attack rolls against surprised foes. Why? Because as long as everything is heavily obscured by the fog, everyone in it is effectively both blinded and invisible, and the combination of advantage and disadvantage nullifies the undercity medusa’s own attack roll advantage. Truth be told, the fog is likely to be a tip-off to suspicious player characters; much of the time, an undercity medusa is better off merely using its Stealth proficiency to hide in the shadows and save fog cloud for emergency disengagement.
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