Sources
CR
Type
Size
Alignment
Movement

Enhanced Medusa

Medium Monstrosity, Lawful Evil

Armor Class 15 (natural armor)
Hit Points 127 (17d8 + 51)
Speed 30 ft.
STR
10
+0
DEX
15
+2
CON
16
+3
INT
12
+1
WIS
13
+1
CHA
15
+2
Skills Deception +5, Insight +4, Perception +4, Stealth +5
Senses truesight 120 ft., passive Perception 14
Languages Common
Challenge 6 (2,300 XP)

Traits

Petrifying Gaze. When a creature that can see the medusa's eyes starts its turn within 30 feet of the medusa, the medusa can force it to make a DC 14 Constitution saving throw if the medusa isn't incapacitated and can see the creature. If the saving throw fails by 5 or more, the creature is instantly petrified. Otherwise, a creature that fails the save begins to turn to metal, wood, or porcelain (the medusa's choice) and is restrained. The restrained creature must repeat the saving throw at the end of its next turn, becoming petrified on a failure or ending the effect on a success. The petrification lasts until the creature is freed by the greater restoration spell or other magic.

Unless surprised, a creature can avert its eyes to avoid the saving throw at the start of its turn. If the creature does so, it can't see the medusa until the start of its next turn, when it can avert its eyes again. If the creature looks at the medusa in the meantime, it must immediately make the save.

If the medusa sees itself reflected on a polished surface within 30 feet of it and in an area of bright light, the medusa is, due to its curse, affected by its own gaze.

Spellcasting

Innate Spellcasting. The medusa's innate spellcasting ability is Charisma (spell save DC 13). The medusa can innately cast the following spells, requiring no material components:

Cantrips (at will): light

Actions

Multiattack. The medusa makes either three melee attacks—one with its snake hair and two with its shortsword—or two ranged attacks with its longbow.

Snake Hair. Melee Weapon Attack: +5 to hit, reach 5 ft., one creature. Hit:4 (1d4 + 2) piercing damage plus 14 (4d6) poison damage.

Shortsword. Melee Weapon Attack: +5 to hit, reach 5 ft., one target. Hit:5 (1d6 + 2) piercing damage.

Longbow. Ranged Weapon Attack: +5 to hit, range 150/600 ft., one target. Hit:6 (1d8 + 2) piercing damage plus 7 (2d6) poison damage.