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Replace hunters blessing with poisoned star and ASI with bloodforge last.
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I wouldn't fully say this is an ability build. The presence of Transcendence pushes it in that direction, but Medusa is more of a hybrid hunter than some others.
That said, yes, this build is not optimized well. Deathbringer as first crit item is never optimal, and building into crit that late isn't very good.
Cannot upvote as the build currently stands, and do not recommend.