Probably the most interesting feature of this shield is that it has a Lower Resist proc. This can reduce the below-immunity resistances of monsters nearby by 51%, and break immunities below 110 resistance. This can greatly aid elemental attackers with or without Conviction available already, although the extremely high strength requirement and the fact that the proc is activated when struck means that casters will half to think twice before trying to make use of this. There are some melee builds that rely on elemental damage, however, which are much more fit to take advantage of this. Melee attackers can also make good use of the Slows Target by 20% mod as well as the life leech bonus.
Medusa's Gaze also has the interesting ability to cast a very high level Nova upon death. This property is similar to the properties of the unique jewels, Rainbow Facets. Perhaps to infuriate others in player versus player, one could equip Medusa's Gaze and other Socketed Items with "Upon Death" Rainbow Facets inserted, causing quite a boom upon death.
Rather arbitrarily, Medusa's Gaze has the potential to give a very large boost to Cold Resist. Although certainly useful against Cold Enchanted enemies in Hell difficulty, it does leave the rest of a player's resistances exposed.
Required Level: 76
Required Strength: 219
Chance to Block:
Paladin Smite Damage: 18 To 28
+150-180% Enhanced Defense
5-9% Life Stolen Per Hit
Slows Target By 20%
Cold Resist +40-80%
10% Chance To Cast Level 7 Lower Resist When Struck
100% Chance To Cast Level 44 Nova When You Die
(Only Spawns in Patch 1.10 or later)