In Diablo II Resurrected, Medusa's Gaze is part of the Aegis category and one of many unique Shields in D2R. It is a relatively big item, taking 6 Blocks of space if you want to store it in the inventory or stash. Your character needs to reach at least the Required Level of 76 to carry this item. This Aegis has a Strength Requirement of 219 before it can be used.
This is already the elite version of this Shield, so it cannot be upgraded any further. The normal version is called Tower Shield, while the exceptional version is Pavise.
Note: If this item can have sockets, you might be able to get some runes and get one of the runewords as a result - if you place them in the correct order. Have a look at our builds to find out which items make the most sense for the character you're currently playing.
Below is a list of variations we can get for you from our network of trusted trade partners: