OSRS Med Level Account Build: Your Guide to Creating a Powerful Mid-Tier Character

OSRS Med Level Account Build: Your Guide to Creating a Powerful Mid-Tier Character


Old School RuneScape (OSRS) offers players the freedom to craft their own unique journeys, and one of the most exciting ways to do this is through specialized account builds. Among these, the OSRS med level account build stands out as a versatile and powerful option. Sitting in the combat level range of 100–114, med level accounts strike a balance between accessibility and strength, making them ideal for players who want to dominate PvP, tackle PvM, or simply enjoy a well-rounded playstyle without the grind of a maxed main. In this guide, we’ll walk you through everything you need to know to create your own med level account, from stats and quests to gear and training tips.

A med level account, often just called a “med,” is a mid-tier character in OSRS designed with moderately high combat stats to unlock powerful weapons, armor, and prayers while keeping the combat level lower than a fully maxed main (126). Typically, these accounts hover between combat levels 100 and 114, offering a sweet spot where you can wield endgame gear like Barrows equipment and access strong prayers like Piety, Rigour, and Augury, all without facing the full might of maxed opponents in PvP.

Why Choose a Med Level Build?

The appeal of a med level account lies in its flexibility and efficiency. Here’s why players love this build:

  • PvP Advantage: Meds can prey on lower-level builds like 1-Defence pures or Berserkers in the Wilderness, leveraging superior stats and gear.
  • PvM Viability: Unlike restrictive pures, meds can handle bosses and Slayer tasks thanks to their balanced stats.
  • Lower Time Investment: Compared to maxing a main, a med level account takes less time to build while still offering high-end gameplay.

Key Stats for a Med Level Build

To qualify as a med, your account should aim for these benchmark stats:

  • Attack: 75 (for weapons like the Abyssal Whip or Godswords)
  • Strength: 99 (maximizing damage output)
  • Defence: 75 (for Barrows gear and decent tankiness)
  • Prayer: 77 (unlocking Piety, Rigour, and Augury)
  • Hitpoints: 90+ (naturally levels with combat training)
  • Ranged: 99 (for powerful ranged options)
  • Magic: 94–99 (for utility spells like Vengeance and Teleblock)

Step-by-Step Guide to Building Your Med Level Account

Creating a med level account requires careful planning to hit the right stat thresholds without overshooting your combat level. Let’s break it down into actionable steps.

Step 1: Early Game Questing

Start by knocking out beginner-friendly quests to build a foundation. These provide XP rewards and unlock key content without excessive combat leveling:

By combat level 70, aim to complete as many easy quests as possible to set yourself up for the next phase.

Step 2: Unlock Untradeables

Next, focus on obtaining untradeable items that boost your combat prowess:

Step 3: Train Combat Skills

With your foundation set, it’s time to grind those combat stats. Here’s how to approach each:

  • Attack & Strength: Train at Nightmare Zone (NMZ) with absorption potions to control XP gains.
  • Defence: Use Slayer tasks or NMZ to hit 75 efficiently.
  • Ranged: Chinchompas at MM1 tunnels or Slayer tasks for fast XP.
  • Magic: High Alchemy or bursting at MM2 tunnels to reach 94+.

Step 4: Prayer and Quest Milestones

Unlocking Piety (70 Prayer) and eventually Rigour/Augury (77 Prayer) is crucial. Complete these quests:

  • King’s Ransom: Unlocks Piety via the Knight Waves Training Grounds.
  • Dragon Slayer II: Requires 200 quest points and unlocks Vorkath—a great money-maker.

Train Prayer by offering dragon bones at a gilded altar for efficiency.

Gear and Loadouts for Med Level Accounts

A med level account shines with its ability to use near-endgame gear. Here’s a breakdown of ideal setups for different combat styles.

Melee Gear

For melee, prioritize strength bonuses and accuracy:

Slot Item
Head Serpentine Helm
Chest Fighter Torso
Legs Bandos Tassets
Weapon Abyssal Whip or Blade of Saeldor
Cape Fire Cape

Ranged Gear

Ranged setups focus on maxing damage output:

Slot Item
Head Armadyl Helmet
Chest Armadyl Chestplate
Legs Armadyl Chainskirt
Weapon Toxic Blowpipe
Cape Ava’s Accumulator

Magic Gear

Magic is more utility-focused but still potent:

Slot Item
Head Ahrim’s Hood
Chest Ahrim’s Robetop
Legs Ahrim’s Robeskirt
Weapon Trident of the Seas
Cape Imbued God Cape

Best Activities for Med Level Accounts

Once your med level account is built, you’ll want to put it to use. Here are the top activities to maximize its potential.

PvP in the Wilderness

With stats like 75 Attack, 75 Defence, and 99 Strength, you can bully lower-level pures and Zerks in low-to-mid Wilderness. Use combos like Whip to Dragon Claws or Granite Maul specials for quick KOs.

Slayer and PvM

Meds excel at Slayer thanks to their ability to use Slayer-specific gear (e.g., leaf-bladed weapons) and tank hits with 75 Defence. Bosses like Vorkath, Zulrah, and Cerberus are also within reach, offering solid GP/hr.

Money-Making Methods

Fund your gear with these methods:

  • Vorkath: 2–4M GP/hr with a decent setup.
  • Barrows: 1–2M GP/hr and a chance at valuable items.
  • Revenants: Risky but profitable in the Wilderness.

Tips and Tricks for Optimizing Your Med Level Build

To get the most out of your med level account, keep these pointers in mind.

Manage Combat XP Carefully

Unlike pures, meds have more leniency with XP, but you still don’t want to overshoot 114 combat. Use controlled training methods like NMZ or Slayer to avoid unnecessary Defence or Hitpoints XP.

Prioritize BiS Gear

Invest in best-in-slot (BiS) items like the Toxic Blowpipe or Serpentine Helm early—they’ll pay off in both PvP and PvM efficiency.

Experiment with Hybrid Styles

Meds are perfect for hybridding in PvP. Combine Ranged and Melee with Magic utility (e.g., Vengeance) to outmaneuver opponents.

Building an OSRS med level account is a rewarding journey that blends the thrill of PvP with the satisfaction of PvM. With the right stats, gear, and strategy, you’ll have a character that’s ready to take on Gielinor’s toughest challenges—all without the endless grind of a maxed main. Start your med level adventure today and carve your name into the annals of RuneScape history!