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Medicham.

Gen 9 Doubles OU usage profile · rank #135
august 2026 · 203.7K battles
Medicham
fightingpsychicPokédex entry
Usage · August 2026
0.1%
Medicham is ranked #135 in Gen 9 Doubles OU, carried by 3,193 teams
TierD · outside the top 60
Ladder rank#135 of 245
Raw count3,193
Viability ceiling83
Month on month+0.12pp
13 month peak0.1%
FormatGen 9 Doubles OU
Previous
#134 Slither Wing
Next
#136 Toedscruel
Tier list
Back to the Gen 9 Doubles OU tier list
sets and counters from 203.7K battles
Base statsspecies values, before EVs and natureBST 410
HP
60
Atk
60
Def
75
SpA
60
SpD
75
Spe
80
Usage over time0.1% 0.12pppeak 0.1% · Apr '26
0.00.10.10.1Aug '25Sep '25Nov '25Jan '26Mar '26May '26Jul '26Aug '26
hover a month for the exact figure · 13 months of ladder history

Most used set

68.8% of Medicham teams
HP
0
Atk
0
Def
136
SpA
0
SpD
120
Spe
252
NatureHasty
AbilityPure Power · 100.0%
ItemMental Herb · 59.1%
Tera typeGhost · 91.8%
Moves
Skill Swap98.7%
Taunt92.5%
Trick Room92.0%
Fake Out72.1%

Alternative spreads

over 5% usage
Timid252 HP / 4 SpD / 252 Spe13.1%
Timid128 Def / 128 SpD / 252 Spe6.5%

Moves

7 tracked
Skill Swap98.7%
Taunt92.5%
Trick Room92.0%
Fake Out72.1%
Rock Slide19.2%
Helping Hand4.4%
Ice Punch3.6%

Items

Mental Herb59.1%
Focus Sash32.8%
Choice Scarf3.8%

Tera types

Ghost91.8%
Fighting4.2%

Abilities

Pure Power100.0%

EV spreads

top 6
Hasty136 Def / 120 SpD / 252 Spe68.8%
Timid252 HP / 4 SpD / 252 Spe13.1%
Timid128 Def / 128 SpD / 252 Spe6.5%
Timid4 HP / 252 SpD / 252 Spe3.3%
Jolly160 HP / 96 SpD / 252 Spe2.9%
Jolly4 HP / 252 Atk / 252 Spe2.6%

Top teammates

share of teams

Best Medicham build for Gen 9 Doubles OU

The set above is the one Gen 9 Doubles OU players run most often, taken from 203,650 battles in August 2026. Medicham sits at rank #135 with 0.1% usage, which puts it in D tier, up 0.12 points on the month before.

These are usage numbers, not a recommendation from a council. A move at 90% is close to mandatory; anything under 30% is a tech pick that answers a specific matchup. Read the spreads the same way: the top spread is the safe default, and the alternatives usually trade bulk for speed or the other way round.

The checks and counters table is generated from real games rather than a type chart, so it accounts for items, Tera choices, and how often the matchup ends in a switch instead of a knockout.

Related
Gen 9 Doubles OU tier listEvery ranked PokémonMedicham Pokédex entryStats, moves, evolutionsAll formatsSmogon and VGC tier listsDamage calculatorRun this set through the calcTeam builderCoverage and weaknesses