Do you actually use the vacc all the time? Stock is better for taking out sentries, or no? (genuinely asking)
Please don't learn from my wannabe strategies, they are really not good and very beginner-ish. Actually good medic mains would probably cry at some things that I do.
In short, no. It's the same for any other medic weapon, really.
(Really) long answer, which is based on an unreliable "2 months of playing medic nearly every day" is below.
All mediguns are situational, but I follow some personal rule of thumb that goes:
If on attacking team: Stock Medigun
If on defending team: Kritzkrieg
(Depicted is the ideal situation shortly before your Kritzkrieg reaches 100%)
I'm not an asshole who denies a good team potential killstreaks with a Kritzkrieg. A good team deserves a good uber. But if that medigun set up doesn't seem to work out with my team (eg. my team is only Demoknights and Market Gardeners / the enemy team has a god-like sniper and is killing everyone at the same spawn door) and the flanking classes are more fit to actually do the objective, I will switch to a different set up.
If on attacking team: Vaccinator
If on defending team: Quickfix
(Depicted is what Vaxx encounters 70% of matches on payload maps)
My reason for this is that both of these mediguns focus more on survival, rather than making sudden pushes for ground; ground that the entire team might not be able to keep. I strongly follow the credo of "Don't pocket", so these two fast charging mediguns are perfect for switching around patients during building and uber pop to make sure many people as possible profit from them. They are also much more hectic to play, so most of the time I will switch from Crossbow to Overdose, and from ubersaw to solemn vow, because I am much more vulnerable to spies and flanks from hyper focusing on everyone's healthbars and jumping across the map, trying to keep the team together. Vaccing scouts is incredibly fun, you couldn't imagine until you tried ("Hello Doc, this is Jeremy, your Uber driver to pick you up").
On payload, when my team is pushing, I generally use Vacc and am part of the cart pushing team, unless I see that the team work and positioning is good enough. Upon death I'll respawn with stock to help the power classes who are pushing at the frontline instead, because the cart heals, too, and I trust my team to not die.
Sometimes, all it takes for your team to successfully move out and gain ground is some popped bullet resistances on the first person who is leaving spawn to make sure the snipers don't delete them before you even get to the cart.
When I say "play more aggressive as medic" I really just mean being able to stand in the crossfire more often and actively encouraging your patients to go into situations, because they can trust that your 75% resistance will let them survive it (also you just pop the bubble and stress them into GOING IN BEFORE THE EFFECT WEARS OFF). If you run into a sniper sightline and manage to get him to snipe at you while a bullet resistance bubble is popped, the rest of your team can follow you until the sniper has reloaded, and that alone may already have caused enough pressure for the sniper to leave his position.
I like to think of Vacc and Stock as the fight-or-flight-reflex triggering mediguns, with Vacc being the medigun that seemingly locks people into battle with you, as people attempt to take you down with focus fire, while Stock causes everyone to flee. Dying with Vacc isn't too bad for your uber charge, and no healing for some seconds is a risk I am willing to take sometimes, if it means I'm drawing the enemies' attention away from my other team mates and wasting their ammo for the last push.
So tldr: Since I'm playing casual mostly, eventually I will use Vaccinator a lot because my alternative is to gamble that one or two players are competent enough to perform extremely well during an 8 second long uber. Yes Stock uber is the best for taking out sentries, but sometimes your team might not be the best for the job.
Whatever people say about medic gameplay being boring, I don't see it, it's super engaging, and extremely strategy heavy to me.
(Depicted are reasons why normal and sane medic mains use Stock vs why Vaxx uses Vaccinator)
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