The MedMod is great, and I know this doesn't matter too much, but the Genoese in Late are still Sicilians and weaker than they should be (he forgot to make Genoa a decent province) and the Crusaders are still the Burgundians. There's a way to change this, which I've done on my own comp, so I can't be bothered to explain.
But I may release an *unofficial* patch based on the things I think are wrong with it (it's so good that this patch won't have much difference).
Anywho, I've played as the Crusaders, somehow managing to whip the Egyptians ass, and I am now playing as the Almos, having already destroyed Spain and Aragon, working my way towards france. In MedMod, a lot has changed, so remember to use different strategies than you normally would.
My pet peeve of this mod is that if you manage to carve a big enough empire to be on both sides of Europe, in the mediteranian and the atlantic (doesn't apply to Spain and France) you can't build ships to move around the other sea. And, if you happen to be playing as a faction that doesn't start on the sea at all, then you can't even build any ships anyway!
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