The only items really worth buying are war horns and excalibur. If you're realy desperate for medals and don't want to keep farming for them to drop, then I guess medal boxes would be worthwhile, but they're very expensive so it'd take allot of money to buy your way through all the ranks.
As for speed-ups, do the math some time to figure out how much U.S. $ you'd have to spend to take a city from all Lv1 to all Lv9 using speedups. It's close to $1,000, so I really doubt that very many people are advancing constructions very rapidly using speedups that they've purchased with coins.



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