Um no. Hirudora, has never killed anyone. Ever. Guy took damage from it and it was only broken bones not even ruptured organs
....Madara countered Hirudora before Gai even got to completely fire it off. He got hit by the initial air pressure that got dispersed over every direction [
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]; rather then it first condensing, focusing on a single point, then exploding, like it's supposed to. It was absolutely no where near full power. The aftermath was just a huge cloud of dust; whereas a real Hirudora exerts enough blowing force that can be felt from miles away and can knock someone off their feet if they don't brace themselves...[
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]. And for the record, this was a Hirudora that had to fight it's way through the resistance of water and clash against a colossal suiton technique. Furthermore, Gai had no intentions in killing Kisame in the first place. Lastly, what it seems to be base Gai, at his very limit, was capable of using Hirudora; which completely devoured a V3 Susano'o [
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] and put Madara out of commission for an entire chapter.
A
full powered Hirudora followed by Morning Peacock or vice versa should more then suffice to take Tsunade out. If you don't believe it will, then that's fine. I wouldn't expect you to. But stop trying to downplay Gai and his techniques.