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The best moveset for Great Tusk in the current competitive meta typically features the moves its most common attacks.
In the Pokémon Champions meta, Great Tusk can be countered by exploiting its weaknesses (fairy 2x, flying 2x, grass 2x, ice 2x, psychic 2x, water 2x) and using effective check/counter teams.
The best item for Great Tusk is typically Choice Scarf, based on high-level tournament and ladder stats.