It s not easy because we dont start whit anything and monster in ladder are much harder then normal !

In a 8 players game a fallen in act 1 hell can take from 1/5 to 4/5 of my life depnding if minion of not ! So imagine act 5. ( i got 610~ life)
Currently im level 80 and i just stoped using goldskin armor to switch to twitch, my java is shitty + 2 zon skill 13-30~dmg (i use plague jav so who care the phys. dmg), my bow is 30-120dmg~ i dont even have a mana leech item, so it s much harder then ppl think but with a good team everything is possible !

Note : Ancient were much harder then baal it took us about 20 min to kill them. After we finished the ancient we had no gold left we had to sell gem to actualy be able to afford potion. So if you go for ancient in hell drop your money on ground or mule your gold but do not keep it in stash or on yourself.

Edit:

Oh and Titus if you only been in normal yet dont judge ladder diff yet and when in nightmare tell yourself it s nothing compare to what is coming in hell ! I started in hell at level 70~