Because I'm runnning a 3.5e sandbox "Vault of Larin Karr" for 4e, and I'm too lazy to do most conversions in advance, I'm effectively improvisin most of it. This does sometimes require using 2 MM pages at once if I want to stick closely to the text, eg there was a fight with 3 orcs and a troll recently.
In pure improv though you can stick with all monsters on the same page if you prefer - you don't really need the MM2 Pirate stats I referenced above; I could just open the Human pages, which I am already familiar with 'cos there are lots of humans IMC! With appropriate reskinning a bunch of Human Lackeys minion-7, Bandits skirmisher-2, a Mage controller-4, maybe a Berserker brute-4, ought to work fine for a 5th level piratical encounter.
This doesn't require being familiar with every page in the MM. It certainly doesn't require knowing monster powers in advance, since the beauty of 4e is that it's all right there on the page!
Edit: As far as the scenery goes, I'll either sketch something or use an appropriate floorplan/mat from my collection.
In pure improv though you can stick with all monsters on the same page if you prefer - you don't really need the MM2 Pirate stats I referenced above; I could just open the Human pages, which I am already familiar with 'cos there are lots of humans IMC! With appropriate reskinning a bunch of Human Lackeys minion-7, Bandits skirmisher-2, a Mage controller-4, maybe a Berserker brute-4, ought to work fine for a 5th level piratical encounter.
This doesn't require being familiar with every page in the MM. It certainly doesn't require knowing monster powers in advance, since the beauty of 4e is that it's all right there on the page!
Edit: As far as the scenery goes, I'll either sketch something or use an appropriate floorplan/mat from my collection.