All areas within his realm were under his direct control if he was an absolute emperor.
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Medusa did not control any area. She is not a goddess. If she was, she would control something.
Oh, dude, it's like this - senatorial provinces were controlled by the Roman Senate, while imperial provinces were under the direct control of the emperor. So, it's kind of like the Senate had their own little sandbox to play in, and the emperor had his own bigger sandbox with all the cool toys. But hey, at the end of the day, they were all just provinces in the Roman Empire, am I right?
He divided it into four parts to facilitate control of such a vast area.
The reason why is they where divided into clans under chieftains which are like kings of the area
The Middle East and Central Asia.