Use the Clay tool to add clay to your sculpt. The Clay tool is your default tool when you first start a Medium session, and used to build out the basic volume of your sculpt, or to add different levels of detail.
By default, the Clay tool has a spherical shape; you can select from other predefined shapes (see Clay Settings) or create and use your own custom stamps. You can add clay with continuous strokes or place a single instance of the current stamp with each squeeze of the trigger (see Single versus Continuous Mode).