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The Medium achievement list: How to earn all hidden and story-related trophies explained

How to earn every achievement in The Medium.

The Medium has a total of 39 achievements for you to earn during your playthrough.

Each achievement, or trophy if you prefer, is connected to either a part of the game's storyline or earned by completing a specific action, such as finding a collectible. The Medium has a mix of story-related and secret achievements, so there's a chance you'll miss one of them.

If you'd like to learn more about The Medium, then check out our guides on finding the tie clip, finding Thomas's hidden room, the conference room puzzle, unlocking the secret door in the Red House, the game's length and The Medium story and mission flow.

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The Medium - The DF ReportWatch on YouTube

The Medium achievement and trophy list

Aside from the secret and story-related achievements, there are 14 achievements for you to unlock in The Medium.

These achievements are earned by completing a variety of activities, such as finding the various collectibles hidden throughout The Medium, and unlocking each one will bring you closer to reaching 100% completion.

Here's every other achievement and how to unlock them in The Medium:

AchievementHow to unlock itGame Score
A Dangerous MethodFind a note from a troubled man10
Calling Out to MeFind all Echoes in a single playthrough40
Caught the Scent Find an Echo of a mysterious caller10
Dual DetectiveInspect 50 objects in a single playthrough30
From Niwa with LoveFind a postcard from the groundkeeper10
Guiding LightFind a page from a mentor's diary10
I Know the Pieces FitReconstruct a Memory Shard10
Inner InvestigatorInspect 25 objects in a single playthrough10
Insightful Use Insight for at least 15 minutes30
Left BehindFind an Echo10
PhantomEscape the creature without alterting it40
Psychic SleuthInspect 100 objects in a single playthrough50
Puzzling Out the PastReconstruct all Memory Shards in a single playthrough40
Spirit Walking Spend 10 minutes outside your body20

Secret achievements and how to earn each secret trophy in The Medium

There are eight, non story-related, secret achievements for you to find in The Medium.

We've separated these secret achievements from the story-related ones, because, while they'll appear as 'Secret' on the achievement list, the ones listed below require you to complete a specific action or find a certain number of collectibles to unlock during The Medium. Due to this, there's a chance that you'll miss one of these achievements during your playthrough of The Medium.

Below you can find the secret, non story-related, achievements in The Medium:

AchievementHow to unlock itGame Score
All That's Left UnsaidFind all of Frank's postcards in a single playthrough40
An Unknown Outcome Find all of Thomas' notes in a single playthrough40
ConduitUse Spirit Blast to create electricity 20
Devouring DarknessFind all pages from Richard's diary in a single playthrough40
Famished FelineFeed the cat in Jack's apartment 20
Followed the TrailFind all of Henry's Echoes in a single playthrough40
Medium RareBurn through the moths using Spirit Shield20
Running SimRun 2 kilometers30

Story-related achievements and how to earn each story-related trophy in The Medium

There are 17 story-related secret achievements for you to earn in The Medium.

While these achievements appear as 'Secret' on the achievement list, we've separated them from the other secret achievements, because they don't require completing a specific action outside of the main campaign. This means that you simply need to play through The Medium to earn these achievements.

Here are the story-related achievements in The Medium:

AchievementHow to unlock itGame Score
The Last GoodbyeSend Jack's spirit away20
Welcome to NiwaReach the hotel20
The Cheerful KidMeet Sadness20
Edge of SanityAcquire the razor20
You Saw, You Ran, You LivedSurvive a monstrous encounter20
Through the Looking GlassUse a mirror to cross over20
Cut the CrapAcquire the bolt cutters20
The ChildeaterExperience your first vision of Thomas20
UnforgivenSend the Childeater away20
ThunderstruckDefeat the creature in the flooded ruins30
Among the AshesFind the Red House20
The HoundExperience your second vision of Thomas20
UnrepentantSend the Hound away20
The PactUncover the mystery of the burned down house20
Dark WaterMake it through the pump station20
Mirror, Mirror on the WallComplete the broken mirror20
Can't Always Save Everyone Finish the game100

If you'd like to learn more about The Medium, then check out our guides on finding the tie clip, finding Thomas's hidden room, the conference room puzzle, unlocking the secret door in the Red House, the game's length and The Medium story and mission flow.

Good luck earning all of the achievements for The Medium!

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