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 Report

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 Method Find a note from a troubled man 10
Calling Out to Me Find all Echoes in a single playthrough 40
Caught the Scent Find an Echo of a mysterious caller 10
Dual Detective Inspect 50 objects in a single playthrough 30
From Niwa with Love Find a postcard from the groundkeeper 10
Guiding Light Find a page from a mentor's diary 10
I Know the Pieces Fit Reconstruct a Memory Shard 10
Inner Investigator Inspect 25 objects in a single playthrough 10
Insightful Use Insight for at least 15 minutes 30
Left Behind Find an Echo 10
Phantom Escape the creature without alterting it 40
Psychic Sleuth Inspect 100 objects in a single playthrough 50
Puzzling Out the Past Reconstruct all Memory Shards in a single playthrough 40
Spirit Walking Spend 10 minutes outside your body 20
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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 Unsaid Find all of Frank's postcards in a single playthrough 40
An Unknown Outcome Find all of Thomas' notes in a single playthrough 40
Conduit Use Spirit Blast to create electricity 20
Devouring Darkness Find all pages from Richard's diary in a single playthrough 40
Famished Feline Feed the cat in Jack's apartment 20
Followed the Trail Find all of Henry's Echoes in a single playthrough 40
Medium Rare Burn through the moths using Spirit Shield 20
Running Sim Run 2 kilometers 30
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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 Goodbye Send Jack's spirit away 20
Welcome to Niwa Reach the hotel 20
The Cheerful Kid Meet Sadness 20
Edge of Sanity Acquire the razor 20
You Saw, You Ran, You Lived Survive a monstrous encounter 20
Through the Looking Glass Use a mirror to cross over 20
Cut the Crap Acquire the bolt cutters 20
The Childeater Experience your first vision of Thomas 20
Unforgiven Send the Childeater away 20
Thunderstruck Defeat the creature in the flooded ruins 30
Among the Ashes Find the Red House 20
The Hound Experience your second vision of Thomas 20
Unrepentant Send the Hound away 20
The Pact Uncover the mystery of the burned down house 20
Dark Water Make it through the pump station 20
Mirror, Mirror on the Wall Complete the broken mirror 20
Can't Always Save Everyone Finish the game 100
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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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Lottie Lynn

Lottie Lynn

Guides Writer  |  Stormscribe

Lottie Lynn is Eurogamer's guides writer. She likes exploring new games and still has nightmares about the moon from Majora's Mask.

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