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 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:
| Achievement | How to unlock it | Game 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 |
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:
| Achievement | How to unlock it | Game 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 |
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:
| Achievement | How to unlock it | Game 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 |
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!