The Medium - 100% Achievements

Guidance for obtaining 100% achievements!

Introduction

The Medium is an atmospheric third-person adventure game featuring 39 Steam achievements.

This guide is also available in:

• Russian
  
• Ukrainian

Story

The Last Goodbye
Send Jack's spirit away.


Welcome to Niwa
Reach the hotel.


The Cheerful Kind
Meet Sadness.


Edge of Sanity
Acquire the razor.


Medium Rare
Burn through the moths using Spirit Shield.


You Saw, You Ran, You Lived
Survive a monstrous encounter.


Through the Looking Glass
Use a mirror to cross over.


Cut the Crap
Acquire the bolt cutters.


The Childeater
Experience your first vision of Thomas.


Unforgiven
Send the Childeater away.


Thunderstruck
Defeat the creature in the flooded ruins.


The Hound
Experience your second vision of Thomas.


Unrepentant
Send the Hound away.


Among the Ashes
Find the Red House.


The Pact
Uncover the mystery of the burned down house


Dark Water
Make it through the pump station.


Mirror, Mirror on the Wall
Complete the broken mirror.


Can't Always Save Everyone
Finish the game.

Abilities and Objects

Running Sim
Run 2 kilometers.



Press 'Shift' key to run.



Insightful
Use Insight for at least 15 minutes.



Press 'Ctrl' key to activate Insight. You will be introduced to the ability in Jack's apartment.



Conduit
Use Spirit Blast to create electricity.



Unmissable. You will be introduced to the ability on your way to the hotel.



Spirit Walking
Spend 10 minutes outside your body.



Hold 'F' key to leave your body. You will be introduced to the ability in the hotel elevator.



Inner Investigator
Inspect 25 objects in a single playthrough.


Dual Detective
Inspect 50 objects in a single playthrough.


Psychic Sleuth
Inspect 100 objects in a single playthrough.



It's probably impossible to beat the game without inspecting at least 100 objects - especially if you go for the collectibles. Just make sure to regularly interact with some doors and posters too.

Missable

Famished Feline
Feed the cat in Jack's apartment.



At the very beginning, find a can of cat food in the kitchen and fill the feeding bowl.



Phantom
Escape the creature without alerting it.



You must pass all stealth sections in the hotel without alerting the creature! The achievement will unlock after using the bolt cutters for the first time (go through the door). Some tips:

• Use Insight to track the level of detection (toggleable via the gameplay settings).
  
• Press 'Alt' key to hold your breath (toggleable via the gameplay settings).
  
• A red detection level is fine as long as the monster doesn't chase you or stop talking.
  
• Load the previous auto-save if you got spotted.

Collectibles

From Niwa with Love
Find a postcard from the groundskeeper.


All That's Left Unsaid
Find all of Frank's postcards in a single playthrough.


Left Behind
Find an Echo.


Caught the Scent
Find an Echo of a mysterious caller.


Followed the Trail
Find all of Henry's Echoes in a single playthrough.


Calling Out to Me
Find all Echoes in a single playthrough.


Guiding Light
Find a page from a mentor's diary.


Devouring Darkness
Find all pages from Richard's diary in a single playthrough.


I Know the Pieces Fit
Reconstruct a Memory Shard.


Puzzling Out the Past
Reconstruct all Memory Shards in a single playthrough.


A Dangerous Method
Find a note from a troubled man.


An Unknown Outcome
Find all of Thomas' notes in a single playthrough.





Other (3) [optional]

• Torn Illustration
  
• Empty Eyes
  
• A Quiet Girl

Troubled Man's Notes (20)

• A Peaceful Place
  
• Dust and Death
  
• Alone
  
• Demons
  
• Hell's Angel
  
• A Different Kind of Sickness
  
• Something Broken
  
• Found a Way
  
• Good Old Frank
  
• Hypothesis
  
• Separation
  
• A Relic of the Past
  
• To-Do List
  
• Just Me and Her
  
• Getting Stronger
  
• Keeping Distance
  
• A Thin Line
  
• The Missing Piece
  
• Fever Dreams
  
• Business Card

Mentor's Diaries (7)

• An Apology
  
• A Very Special Boy
  
• A Well of Inspiration
  
• A Method to Madness
  
• Throwing Away Greatness
  
• Growing Apart
  
• A New Home

Groundskeeper's Postcards (11)

• Niwa Says Hello
  
• Honest Work
  
• Promotion
  
• A Scenic View
  
• Someday
  
• Won't Stop
  
• Poor Thing
  
• Harder and Harder
  
• Whispers in the Dark
  
• Regrets
  
• A New Companion

Eerie Drawings (8) [optional]

• Someone New
  
• Friends Forever
  
• Sad Nursie
  
• Lonely
  
• Old Man
  
• Bad Nursie
  
• Dark
  
• Taken Away

Photos (3) [optional]

• Staff Photo
  
• From Hiding
  
• Jack

Notes:

• All collectibles must be found in a single playthrough.
  
• There's no tracker for Echoes (28) and Memory Shards (10).
  
• Photos (3), Eerie Drawings (8) and Other (3) won't grant you any achievements.
  
• All collectibles are ordered by their appearance.

⋗︎ The Hotel

Photo (1/3): Jack [optional]
Location: In the darkroom of Jack's apartment.
Special Action: Develop the photo.



Groundskeeper's Postcard (1/11): Niwa Says Hello
Location: Inside a suitcase in the small building on the left side of the gate:





Eerie Drawing (1/8): Someone New [optional]
Location: During the first split on the right:





Groundskeeper's Postcard (2/11): Honest Work
Location: Inside the old car in the Niwa parking lot:





Echo (1/28): Mysterious Caller
Location: Ringing telephone, in front of the hotel:





Echo (2/28): Niwa Massacre
Location: Shoe, immediately after entering the hotel:





Groundskeeper's Postcard (3/11): Promotion
Location: In the main hall area, in front of the reception:





Eerie Drawing (2/8): Friends Forever [optional]
Location: In the hallway next to the hotel reception (accessible during the second split):





Echo (3/28): You'll Get What You Want
Location: Telephone, on the second floor:





Memory Shard (1/10): Sunflower
Location: In the apartment you reach after jumping down to the first floor:





Mentor's Diary (1/7): An Apology
Location: In the bathroom of the first apartment on the first floor:





Echo (4/28): It Crushed Her Spirit
Location: Pills, next to the previous collectible.



Eerie Drawing (3/8): Sad Nursie [optional]
Location: Leave the first apartment through the front door and head towards the staircase:





Memory Shard (2/10): Wheelchair
Location: In the second apartment on the first floor:





Echo (5/28): You are Nothing
Location: Mirror, in the bathroom of the second apartment on the first floor:





Eerie Drawing (4/8): Lonely [optional]
Location: After the second moth swarm, don't enter the door on the left! Head to the edge:





Troubled Man's Note (1/20): A Peaceful Place
Location: After the second moth swarm go through the door on the left and find a box:





Eerie Drawing (5/8): Old Man [optional]
Location: To the right of the box with the previous collectible.



Troubled Man's Note (2/20): To-Do List
Location: Desk drawer, in Thomas' office:





Troubled Man's Note (3/20): Getting Stronger
Location: In the secret room behind Thomas' office, on the floor:





Photo (2/3): From Hiding [optional, story-related]
Location: In the secret room behind Thomas' office.
Special Action: Find the equipment and develop the photo:

⋗︎ The Natatorium

Troubled Man's Note (4/20): Fever Dreams
Location: Hidden in front of the locked dayroom door:





Echo (6/28): This Case Is Problematic
Location: Barrier, inside the swimming pool:





Echo (7/28): The Nurse Was It
Location: Barrier, in front of the swimming pool:





Echo (8/28): Cover Your Nose
Location: Clothes, in the changing room behind the swimming pool:





Groundskeeper's Postcard (4/11): Someday
Location: In a box in the changing room behind the swimming pool:





Troubled Man's Note (5/20): Good Old Frank
Location: At the beginning of the hallway upstairs:





Echo (9/28): Come On Slowpoke [story-related]
Location: Spinning top, follow the Insight trail after the mirror scene:





Echo (10/28): Ready Or Not [story-related]
Location: Stuffed animal, continue following the Insight trail:





Echo (11/28): What A Freak [story-related]
Location: Teddy bear, continue following the Insight trail:





Echo (12/28): This Isn't Funny [story-related]
Location: Toy tank, continue following the Insight trail:





Other (1/3): Torn Illustration [optional]
Location: Inside a locker, just keep following the Insight trail:





Echo (13/28): No Time To Explain
Location: Telephone, in the examination room:





Eerie Drawing (6/8): Bad Nursie [optional]
Location: Immediately after using the mirror in the examination room to cross over:





Eerie Drawing (7/8): Dark [optional]
Location: In the room after the two lost souls - don't walk up to the next floor yet:





Echo (14/28): The Voting's About To Start
Location: Telephone, in the conference room:





Echo (15/28): Boris [story-related]
Location: Ashtray, in the back of the second conference room:





Groundskeeper's Postcard (5/11): A Scenic View
Location: After unlocking the door with the examination room key, go to the left:





Echo (16/28): I Don't Care
Location: Autograph card, in the apartment of Vivienne's manager:





Other (2/3): A Quiet Girl [optional]
Location: After freeing the two souls:





Echo (17/28): Hello My Love
Location: Wheelchair, starting from the previous collectible go through the hole in the wall:





Other (3/3): Empty Eyes [optional]
Location: On the table next to the wheelchair.



Troubled Man's Note (6/20): Dust and Death [HIGHLY MISSABLE]
Location: After acquiring the bolt cutters open the gate in the main hall (reception area):

⋗︎ The Dayroom

Echo (18/28): Friends
Location: Drawing, in the dayroom on the left side:





Mentor's Diary (2/7): Throwing Away Greatness
Location: Right next to the previous collectible.



Mentor's Diary (3/7): A Very Special Boy
Location: On a couch in the dayroom:





Memory Shard (3/10): Somewhere Else
Location: In the center of the dayroom:





Mentor's Diary (4/7): A Well of Inspiration
Location: Opposite of the couch in the dayroom:





Mentor's Diary (5/7): A Method to Madness
Location: On the desk in the room with the rotatable globe:





Eerie Drawing (8/8): Taken Away [optional]
Location: In the room with the rotatable globe.
Special Action: Rotate the globe counterclockwise (~110 degrees):





Memory Shard (4/10): You're... Special
Location: Next to the piano:





Echo (19/28): Come On, Richard
Location: Pencil case, in the teacher's room:





Memory Shard (5/10): Lying There
Location: In the teacher's room.



Mentor's Diary (6/7): Growing Apart
Location: On the desk in the teacher's room, to the left of the Memory Shard trigger.



Mentor's Diary (7/7): A New Home
Location: In the area after the dayroom (ground floor), stay on the right:





Memory Shard (6/10): Painting Lily [story-related]
Location: In the area after the dayroom (ground floor):





Memory Shard (7/10): Doll [story-related]
Location: In the area after the dayroom (ground floor):





Memory Shard (8/10): Ribbon [story-related]
Location: In the area after the dayroom (ground floor):

⋗︎ The Forest

Groundskeeper's Postcard (6/11): Won't Stop
Location: Take the first path to the left in the forest:





Echo (20/28): I'll Be Back Soon
Location: Telephone, next to the previous collectible.



Groundskeeper's Postcard (7/11): Poor Thing
Location: On a bench on the viewing platform:





Groundskeeper's Postcard (8/11): Harder and Harder
Location: At the first intersection in the nature park follow the Landscape Trail path:





Groundskeeper's Postcard (9/11): Whispers in the Dark
Location: At the second intersection don't follow the dog! Instead, head to the right:





Groundskeeper's Postcard (10/11): A New Companion
Location: At the camp (before inspecting the tent):





Groundskeeper's Postcard (11/11): Regrets
Location: Inside the tent at the camp:





Photo (3/3): Staff Photo [optional]
Location: Next to the previous collectible.

⋗︎ The Red House

Echo (21/28): Well Deserved Smoke
Location: Cigarette packet, in front of the toolshed:





Echo (22/28): Nice Chat
Location: Wheel, in front of the toolshed:





Echo (23/28): Go Away
Location: Wooden figure, in the toolshed:





Troubled Man's Note (7/20): Hell's Angel
Location: Above the previous collectible:





Echo (24/28): One Of Them
Location: Suitcase, in the garage of the toolshed:





Troubled Man's Note (8/20): Something Broken
Location: Next to the previous collectible:





Echo (25/28): The Gemini Case
Location: Cassette player, on the floor in the garage:





Memory Shard (9/10): You'll Beg Me
Location: In front of the Red House:





Memory Shard (10/10): You'll Burn
Location: On the left side of the Red House:





Troubled Man's Note (9/20): Demons
Location: Inside the Red House after the vision:





Echo (26/28): The Voice
Location: Shoe, in the central room of the basement:





Echo (27/28): Where Is Marianne?
Location: Teddy bear, next to the previous collectible:





Echo (28/28): I'm So Sorry
Location: Syringe, next to the previous collectible:





Troubled Man's Note (10/20): A Different Kind of Sickness
Location: Next to the previous collectible:





Troubled Man's Note (11/20): The Missing Piece
Location: In the opposite corner of the basement:





Troubled Man's Note (12/20): Found a Way
Location: In the wine cellar - the room behind the previous collectible:

⋗︎ The Fallout Shelter

Troubled Man's Note (13/20): Separation
Location: In the fallout shelter:





Troubled Man's Note (14/20): A Relic of the Past
Location: On the control panel:





Troubled Man's Note (15/20): A Thin Line
Location: In the storage room after leaving the pump station:





Troubled Man's Note (16/20): Alone
Location: On the desk in Lily's room:





Troubled Man's Note (17/20): Just Me and Her
Location: In the kitchen:





Troubled Man's Note (18/20): Keeping Distance
Location: In Thomas' workspace:





Troubled Man's Note (19/20): Business Card
Location: Next to the previous collectible:





Troubled Man's Note (20/20): Hypothesis
Location: Next to the previous collectible:

[Roomba Boomba]

thanks a bunch, I missed the last Thomas' note and I'm glad I looked through your guide and I had the most recent save to pick it

[Hanni]

Unfortunately, it's often not possible to revisit previous levels/chapters.

[Chaffee]

I've cleared the level, but I'm missing three achievements. How do I go back and collect items?

[✪ Checkmate]

Aight that's good to know. Thank you :D

[Hanni]

@✪ Checkmate Optional means there's no achievement tied to collecting the item :)

[✪ Checkmate]

hey sorry to bump this. but what does optional mean?
Eerie Drawing (2/8): Friends Forever [optional]

I got this on my 1st try then I died, I didn't know that you'll lose progress when you die and missed it on my 2nd try.

[Hanni]

Thanks! I've linked your guide.

[GammaRay]

Thenks for tutorial, oh and ukranian was done =3

[BrooklynV]

some collectibles like Gemini Case or the Cigs Pack are moved a bit but still in the same area...

tought it was bugged for me at first

[Simbiat]

Note about "Hell's Angel" and "Go Away": for me, after getting "Go Away" and exiting the "view" right after "Hell's Angel" became inaccessbile. Clearly a bug, may not be repeatable for all, but better take the photo first.