The following is a list of achievements available in The Medium. There are 39 available achievements worth a total of 1,000 Gamer Score.
List of achievements[]
| Icon | Name | Description | Gamer Score |
|---|---|---|---|
 |
A Dangerous Method | You found a note from a troubled man. | 10 |
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All That's Left Unsaid | You found all of Frank's postcards in a single playthrough. | 40 |
 |
Among the Ashes | You found the Red House. | 20 |
 |
An Unknown Outcome | You found all of Thomas' notes in a single playthrough. | 40 |
 |
Calling Out to Me | You found all Echoes in a single playthrough. | 40 |
 |
Can't Always Save Everyone | You finished the game. | 100 |
 |
Caught the Scent | You found an Echo of a mysterious caller. | 10 |
 |
Conduit | You used Spirit Blast to create electricity. | 20 |
 |
Cut the Crap | You acquired the bolt cutters. | 20 |
 |
Dark Water | You made it through the pump station. | 20 |
 |
Devouring Darkness | You found all pages from Richard's diary in a single playthrough. | 40 |
 |
Dual Detective | You inspected 50 objects in a single playthrough. | 30 |
 |
Edge of Sanity | You acquired the razor. | 20 |
 |
Famished Feline | You fed the cat in Jack's apartment. | 20 |
 |
Followed the Trail | You found all of Henry's Echoes in a single playthrough. | 40 |
 |
From Niwa with Love | You found a postcard from the groundskeeper. | 10 |
 |
Guiding Light | You found a page from a mentor's diary. | 10 |
 |
I Know the Pieces Fit | You reconstructed a Memory Shard. | 10 |
 |
Inner Investigator | You inspected 25 objects in a single playthrough. | 10 |
 |
Insightful | You used Insight for at least 15 minutes. | 30 |
 |
Left Behind | You found an Echo. | 10 |
 |
Medium Rare | You burned through the moths using Spirit Shield. | 20 |
 |
Mirror, Mirror on the Wall | You completed the broken mirror. | 20 |
 |
Phantom | You escaped the creature without alerting it. | 40 |
 |
Psychic Sleuth | You inspected 100 objects in a single playthrough. | 50 |
 |
Puzzling Out the Past | You reconstructed all Memory Shards in a single playthrough. | 40 |
 |
Running Sim | You have run 2 kilometers. | 30 |
 |
Spirit Walking | You spent 10 minutes outside your body. | 20 |
 |
The Cheerful Kind | You met Sadness. | 20 |
 |
The Childeater | You experienced your first vision of Thomas. | 20 |
 |
The Hound | You experienced your second vision of Thomas. | 20 |
 |
The Last Goodbye | You sent Jack's spirit away. | 20 |
 |
The Pact | You uncovered the mystery of the burned down house. | 20 |
 |
Through the Looking Glass | You used a mirror to cross over. | 20 |
 |
Thunderstruck | You defeated the creature in the flooded ruins. | 30 |
 |
Unforgiven | You sent the Childeater away. | 20 |
 |
Unrepentant | You sent the Hound away. | 20 |
 |
Welcome to Niwa | You've reached the hotel. | 20 |
 |
You Saw, You Ran, You Lived | You survived a monstrous encounter. | 20 |