guides
Last update:25 January 2021
On this page, you will find the achievement guide for The Medium.
We have included very detailed descriptions of all the game’s achievements.
You’ll learn the requirements for each achievement and how to complete their objectives.
Comments: You will get the achievement after sending Jack’s soul back.
Welcome to Niwa
Comments: You will get the achievement when you arrive at the hotel.
The Cheerful Kind
Comments: You will get the achievement after meeting Sadness.
The Childeater
Comment: You will receive the achievement after experiencing the first vision of Thomas.
Unforgiven
Comment: You will get this achievement after you send back the Childeater.
Among the Ashes
Comments: You will get the achievement when you reach the Red House.
The Hound
Comment: You will receive the achievement after experiencing the second vision of Thomas.
Unrepentant
Comments: You will receive this achievement when you send the Hound away.
The Pact
Comments: You will receive the achievement when you make it through the pump station.
Dark Water
Comments: You will get the achievement after you go through the pump station.
Edge of Sanity
Comments: You will get the achievement after getting the razor.
Cut the Crap
Comments: You will get the achievement after getting the bolt cutters.
Thunderstruck
Comments: You will get them by defeating the creature in the flooded ruins.
Medium Rare
Comments: You will get them by burning through the moths using Spirit Shield.
Conduit
Comment: Use Spirit Blast to create electricity.
Insightful
Gamerscore: 30
How to unlock: Use Insight for at least 15 minutes.
Comments: When playing as Marianna, use Insight for more than 15 minutes.
Left Behind
Gamerscore: 10
How to unlock: Find an Echo.
Commentary: Find the first Echo available in the game.
Their descriptions are on a separate page of this guide.
Comments: you gotta discover all the Echoes available in the game.
Their descriptions are on a separate page of this guide.
I Know the Pieces Fit
How to unlock: Reconstruct a Memory Shard.
Commentary: you’re gonna wanna discover the first Memory Shard available in the game.
Their descriptions are on a separate page of this guide.
Puzzling Out the Past
How to unlock: Reconstruct all Memory Shards in a single playthrough.
Comments: you gotta discover all the Memory Shards available in the game.

Their descriptions are on a separate page of this guide.
Guiding Light
How to unlock: Find a page from a mentor’s diary.
Commentary: Find the first page from the diary.
Their descriptions are on a separate page of this guide.
Devouring Darkness
How to unlock: Find all pages from Richard’s diary in a single playthrough.
Comments: you oughta find all the diary pages available in the game.
Their descriptions are on a separate page of this guide.
A Dangerous Method
How to unlock: Find a note from a troubled man.
Commentary: Find the first note available in the game.
Their descriptions are on a separate page of this guide.
An Unknown Outcome
How to unlock: Find all of Thomas' notes in a single playthrough.
Commentary: Find all the Thomas' notes available in the game.
Their descriptions are on a separate page of this guide.
From Niwa with Love
How to unlock: Find a postcard from the groundskeeper.
Commentary: Find the first postcard available in the game.
Their descriptions are on a separate page of this guide.
Commentary: Find all the postcards available in the game.
Their descriptions are on a separate page of this guide.
Caught the Scent
How to unlock: Find an Echo of a mysterious caller.
Commentary: you oughta discover the first Echo of a mysterious caller available in the game.
Their descriptions are on a separate page of this guide.
How to unlock: Find all of Henry’s Echoes in a single playthrough.
Commentary: you gotta discover all the echoes of the mysterious caller.
Their descriptions are on a separate page of this guide.
Spirit Walking
How to unlock: Spend 10 minutes outside your body.
Comments: You will get this achievement by spending time in the spiritual dimension.
you gotta spend at least 10 minutes there.
Phantom
How to unlock: Escape the creature without alerting it.
Famished Feline
How to unlock: Feed the cat in Jack’s apartment.
Comments: you’re able to get this achievement at the very beginning of the game.
When you are in Jack’s apartment, you could pick up cat food and feed it.
This is a very simple achievement that is hard to miss.
Inner Investigator
How to unlock: Inspect 25 objects in a single playthrough.
Commentary: you better pick up 25 random items during the game.
These aren’t secrets or story items.
Dual Detective
How to unlock: Inspect 50 objects in a single playthrough.
Commentary: it’s crucial that you pick up 50 random items during the game.
These aren’t secrets or story items.
Psychic Sleuth
Gamerscore: 50
How to unlock:Inspect 100 objects in a single playthrough.
Commentary: you oughta pick up 100 random items during the game.
These aren’t secrets or story items.
Running Sim
How to unlock: Run 2 kilometers.
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