The Medium achievement list: How to earn all hidden and story-related trophies explained Eurogamer.net If you click on a link and make a purchase we may receive a small commission. Read our editorial policy. The Medium achievement list: How to earn all hidden and story-related trophies explained How to earn every achievement in The Medium. Guide by Lottie Lynn Guides Editor Updated on 29 Jan 2021 1 comment 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. On this page: The Medium achievement and trophy list Secret achievements and how to earn each secret trophy in The Medium Story-related achievements and how to earn each story-related trophy in The Medium Watch on YouTube 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 MethodFind a note from a troubled man10 Calling Out to MeFind all Echoes in a single playthrough40 Caught the Scent Find an Echo of a mysterious caller10 Dual DetectiveInspect 50 objects in a single playthrough30 From Niwa with LoveFind a postcard from the groundkeeper10 Guiding LightFind a page from a mentor's diary10 I Know the Pieces FitReconstruct a Memory Shard10 Inner InvestigatorInspect 25 objects in a single playthrough10 Insightful Use Insight for at least 15 minutes30 Left BehindFind an Echo10 PhantomEscape the creature without alterting it40 Psychic SleuthInspect 100 objects in a single playthrough50 Puzzling Out the PastReconstruct all Memory Shards in a single playthrough40 Spirit Walking Spend 10 minutes outside your body20 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 UnsaidFind all of Frank's postcards in a single playthrough40 An Unknown Outcome Find all of Thomas' notes in a single playthrough40 ConduitUse Spirit Blast to create electricity 20 Devouring DarknessFind all pages from Richard's diary in a single playthrough40 Famished FelineFeed the cat in Jack's apartment 20 Followed the TrailFind all of Henry's Echoes in a single playthrough40 Medium RareBurn through the moths using Spirit Shield20 Running SimRun 2 kilometers30 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 GoodbyeSend Jack's spirit away20 Welcome to NiwaReach the hotel20 The Cheerful KidMeet Sadness20 Edge of SanityAcquire the razor20 You Saw, You Ran, You LivedSurvive a monstrous encounter20 Through the Looking GlassUse a mirror to cross over20 Cut the CrapAcquire the bolt cutters20 The ChildeaterExperience your first vision of Thomas20 UnforgivenSend the Childeater away20 ThunderstruckDefeat the creature in the flooded ruins30 Among the AshesFind the Red House20 The HoundExperience your second vision of Thomas20 UnrepentantSend the Hound away20 The PactUncover the mystery of the burned down house20 Dark WaterMake it through the pump station20 Mirror, Mirror on the WallComplete the broken mirror20 Can't Always Save Everyone Finish the game100 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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