The Medium Achievements

• The Last Goodbye

  Send Jack's spirit away.

  1 guide
• Welcome to Niwa

  Reach the hotel.

  1 guide

• The Cheerful Kind

  Meet Sadness.

  1 guide
• You Saw, You Ran, You Lived

  Survive a monstrous encounter.

  4 guides
• The Childeater

  Experience your first vision of Thomas.
• Unforgiven

  Send the Childeater away.

  1 guide
• Among the Ashes

  Find the Red House.
• The Hound

  Experience your second vision of Thomas.
• Unrepentant

  Send the Hound away.

  1 guide
• 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.

  1 guide
• Can't Always Save Everyone

  Finish the game.

  3 guides
• Insightful

  Use Insight for at least 15 minutes.

  2 guides
• Left Behind

  Find an Echo.

  1 guide
• Calling Out to Me

  Find all Echoes in a single playthrough.

  1 guide
• I Know the Pieces Fit

  Reconstruct a Memory Shard.
• Puzzling Out the Past

  Reconstruct all Memory Shards in a single playthrough.

  1 guide

• Guiding Light

  Find a page from a mentor's diary.

  1 guide
• Devouring Darkness

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

  2 guides
• A Dangerous Method

  Find a note from a troubled man.

  1 guide
• An Unknown Outcome

  Find all of Thomas' notes in a single playthrough.

  1 guide
• From Niwa with Love

  Find a postcard from the groundskeeper.

  1 guide
• All That's Left Unsaid

  Find all of Frank's postcards in a single playthrough.

  2 guides
• Caught the Scent

  Find an Echo of a mysterious caller.

  1 guide
• Followed the Trail

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

  1 guide

• Spirit Walking

  Spend 10 minutes outside your body.

  1 guide
• Phantom

  Escape the creature without alerting it.

  2 guides
• Famished Feline

  Feed the cat in Jack's apartment.

  2 guides
• Edge of Sanity

  Acquire the razor.

  1 guide
• Cut the Crap

  Acquire the bolt cutters.

  1 guide
• Through the Looking Glass

  Use a mirror to cross over.

  1 guide
• Inner Investigator

  Inspect 25 objects in a single playthrough.

  1 guide
• Dual Detective

  Inspect 50 objects in a single playthrough.

  1 guide

• Psychic Sleuth

  Inspect 100 objects in a single playthrough.
• Thunderstruck

  Defeat the creature in the flooded ruins.

  1 guide
• Medium Rare

  Burn through the moths using Spirit Shield.

  1 guide
• Conduit

  Use Spirit Blast to create electricity.

  1 guide
• Running Sim

  Run 2 kilometers.

  2 guides