Full list of all 39 The Medium achievements worth 1,000 gamerscore. It takes around 8-10 hours to unlock all of the achievements on Xbox Series X|S.
Achievements they've won
Achievements they've not won
Find all Echoes in a single playthrough.
Find all of Henry's Echoes in a single playthrough.
Find all of Frank's postcards in a single playthrough.
Escape the creature without alerting it.
Finish the game.
Complete the broken mirror.
Find all of Thomas' notes in a single playthrough.
Make it through the pump station.
Uncover the mystery of the burned down house
Find the Red House.
Send the Hound away.
Experience your second vision of Thomas.
Reconstruct all Memory Shards in a single playthrough.
Defeat the creature in the flooded ruins.
Send the Childeater away.
Experience your first vision of Thomas.
Find all pages from Richard's diary in a single playthrough.
Acquire the bolt cutters.
Use a mirror to cross over.
Survive a monstrous encounter.
Spend 10 minutes outside your body.
Find a note from a troubled man.
Burn through the moths using Spirit Shield.
Inspect 100 objects in a single playthrough.
Acquire the razor.
Find a page from a mentor's diary.
Reconstruct a Memory Shard.
Use Insight for at least 15 minutes.
Run 2 kilometers.
Find an Echo of a mysterious caller.
Find an Echo.
Reach the hotel.
Inspect 50 objects in a single playthrough.
Use Spirit Blast to create electricity.
Find a postcard from the groundskeeper.
Send Jack's spirit away.
Inspect 25 objects in a single playthrough.
Feed the cat in Jack's apartment.