The Medium Achievements Here is the full list of all 39 The Medium achievements. It takes around 6-8 hours to unlock all of the achievements on Windows.Filter Achievement View View Image viewList view Sort by TrueSteamAchievement desc TrueSteamAchievement asc Achievement name desc Achievement name asc TSA Ratio desc TSA Ratio asc Gamers desc Gamers asc Steam order Date won desc Date won asc Flag Filter All None 39 Offline Mode 39 Single Player 19 Main Storyline 12 Collectable 14 Missable 3 Cumulative + 1 Buggy + 1 Buggy - Link flagsOR joinAND join Achievements without these flags What are achievement flags? Click to find outApply The Last GoodbyeSend Jack's spirit away. 1 guideWelcome to NiwaReach the hotel. The Cheerful KindMeet Sadness. You Saw, You Ran, You LivedSurvive a monstrous encounter. The ChildeaterExperience your first vision of Thomas. UnforgivenSend the Childeater away. Among the AshesFind the Red House. The HoundExperience your second vision of Thomas. UnrepentantSend the Hound away. The PactUncover the mystery of the burned down house Dark WaterMake it through the pump station. Mirror, Mirror on the WallComplete the broken mirror. Can't Always Save EveryoneFinish the game. InsightfulUse Insight for at least 15 minutes. Left BehindFind an Echo. Calling Out to MeFind all Echoes in a single playthrough. I Know the Pieces FitReconstruct a Memory Shard. Puzzling Out the PastReconstruct all Memory Shards in a single playthrough. Guiding LightFind a page from a mentor's diary. Devouring DarknessFind all pages from Richard's diary in a single playthrough. A Dangerous MethodFind a note from a troubled man. An Unknown OutcomeFind all of Thomas' notes in a single playthrough. From Niwa with LoveFind a postcard from the groundskeeper. All That's Left UnsaidFind all of Frank's postcards in a single playthrough. Caught the ScentFind an Echo of a mysterious caller. Followed the TrailFind all of Henry's Echoes in a single playthrough. Spirit WalkingSpend 10 minutes outside your body. PhantomEscape the creature without alerting it. Famished FelineFeed the cat in Jack's apartment. Edge of SanityAcquire the razor. Cut the CrapAcquire the bolt cutters. Through the Looking GlassUse a mirror to cross over. Inner InvestigatorInspect 25 objects in a single playthrough. Dual DetectiveInspect 50 objects in a single playthrough. Psychic SleuthInspect 100 objects in a single playthrough. ThunderstruckDefeat the creature in the flooded ruins. Medium RareBurn through the moths using Spirit Shield. ConduitUse Spirit Blast to create electricity. Running SimRun 2 kilometers.