A superlative score from Bloober's own Arkadiusz Reikowski and Silent Hill alum Akira Yamaoka elicits goosebumps, while the voice acting is uniformly excellent. As horror soundtracks go, this is certainly up there. 3D audio does a deft job in ramping up the tension.
A detailed, attractive game, The Medium places you squarely in the late '90s, while successfully rendering two worlds at once. It's not exactly the best showcase for PS5, but it looks slick enough.
If you long for the good old days of vintage Silent Hill, then you'll certainly dig The Medium, with its fixed camera angles and puzzles, albeit without the combat and inventory management.
Compelling from beginning to end, The Medium will get its hooks into you from the off, which only makes it all the more unfortunate that there isn't any replay value – no chapter select, no New Game+... nothing. DualSense features will keep your fingers tingling, too.
Collectibles all have to be gathered during a single playthrough, which is a pain in the arse, but otherwise, The Medium is very generous with its trophies, awarding a lovely, steady stream as you progress. And there are a handful of inventive ones in the mix, too.