Violence & Scariness. There's little actual combat in the game, but no shortage of disturbing and graphic 💶 imagery. The opening cinematic depicts the chase and murder of a young girl. Some spirits Marianne encounters are dismembered or 💶 feature other graphic wounds.

It creates an unpredictability to The Medium that sees players constantly on edge from the fear of 💶 the unknown, rather than expecting a jump scare when it seems fitting to have one. The Medium only has one 💶 jump scare and, when it's used, it absolutely works because you never expected it in the first place.