The Medium

The AMD Ryzen 5 4600G and AMD Radeon RX 6750 XT combination places at rank 829 out of 1689 tested combos for The Medium, positioning it squarely in the middle of the database’s tested hardware pool. This means the pairing sits in the 49th percentile of all recorded results, indicating a balanced but not exceptional configuration for this horror title. The CPU’s own percentile against all processors is 75, while the GPU sits at 79 against all graphics cards, yet the combined rank is lower than either component’s individual standing, suggesting that the pairing yields a result that is less than the sum of its parts in this specific workload.

The Ryzen 5 4600G’s nearest rivals in synthetic benchmarks—the AMD Ryzen 3 PRO 5355GE, Intel Core i5-12450H, Intel Core i3-14100T, and Intel Core i3-13100F—all score within a tight 1% band of each other, with deltas ranging from -1% to +0.1%. The 4600G effectively trades blows with these chips, meaning it is neither a bottleneck nor a standout for this game’s CPU demands. Similarly, the RX 6750 XT’s nearest rivals—the AMD Radeon RX 5600M, NVIDIA GeForce RTX 5070 Ti Mobile, AMD Radeon 880M, and NVIDIA GeForce RTX 3080—show deltas between -1.3% and +0.2%, placing the GPU in a performance cluster where small margins separate the contenders. The data suggests that this combo’s mid-pack rank is driven by the GPU’s moderate position rather than any extreme weakness in either component.

GPU Role

The RX 6750 XT brings 12 GB of GDDR6 memory on a 192-bit bus, yielding 432.0 GB/s of bandwidth, which is substantial for a game like The Medium that relies on heavy asset streaming. The GPU’s base clock of 2150 MHz, game clock of 2495 MHz, and boost clock of 2600 MHz provide the raw throughput needed to drive the game’s fixed-camera scenes and dual-reality rendering. With 2560 shading units, 160 texture mapping units, and 64 raster output units, the card delivers 13.31 TFLOPS of FP32 performance, which is the compute foundation for the game’s lighting and post-processing effects. The 40 ray accelerators are present but The Medium does not heavily stress ray tracing, so their impact is secondary to raw rasterization.

The GPU’s 250 W TDP requires a 600 W suggested PSU and dual-slot cooler, with power delivered via a 1x 6-pin plus 1x 8-pin connector. The card’s PCIe 4.0 x16 interface is fully supported by the Ryzen 5 4600G’s PCIe Gen 3, 20-lane CPU interface, though the bandwidth reduction from Gen 4 to Gen 3 is minor in practice for this title. The 432.0 GB/s memory bandwidth is critical at higher resolutions, as the game’s 4K textures and geometry demand rapid data movement from VRAM. The GPU’s 12 GB capacity is not exhausted by The Medium’s typical usage, but it provides headroom for the game’s memory-hungry dual-world sequences where two scenes are rendered simultaneously.

Resolution Scaling

The measured FPS data reveals a clear pattern of resolution scaling that identifies the GPU as the primary limiter. At 1080p with Low settings, the combo achieves 111.4 FPS, which drops to 97.8 FPS at 1440p and further to 78.5 FPS at 4K. The drop from 1080p to 4K at Low settings is a 32.9 FPS reduction, or approximately 30% lower performance. This indicates that even at the lowest settings, the GPU is the bottleneck, as the CPU has sufficient headroom to feed frames but the GPU’s fill rate and memory bandwidth constrain output. At Medium settings, the pattern is steeper: 70.1 FPS at 1080p, 61.2 FPS at 1440p, and 46.3 FPS at 4K, showing a 34% reduction from 1080p to 4K. The scaling becomes more aggressive at High settings, where 50.4 FPS at 1080p falls to 44.7 FPS at 1440p and 36.4 FPS at 4K, a 28% drop overall.

Ultra settings show the most dramatic scaling, with 42 FPS at 1080p, 35.8 FPS at 1440p, and 27.2 FPS at 4K, representing a 35% reduction from the lowest to highest resolution. The consistent pattern across all settings—where 4K performance is roughly 70-75% of 1080p performance—confirms that the GPU is the limiting component. A CPU-bound configuration would show diminishing FPS drops as resolution increases, but here the FPS declines proportionally with pixel count, which is characteristic of GPU saturation. The Ryzen 5 4600G’s 6 cores and 12 threads at 3.70 GHz base and 4.20 GHz boost are sufficient to keep up with the GPU’s output at 1080p, but the GPU’s compute units are fully utilized as resolution climbs.

Measured FPS Breakdown

The complete FPS table shows that Low settings are the only configuration that consistently exceeds 60 FPS across all resolutions. At 1920x1080, Low delivers 111.4 FPS, which is nearly double the 70.1 FPS at Medium and more than double the 50.4 FPS at High. The jump from Low to Medium at 1080p is a 41.3 FPS reduction, indicating that the Medium preset adds significant visual workload that the GPU cannot absorb without a major frame rate penalty. At 1440p, Low produces 97.8 FPS, Medium 61.2 FPS, High 44.7 FPS, and Ultra 35.8 FPS. The difference between Low and Ultra at 1440p is 62 FPS, a dramatic spread that shows how sensitive the game is to settings changes at this resolution.

At 4K, the results become more constrained. Low delivers 78.5 FPS, which is the only playable option at this resolution, while Medium drops to 46.3 FPS, High to 36.4 FPS, and Ultra to 27.2 FPS. The 4K Ultra result is the lowest measured value in the entire dataset, falling below the 30 FPS threshold that is often considered the minimum for interactive play. Across all resolutions, the gap between Low and Medium is consistently larger than the gap between Medium and High or High and Ultra. At 1080p, the Low-to-Medium gap is 41.3 FPS, while Medium-to-High is 19.7 FPS and High-to-Ultra is 8.4 FPS. This suggests that Medium settings introduce a disproportionately large performance cost relative to the visual improvement, while High and Ultra are more incremental in their demands.

Settings Recommendations

For 1080p gameplay, Medium settings at 70.1 FPS provide the best balance between visual fidelity and frame rate, as the 41.3 FPS penalty from Low to Medium is significant but the result remains above 60 FPS. High settings at 50.4 FPS are acceptable for players who prioritize image quality over smoothness, but the jump to Ultra at 42 FPS offers diminishing returns given the 8.4 FPS difference. Low settings at 111.4 FPS are only recommended for competitive or high-refresh-rate scenarios, as the visual downgrade is substantial. At 1440p, Medium at 61.2 FPS is the sweet spot, narrowly clearing the 60 FPS threshold while providing better detail than Low at 97.8 FPS. High at 44.7 FPS is playable but noticeably less smooth, and Ultra at 35.8 FPS should be avoided unless the player accepts a stutter-prone experience.

At 4K, the choice is stark: Low at 78.5 FPS is the only setting that maintains fluid motion, while Medium at 46.3 FPS, High at 36.4 FPS, and Ultra at 27.2 FPS all fall below the 60 FPS target. For 4K users, Low is the recommended setting to preserve playability, as the alternative is a 32 FPS drop to Medium that does not justify the visual gain. The data shows that this combo is best suited for 1080p Medium or 1440p Medium, with 4K reserved for players who are willing to accept Low settings to maintain frame rate. The GPU’s 12 GB VRAM is not the limiting factor at any resolution, as the FPS drops track settings changes rather than memory capacity issues. The Ryzen 5 4600G’s 8 MB of L3 cache and dual-channel DDR4 memory at 51.2 GB/s bandwidth are adequate for the game’s CPU demands, but the GPU’s output is the deciding factor in all measured scenarios.