The Medium
This combination provides smooth gameplay with an average of 82 FPS, suitable for most gaming scenarios.
Average FPS: resolution vs quality settings
| Ultra | High | Medium | Low | |
|---|---|---|---|---|
| 4K Ultra HD | 51 | 65 | 81 | 95 |
| 1440p QHD | 66 | 75 | 87 | 103 |
| 1080p Full HD | 74 | 82 | 90 | 110 |
Cell color: green is 120+ FPS, teal is 60+, amber is 30+, red is below 30.
The Medium with AMD Ryzen 5 4600G + NVIDIA GeForce RTX 5090, In-Depth Analysis
The Medium, a horror title built around fixed camera angles and a dual-reality rendering mechanic, presents a strenuous workload that scales heavily with both processor and graphics capabilities. This analysis examines the specific pairing of the AMD Ryzen 5 4600G with the NVIDIA GeForce RTX 5090, using measured performance data to dissect where each component contributes to the final frame rates.
How This Combo Ranks
Within the benchmark database, this specific combination of the AMD Ryzen 5 4600G and NVIDIA GeForce RTX 5090 achieves a rank of 310 out of 1689 tested combos for The Medium. This places the pairing in the top 18.4% of all systems tested, a strong showing that underscores the raw graphical power of the RTX 5090. However, the ranking is not higher, which points directly to a significant bottleneck created by the processor. The data suggests that while the GPU is capable of delivering extremely high frame rates, the CPU is limiting the system's ability to reach the top tier of performance. The gap between this combo's rank and the very best systems is attributable almost entirely to the processor's inability to feed the GPU enough data in this specific game's engine, rather than any deficiency in the graphics card itself.
CPU Role
The AMD Ryzen 5 4600G is a 6-core, 12-thread processor based on the Zen 2 architecture, running on the AM4 socket. It operates with a base clock of 3.70 GHz and a boost clock of 4.20 GHz. In the context of The Medium, the CPU's role is critical for managing game logic, physics, and the complex scene management required for the game's signature split-reality presentation. The benchmark results show that the CPU's multi-threaded capabilities, as measured by a Cinebench R23 multi-core score of 13593, are sufficient to avoid a complete system collapse, but the single-thread performance is a limiting factor. The 3DMark single-thread score of 726 is notably low, and this becomes the primary constraint in a game that relies on a main rendering thread.
This CPU bottleneck is most apparent when observing the scaling of frame rates at lower resolutions. At 1920x1080 with Low settings, the average frame rate is 110 FPS. Moving to 2560x1440 Low settings yields 103.1 FPS, and at 3840x2160 Low settings, the average is 94.5 FPS. The relatively small delta between 1080p and 4K resolutions (a difference of only 15.5 FPS) indicates that the CPU is hitting its processing ceiling. As resolution increases, the GPU takes on more work, but the CPU's output remains the limiting factor, preventing the frame rate from dropping as steeply as it would in a balanced system. The processor's 8 MB of shared L3 cache is also a consideration; while not the sole cause, it contributes to the overall latency that hampers the CPU's ability to keep up with the RTX 5090's demand for draw calls.
GPU Role
The NVIDIA GeForce RTX 5090 is the dominant force in this pairing, featuring a massive 32 GB of GDDR7 memory on a 512-bit bus, delivering a bandwidth of 1.79 TB/s. Its architecture, Blackwell 2.0, includes 21,760 shading units and 170 RT cores. In The Medium, this GPU is responsible for rendering the high-resolution textures, complex lighting, and the dual-world effect that requires rendering two perspectives simultaneously. The GPU's raw compute power is evident in its benchmark scores, such as a 3DMark Steel Nomad DX12 score of 14411 and a Passmark G3D score of 39650, placing it in the 94th percentile of all GPUs.
The data shows that the RTX 5090 is severely underutilized in this configuration. At 3840x2160 Ultra settings, the combo averages 50.9 FPS. When settings are dropped to High at the same resolution, the average rises to 65.1 FPS, and at Medium, it reaches 81.3 FPS. This substantial scaling with settings, even at 4K, is a sign that the GPU is still capable of more work. In a system without a CPU bottleneck, the difference between Low and Ultra settings at 4K would be more pronounced, as the GPU would be the primary constraint. Here, the GPU's performance is being artificially capped by the processor. The 32 GB of VRAM is more than sufficient for any asset The Medium can throw at it, ensuring that texture streaming is never a performance issue, but this advantage cannot be fully realized due to the CPU's limitations in feeding the rendering pipeline.
Measured FPS Breakdown
The measured FPS data reveals a pattern of CPU limitation at lower resolutions and a gradual shift towards GPU dependence at higher settings. Here is the exact breakdown:
- 1920x1080: This resolution is heavily CPU-bound. The average frame rates are 110 FPS (Low), 90.2 FPS (Medium), 82.2 FPS (High), and 73.8 FPS (Ultra). The performance delta between Low and Ultra is 36.2 FPS. While this seems like a significant spread, the absolute values are capped well below what the RTX 5090 is capable of, indicating the CPU is the primary gatekeeper.
- 2560x1440: At this resolution, the GPU begins to take on more of the load, but the CPU is still a major factor. The average frame rates are 103.1 FPS (Low), 86.6 FPS (Medium), 75.4 FPS (High), and 65.8 FPS (Ultra). The delta between Low and Ultra here is 37.3 FPS, which is similar to 1080p. This suggests that while the GPU is working harder, the CPU is still preventing a more significant drop-off in performance at lower settings.
- 3840x2160: This is where the GPU's workload becomes more dominant. The average frame rates are 94.5 FPS (Low), 81.3 FPS (Medium), 65.1 FPS (High), and 50.9 FPS (Ultra). The delta between Low and Ultra is now 43.6 FPS, the largest of the three resolutions. This indicates that at 4K Ultra, the game is finally pushing the RTX 5090 to a point where the GPU is becoming a more significant bottleneck, though the CPU still prevents it from reaching its full potential.
The data indicates that the RTX 5090's performance is being capped by the CPU across all settings. The most efficient way to see this is to compare the 1080p Low result (110 FPS) with the 4K Low result (94.5 FPS). The difference is only 15.5 FPS, which is a minimal performance hit for a 4x increase in pixel count. This confirms that the CPU, not the GPU, is the limiting factor in this configuration.
FAQ
Q: Is the AMD Ryzen 5 4600G a bottleneck for the NVIDIA GeForce RTX 5090 in The Medium?
A: Yes, the data strongly suggests it is. The frame rate scaling between 1080p and 4K at Low settings is very small (110 FPS vs. 94.5 FPS), which is a classic sign of a CPU limitation. A balanced system would show a much larger drop in performance as resolution increases.
Q: What is the best setting to play at 3840x2160 with this combo?
A: Based on the measured data, Medium settings at 3840x2160 provide the best balance, yielding an average of 81.3 FPS. High settings drop to 65.1 FPS, and Ultra falls to 50.9 FPS, which may be less desirable for smooth gameplay.
Q: How does the CPU's single-thread performance impact the game?
A: The Ryzen 5 4600G's single-thread score in 3DMark is 726, which is its weakest metric. The Medium relies heavily on a main thread for scene management. This low single-thread performance is the primary reason the CPU cannot feed the RTX 5090 fast enough, limiting the maximum frame rates.
Q: Does the RTX 5090's 32 GB of VRAM matter in The Medium?
A: While the 32 GB of memory ensures that there are no texture loading or streaming stutters, the benchmark data shows that the GPU is not the limiting factor in this pairing. The CPU prevents the GPU from being fully utilized, so the VRAM advantage is not the deciding factor in the achieved frame rates.
Q: How does this combo compare to other CPUs in the same performance tier?
A: The Ryzen 5 4600G has an average benchmark score of 17489, which is nearly identical to the AMD Ryzen 3 PRO 5355GE (17482) and the Intel Core i5-12450H (17475). It is slightly slower than the Intel Core i3-14100T (17636). This indicates that its processing power is in line with those parts, and any of them would likely produce similar CPU-related bottlenecks with the RTX 5090.
Q: Is the combo's rank of 310 out of 1689 considered good?
A: The rank of 310 places the combo in the top 18.4% of all tested configurations for The Medium. It is a strong result, but the data shows that the CPU prevents the system from achieving a top-tier rank that would be expected with such a high-end GPU.
Hardware Specifications
AMD Ryzen 5 4600G
NVIDIA GeForce RTX 5090
FPS Benchmarks by Resolution & Settings
Performance data for AMD Ryzen 5 4600G + NVIDIA GeForce RTX 5090 in The Medium
| Resolution | Settings | Avg FPS |
|---|---|---|
| 3840x2160 | Low | 94.5 |
| 3840x2160 | Medium | 81.3 |
| 3840x2160 | High | 65.1 |
| 3840x2160 | Ultra | 50.9 |
| 2560x1440 | Low | 103.1 |
| 2560x1440 | Medium | 86.6 |
| 2560x1440 | High | 75.4 |
| 2560x1440 | Ultra | 65.8 |
| 1920x1080 | Low | 110.0 |
| 1920x1080 | Medium | 90.2 |
| 1920x1080 | High | 82.2 |
| 1920x1080 | Ultra | 73.8 |
The Medium with Ryzen 5 4600G + Other GPUs
See how The Medium performs with the same CPU but different graphics cards.
The Medium with RTX 5090 + Other CPUs
See how The Medium performs with the same GPU but different processors.
Other Games with Ryzen 5 4600G + RTX 5090
Explore FPS benchmarks for other games using this same hardware combination.