The Medium
This combination provides smooth gameplay with an average of 95 FPS, suitable for most gaming scenarios.
Average FPS: resolution vs quality settings
| Ultra | High | Medium | Low | |
|---|---|---|---|---|
| 4K Ultra HD | 51 | 65 | 92 | 120 |
| 1440p QHD | 66 | 86 | 104 | 128 |
| 1080p Full HD | 81 | 97 | 114 | 134 |
Cell color: green is 120+ FPS, teal is 60+, amber is 30+, red is below 30.
The Medium with AMD Ryzen 7 5800X3D + NVIDIA GeForce RTX 5090, In-Depth Analysis
The AMD Ryzen 7 5800X3D paired with the NVIDIA GeForce RTX 5090 is a formidable combination for The Medium, landing in the 89th spot out of 1689 tested combos. That places this pairing comfortably in the top 5.3% of all systems tested for this title, which is an exceptionally strong result for a platform built around a CPU that launched several years prior. The data shows a system capable of delivering a fluid horror experience at high resolutions and settings, though the measured frames reveal some interesting bottlenecks that favor specific configurations.
How This Combo Ranks
The 89th rank out of 1689 combos is a clear indicator that this pairing is not just powerful, but well-balanced for this specific game. Being in the top 5.3% of all tested configurations suggests that the 8-core, 16-thread Ryzen 7 5800X3D, with its large 96 MB of shared L3 cache, is providing a solid foundation for the RTX 5090 to stretch its legs. The GPU itself, which sits in the 94th percentile of all tested GPUs, is clearly the dominant force here. However, the rank is not higher, which points to the CPU being a limiting factor at lower resolutions and higher frame rates, as the 5800X3D's raw compute performance, while strong, is not in the same tier as its graphics card partner. The combo’s overall standing confirms the 3D V-Cache’s ability to keep the powerful GPU fed with data, ensuring that the system does not fall into the lower ranks where the CPU would be a severe bottleneck.
FAQ
*Q: What is the best resolution to play The Medium with this hardware?*
A: The data indicates that 2560x1440 is the sweet spot. At Medium settings, it delivers a very playable 103.8 FPS average, which is a significant step up from the 4K Medium result of 91.9 FPS, while still maintaining a high level of detail for the game's horror atmosphere.
Q: How does this combo compare to the closest rival GPUs?
A: The RTX 5090's average benchmark score is 84,306. This puts it 1.3% ahead of the AMD Radeon PRO W6600 and 0.1% ahead of the NVIDIA GeForce RTX 5090 D and RTX 5050 Mobile. It is 1.6% behind the NVIDIA CMP 40HX, though that is a specialized mining card, not a direct gaming competitor.
Q: Is the CPU holding back the GPU at 1080p?
A: Yes, the evidence strongly suggests a CPU bottleneck at 1920x1080. The frame rate difference between Low and Ultra settings is only 52.7 FPS (from 133.5 to 80.8), whereas at 4K the difference is 69.4 FPS (from 119.9 to 50.5). This wider gap at higher resolution indicates the GPU is more fully utilized, while at 1080p, the CPU is less able to keep up with the GPU's frame generation.
Q: What are the key specifications of the Ryzen 7 5800X3D?
A: This processor features 8 cores and 16 threads, with a base clock of 3.40 GHz and a boost clock of 4.50 GHz. It is built on the Zen 3 architecture and uses the AMD Socket AM4 platform. Its defining feature is the large 96 MB of shared L3 cache, which is crucial for gaming performance.
Q: What is the launch MSRP of the GPU?
A: The NVIDIA GeForce RTX 5090 had a launch MSRP of 1,999 USD.
Q: Can this system handle 4K Ultra settings?
A: Yes, but with a caveat. The measured average FPS at 3840x2160 on Ultra settings is 50.5 FPS. This is playable but may not be ideal for those seeking a consistently smooth 60 FPS experience in a game that thrives on atmosphere and tension.
Settings Recommendations
For the best balance of visual fidelity and smooth performance, the Medium preset is the clear winner across all tested resolutions. At 3840x2160, it provides an average of 91.9 FPS, which is a massive 41.4 FPS improvement over the High preset's 64.6 FPS. The visual difference between Medium and High in a game like this is often subtle, but the performance gain is substantial, ensuring a much more stable and responsive experience. Stepping up to High at 2560x1440 yields an 85.9 FPS average, which is also very good, but the Medium preset at that resolution offers a remarkable 103.8 FPS, making it the recommended choice for high-refresh-rate monitors. The Low preset is the only way to achieve frame rates above 120 FPS at 1080p and 1440p, but the graphical compromises are generally not worth it for a narrative horror game where atmosphere is key. The Ultra preset, while visually impressive, is best reserved for players with 4K displays who prioritize image quality over a locked 60 FPS, as it dips to a 50.5 FPS average at that resolution.
Measured FPS Breakdown
The performance data shows a clear and predictable pattern across resolutions and settings, with the RTX 5090 providing massive headroom. At 1920x1080, the combo starts at a very high 133.5 FPS on Low settings, showing that even a lower-end CPU would be the limiting factor here. Moving up the quality ladder, it achieves 113.8 FPS on Medium, 97 FPS on High, and 80.8 FPS on Ultra. These are all excellent numbers, but the scaling is not linear, indicating that the CPU is starting to limit the GPU's potential. At 2560x1440, the GPU begins to take on more work, and the frame rates remain exceptionally high. The Low preset delivers 127.8 FPS, while Medium is a strong 103.8 FPS. High and Ultra presets produce 85.9 FPS and 66.2 FPS respectively, all of which are very playable. The 1440p results show a healthier scaling from Low to Ultra, suggesting a better balance between the CPU and GPU. Finally, at 3840x2160, the GPU is fully saturated, and the results clearly show its raw power. The Low preset still manages an impressive 119.9 FPS, but the more demanding presets bring the system to its knees. Medium drops to 91.9 FPS, High to 64.6 FPS, and Ultra to 50.5 FPS. This is where the resolution scaling begins to show its true cost, and the 4K Ultra result is the only one that falls below the 60 FPS threshold.
Resolution Scaling
The frame rate drop from 1080p to 4K is a clear indicator of where the bottleneck lies for this combo. At Low settings, the drop from 1920x1080 (133.5 FPS) to 3840x2160 (119.9 FPS) is a modest 13.6 FPS, or roughly a 10% decrease. This small drop suggests that at Low settings, the CPU is the primary limiting factor; even at 4K, the GPU is not being pushed hard enough to become the sole bottleneck. However, at Ultra settings, the story is different. The frame rate plummets from 80.8 FPS at 1080p to 50.5 FPS at 4K, a significant 30.3 FPS loss. This large drop indicates that at Ultra settings, the GPU is very much the limiting component, as it struggles to handle the increased pixel count and graphical complexity. The data shows that as settings are increased, the system transitions from a CPU-bound state at 1080p to a heavily GPU-bound state at 4K. This is classic behavior for a high-end GPU paired with a strong but older CPU. The 5800X3D has enough power to drive high frame rates at lower resolutions, but the immense power of the RTX 5090 is only fully realized when the resolution is high enough to shift the workload entirely onto the graphics card.
CPU Role
The AMD Ryzen 7 5800X3D is a unique processor, and its role in this combo is critical. With 8 cores and 16 threads, it is a capable multi-threaded processor, but its gaming strength lies in its massive 96 MB of shared L3 cache, which is designed to reduce memory latency. The benchmark results for the CPU show a strong performance profile, with a Cinebench R23 multi-core score of 24,063 and a single-core score of 3,397. In the broader market, its average benchmark score of 26,574 places it effectively on par with rivals like the AMD Ryzen 5 7600 and the Intel Core i9-12900HK, both of which are within 0.4% of its score. However, its data shows it is about 0.1% ahead of the AMD EPYC 8024P and the Intel Core i9-11900K. In The Medium, this CPU's ability to feed the RTX 5090 is evident in the high frame rates achieved at 1080p and 1440p. The frame rate scaling from Low to Ultra at 1080p is compressed, which is a typical sign of a CPU limit. The processor's 105W TDP and end-of-life production status are important considerations for a new build, but for this benchmark, the data shows it does not significantly hamper the GPU's performance until you push into the highest settings at 4K, where the GPU's raw compute power becomes the deciding factor.
Hardware Specifications
AMD Ryzen 7 5800X3D
NVIDIA GeForce RTX 5090
FPS Benchmarks by Resolution & Settings
Performance data for AMD Ryzen 7 5800X3D + NVIDIA GeForce RTX 5090 in The Medium
| Resolution | Settings | Avg FPS |
|---|---|---|
| 3840x2160 | Low | 119.9 |
| 3840x2160 | Medium | 91.9 |
| 3840x2160 | High | 64.6 |
| 3840x2160 | Ultra | 50.5 |
| 2560x1440 | Low | 127.8 |
| 2560x1440 | Medium | 103.8 |
| 2560x1440 | High | 85.9 |
| 2560x1440 | Ultra | 66.2 |
| 1920x1080 | Low | 133.5 |
| 1920x1080 | Medium | 113.8 |
| 1920x1080 | High | 97.0 |
| 1920x1080 | Ultra | 80.8 |
The Medium with Ryzen 7 5800X3D + 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 7 5800X3D + RTX 5090
Explore FPS benchmarks for other games using this same hardware combination.