The Medium

The AMD Ryzen 7 5800XT paired with the AMD Radeon RX 6750 XT delivers a playable but heavily settings-dependent experience in The Medium. The measured data shows a clear trade-off between visual fidelity and frame rate, with the combination ranking 816th out of 1689 tested configurations in this title. The benchmark results indicate that the GPU is the primary bottleneck at higher settings, while the CPU’s strong multi-threaded performance keeps frame rates from collapsing entirely.

Settings Recommendations

The measured FPS data reveals that the "Low" preset is the only setting level that consistently delivers high frame rates across all resolutions. At 1920x1080, the Low preset achieves 115.3 FPS, which is more than double the 52.9 FPS seen on High. The Medium preset at 1080p produces 73.6 FPS, which is still smooth for most displays, but the step down from Low to Medium costs roughly 36% of the frame rate. At 2560x1440, the Low preset maintains 94.6 FPS, while Medium drops to 57.3 FPS. The gap narrows at 3840x2160, where Low delivers 74.4 FPS and Medium falls to 47.1 FPS.

For users prioritizing a consistent 60 FPS experience, the Medium preset is viable only at 1080p, where it hits 73.6 FPS. At 1440p, Medium falls below 60 FPS, and at 4K it drops to 47.1 FPS. The High preset is demanding: it produces 52.9 FPS at 1080p, 45.1 FPS at 1440p, and 36.5 FPS at 4K. Ultra is the most punishing, yielding 44.2 FPS at 1080p and just 29.9 FPS at 4K. Given the data, the Low preset offers the best balance of smoothness and consistency, particularly for 1440p and 4K displays. The Medium preset is a reasonable compromise for 1080p users who want improved visuals without dropping below 60 FPS.

GPU Role

The AMD Radeon RX 6750 XT is the decisive component in this pairing for The Medium. Its 12 GB of GDDR6 memory on a 192-bit bus provides 432.0 GB/s of bandwidth, which is substantial for a horror title with heavy texture streaming. The GPU’s boost clock of 2600 MHz and game clock of 2495 MHz indicate strong sustained performance, but the measured FPS data shows that even this configuration struggles at higher presets. The GPU’s 40 ray tracing cores and 2560 shading units are present, yet the benchmark results suggest that The Medium’s rendering workload is heavily rasterization-bound at Ultra settings.

The GPU’s nearestRivals data places it in a competitive band: it scores 0.2% higher than the AMD Radeon RX 5600M and 1.3% lower than the NVIDIA GeForce RTX 3080. This suggests the RX 6750 XT is positioned as a mid-to-high tier card, but the measured FPS in The Medium shows it cannot sustain 60 FPS at High settings even at 1080p. The 4K Ultra result of 29.9 FPS underscores that the GPU’s 13.31 TFLOPS of FP32 compute and 166.4 GPixel/s pixel rate are insufficient for the game’s highest fidelity demands. The GPU’s 79th percentile ranking versus all GPUs indicates it is above average, but The Medium’s specific requirements push it to its limits.

Resolution Scaling

The FPS progression from 1080p to 4K demonstrates a predictable scaling pattern that points to GPU-bound behavior. At Low settings, the frame rate drops from 115.3 FPS at 1080p to 94.6 FPS at 1440p, then to 74.4 FPS at 4K. This represents a 35% reduction from 1080p to 4K, which is relatively mild and suggests the CPU is still contributing meaningfully at lower settings. At Medium settings, the drop is steeper: 73.6 FPS at 1080p falls to 57.3 FPS at 1440p and 47.1 FPS at 4K, a 36% loss from 1080p to 4K. The High preset shows a similar pattern, with 52.9 FPS at 1080p dropping to 45.1 FPS at 1440p and 36.5 FPS at 4K, a 31% reduction.

The Ultra preset exhibits the most severe scaling: 44.2 FPS at 1080p falls to 33.1 FPS at 1440p and 29.9 FPS at 4K, a 32% drop from 1080p to 4K. The consistent 30-36% reduction across all presets indicates that the limiting component is the GPU, as a CPU bottleneck would typically show a larger percentage drop at lower resolutions. The data shows that the RX 6750 XT’s memory bandwidth and compute resources scale predictably with resolution, but the absolute FPS values at 4K are too low for comfortable play on any preset except Low.

Measured FPS Breakdown

At 1920x1080, the measured results show a wide spread across settings. The Low preset delivers 115.3 FPS, which is the highest frame rate in the entire dataset. Medium achieves 73.6 FPS, representing a 36% reduction from Low. High produces 52.9 FPS, a further 28% drop from Medium. Ultra yields 44.2 FPS, which is 62% lower than Low. These numbers indicate that 1080p is the only resolution where Medium can maintain a 60 FPS baseline, and even High is technically playable if users accept sub-60 averages.

At 2560x1440, the frame rates decrease across the board. Low produces 94.6 FPS, down 18% from 1080p. Medium achieves 57.3 FPS, which is just below the 60 FPS threshold. High delivers 45.1 FPS, and Ultra falls to 33.1 FPS. The gap between Low and Medium at 1440p is 37%, similar to the 1080p spread. The 4K results at 3840x2160 show the most constrained performance: Low hits 74.4 FPS, Medium drops to 47.1 FPS, High manages 36.5 FPS, and Ultra bottoms out at 29.9 FPS. The progression from Low to Ultra at each resolution shows a consistent pattern: Medium costs roughly 35-37% of Low’s frame rate, High costs another 25-28%, and Ultra takes an additional 15-20%.

FAQ

Q: What is the best settings preset for a 60 FPS target at 1080p?

A: The Medium preset is the only one that exceeds 60 FPS at 1920x1080, producing 73.6 FPS. The High preset falls short at 52.9 FPS, so Medium is the highest fidelity option that maintains a smooth frame rate.

Q: Can this configuration handle 4K gaming in The Medium?

A: At 3840x2160, the Low preset achieves 74.4 FPS, which is playable. The Medium preset drops to 47.1 FPS, and high/ultra fall below 37 FPS. Only the Low preset provides a comfortable experience at 4K.

Q: How does the RX 6750 XT compare to its nearest rival in this game?

A: The RX 6750 XT has an average benchmark score of 35327, which is 0.2% higher than the AMD Radeon RX 5600M and 1.3% lower than the NVIDIA GeForce RTX 3080. This places it in a tightly contested performance band.

Q: Is the Ryzen 7 5800XT or the RX 6750 XT the limiting factor in this game?

A: The benchmark data indicates the GPU is the primary limiter. The FPS drops from 1080p to 4K by roughly 30-36% across all presets, which is characteristic of GPU-bound workloads. The CPU’s 8 cores and 16 threads provide sufficient headroom.

Q: What is the frame rate difference between Low and Ultra at 1440p?

A: At 2560x1440, the Low preset produces 94.6 FPS, while Ultra produces 33.1 FPS. This is a 65% reduction, demonstrating the massive cost of the Ultra preset’s visual enhancements.

Q: Does the 12 GB VRAM capacity affect performance in this title?

A: The 12 GB GDDR6 memory provides 432.0 GB/s of bandwidth, which is sufficient for the game’s texture loads. The measured FPS data does not show any VRAM-related stuttering, suggesting the capacity is adequate for the tested settings.

CPU Role

The AMD Ryzen 7 5800XT serves as a capable foundation for this gaming configuration. Its 8 cores and 16 threads, based on the Zen 3 architecture, provide strong multi-threaded performance that prevents CPU bottlenecks in The Medium. The processor’s boost clock of 4.80 GHz and base clock of 3.80 GHz contribute to solid single-threaded performance, which is relevant for the game’s frame pacing. The CPU’s benchmark scores support this: it achieves 23794 in Cinebench R23 multi-core and 3359 in single-core, placing it in the 86th percentile versus all CPUs.

The data shows that the CPU is not the limiting factor in this pairing. At 1080p Low, the frame rate reaches 115.3 FPS, which is high enough to indicate the GPU is still doing most of the heavy lifting. The CPU’s nearestRivals show it is within 0.3% of the AMD Ryzen 7 6800HS and AMD Ryzen 7 7840H, confirming it is a mid-tier performer in its class. With a TDP of 105 W and support for DDR4 memory, the 5800XT provides ample compute for The Medium, but the measured FPS at higher presets falls squarely on the GPU’s shoulders. The 3DMark results, including 7683 in the 16-thread test and 959 in single-thread, further corroborate that the processor is not the bottleneck in this horror title.