Medium is a Spectral card that allows the player to set the seal on 1 selected card in hand to a 
Purple Seal (Creates a {{Tarot|}} card when {{hl|orange|discarded}}<br>{{room}} Purple Seal.png).
Usage notes
- Medium can overwrite an existing seal on a playing card.
Strategy
- Counterintuitively, Purple Seals should be put on high value cards. This is because although they incentivize those cards to be discarded, they also incentivize those cards to be duplicated. When many of the duplicated cards are in the deck, they provide far greater value.
- Purple Seal Cards should also be duplicated with
Death (Select {{hl|orange|2}} cards, convert the {{hl|orange|left}} card into the {{hl|orange|right}} card<br>{{hl|gray|(Drag to rearrange)}} Available from start. Tarot Death.png) with higher priority than other cards, even if the other cards are more powerful. This is because the new Purple Seal Cards can be used to generate more
Death (Select {{hl|orange|2}} cards, convert the {{hl|orange|left}} card into the {{hl|orange|right}} card<br>{{hl|gray|(Drag to rearrange)}} Available from start. Tarot Death.png) cards, exponentially increasing the number of Purple Seals and allowing the more powerful cards to be quickly and easily duplicated later in the run.
- Purple Seals are most powerful to obtain early game, as obtaining one later does not allow it to be duplicated as much, and it will provide far less value.
Synergies
Red Deck ( {{hl|red|+1}} discard every round Unlocked from start Red Deck.png) gives +1 discard, allowing the player to find and make use of Purple Seals.
Drunkard ({{hl|red|+1}} discard each round Common Effect N/A (Passive) Drunkard.png) and
Merry Andy ({{hl|red|+3}} discards each round, <br>{{hl|red|-1}} hand size Win a run in {{hl|orange|12}} or fewer rounds Uncommon Effect N/A (Passive) Merry_Andy.png) provide more discards, allowing the player to find and make use of Purple Seals.
The Idol (Each played [[Card Ranks|{{hl|orange|[rank]}}]] of [[Card Suits|{{hl|orange|[suit]}}]] gives {{xmult|2}} when scored<br><small>Card changes every round</small> In one hand, earn at least {{hl|orange|1,000,000}} chips Uncommon Multiplicative Mult On Scored The Idol.png),
Bloodstone ({{hl|green|1 in 2}} chance for played cards with {{suit|Heart}} suit to give {{xmult|1.5}} when scored Have at least {{hl|orange|30}} cards with {{hl|orange|Heart}} suit in your deck Uncommon Multiplicative Mult On Scored Bloodstone.png),
Steel Joker (Gives {{xmult|0.2}} for each [[Steel Cards|{{hl|orange|Steel Card}}]] in your {{hl|orange|full deck}} <br> {{currently|{{xmult|1}}}} Uncommon Multiplicative Mult Independent Steel Joker.png),
Wee Joker (This Joker gains {{Chips|+8}} when each played {{hl|orange|2}} is scored <br> {{Currently|{{chips|+0}}}} Win a run in {{hl|orange|18}} or fewer rounds Rare Chips Mixed Wee Joker.png), and many other Jokers benefit from the deck fixing provided by the Tarot Cards generated by Purple Seals.
Egg (Gains {{Money|3}} of {{Hl|orange|sell value}} at end of round Common Economy N/A (Passive) Egg.png) and
Gift Card (Add {{Money|1}} of {{hl|orange|sell value}} to every [[Jokers|{{hl|orange|Joker}}]] and [[Consumables|{{hl|orange|Consumable}}]] card at end of round Uncommon Economy N/A (Passive) Gift Card.png) both increase Joker sell value, making the
Temperance (Gives the total sell value of all current [[Jokers]]<br>{{hl|grey|(Max of}} {{hl|orange|{{Money|50}}}}{{hl|grey|)}} Available from start. Tarot Temperance.png) cards generated from Purple Seals far more valuable.
Campfire (This Joker gains {{xmult|0.25}} for each card {{hl|orange|sold}}, resets when [[Blinds|{{hl|orange|Boss Blind}}]] is defeated <br> {{currently|{{xmult|1}}}} Rare Multiplicative Mult Independent Campfire.png) gains X0.25 Mult for every Tarot Card sold.
Fortune Teller ({{mult|+1}} per [[Tarot Cards|{{hl|purple|Tarot}}]] card used this run <br> {{currently|{{hl|red|+0}}}} Common Additive Mult Independent Fortune Teller.png) gains +1 Mult for every Tarot Card used.
Vampire (This Joker gains {{xmult|0.1}} per scoring {{hl|orange|Enhanced card}} played, removes card {{hl|orange|Enhancement}} <br> {{Currently|{{xmult|1}}}} Uncommon Multiplicative Mult Mixed Vampire.png) and
Driver's License ({{xmult|3}} if you have at least {{hl|orange|16}} Enhanced cards in your full deck <br> {{Currently|{{hl|orange|0}}}} Enhance 16 cards in your deck Rare Multiplicative Mult Independent Driver's License.png) can turn the enhancements from Tarot Cards into permanent XMult.
- Enhancement Jokers (
Stone Joker (Gives {{Chips|+25}} for each [[Stone Card|{{hl|orange|Stone Card}}]] in your {{hl|orange|full deck}} <br> {{Currently|{{Chips|+0}}}} Uncommon Chips Independent Stone Joker.png),
Steel Joker (Gives {{xmult|0.2}} for each [[Steel Cards|{{hl|orange|Steel Card}}]] in your {{hl|orange|full deck}} <br> {{currently|{{xmult|1}}}} Uncommon Multiplicative Mult Independent Steel Joker.png),
Glass Joker (This Joker gains {{xmult|0.75}} for every [[Glass_Cards|{{hl|orange|Glass Card}}]] that is destroyed <br> {{currently|{{xmult|1}}}} Have at least {{hl|orange|5}} [[Glass_Cards|{{hl|orange|Glass Cards}}]] in your deck Uncommon Multiplicative Mult Independent Glass Joker.png),
Golden Ticket (Played [[Gold Cards|{{hl|orange|Gold}}]] cards earn {{Money|4}} when scored Play a 5 card hand that contains only {{hl|orange|Gold}} cards Common Economy On Scored Golden Ticket.png), and
Lucky Cat (This Joker gains {{xmult|0.25}} every time a [[Lucky Cards|{{hl|orange|Lucky}}]] card {{hl|green|successfully}} triggers <br> {{Currently|{{xmult|1}}}} Uncommon Multiplicative Mult Mixed Lucky Cat.png)) benefit from more Tarot Cards that provide their corresponding Enhancement.
The Hook ( Boss The Hook.png)'s discard effect also counts for Purple Seals.
Gold Cards ({{money|3}} if this card is held in hand at end of round Gold Card.png) can be held in hand at the end of the round for $3, and allow the player to get value out of Purple Seal cards even when out of discards.
Glass Cards ({{xmult|2}}<br>{{hl|green|1 in 4}} chance to destroy card Glass Card.png) can be duplicated easily early game, and then played late game without worry of breaking, because the player already has so many.
Death (Select {{hl|orange|2}} cards, convert the {{hl|orange|left}} card into the {{hl|orange|right}} card<br>{{hl|gray|(Drag to rearrange)}} Available from start. Tarot Death.png) is both created by Purple Seals, and can create more Purple Seals, exponentially increasing the player's ability to deck fix.
Temperance (Gives the total sell value of all current [[Jokers]]<br>{{hl|grey|(Max of}} {{hl|orange|{{Money|50}}}}{{hl|grey|)}} Available from start. Tarot Temperance.png) can give at most $50, generating considerable amounts of money even without any economy Jokers if
Gift Card (Add {{Money|1}} of {{hl|orange|sell value}} to every [[Jokers|{{hl|orange|Joker}}]] and [[Consumables|{{hl|orange|Consumable}}]] card at end of round Uncommon Economy N/A (Passive) Gift Card.png) was used.
The Hermit (Doubles money<br>{{hl|grey|(Max of {{Money|20}})}} Available from start. Tarot The Hermit.png) can give at most $20, generating less but still significant amounts of money without any economy Jokers, and with less setup.
Wasteful (Permanently gain {{hl|red|+1}} discard each round Base Wasteful.png) and
Recyclomancy (Permanently gain an additional {{hl|red|+1}} discard each round Discard a total of 2500 cards Upgraded Recyclomancy.png) grant +1 discard each, making it easier to make use of Purple Seals.
Crystal Ball ({{hl|orange|+1}} consumable slot Base Crystal Ball.png) increases Consumable slots by 1, allowing for more tarot cards to be created by Purple Seals.
Grabber (Permanently gain {{hl|blue|+1}} hand per round Base Grabber.png) and
Nacho Tong (Permanently gain an additional {{hl|blue|+1}} hand per round Play a total of 2,500 cards Upgraded Nacho Tong.png) grant +1 hand each, allowing the player to use more throwaway hands to find Purple Seals.
Anti-Synergies
Nebula Deck ( Start run with the {{V|Telescope|class=hl-cyan}} voucher <br> {{hl|red|-1}} consumable slot Win a run with the {{D|Blue}} on [[Stakes|any difficulty]] Nebula Deck.png) starts with -1 consumable slot, limiting the number of Tarot Cards able to be generated by Purple Seals.
Burglar (When [[Blind|{{hl|orange|Blind}}]] is selected, gain {{hl|blue|+3}} Hands and {{hl|orange|lose all discards}} Uncommon Effect On Blind Select Burglar.png) prevents the player from discarding at all.
Ramen ({{xmult|2}}, loses {{xmult|0.01}} per {{hl|orange|card}} discarded Uncommon Multiplicative Mult Mixed Ramen.png),
Green Joker ({{mult|+1}} per hand played <br> {{mult|-1}} per discard <br> {{Currently|{{mult|+0}}}} Common Additive Mult Mixed Green_Joker.png),
Banner ({{Chips|+30}} for each remaining {{hl|orange|discard}} Common Chips Independent Banner.png) and
Delayed Gratification (Earn {{Money|2}} per {{hl|orange|discard}} if no discards are used by end of the round Common Economy N/A (Passive) Delayed_Gratification.png) disincentivize discarding.
The Water ( Boss The Water.png) starts with 0 discards which means that Purple Seals cannot be used for the round.
- On
Blue Stake and higher, having one less discard can make it harder to find and make use of Purple Seals.
Trivia
- Medium refers to an extrasensory perception a psychic can have and thus supposedly gives them the ability to mediate with spirits of different dimensions.
In other languages
| Language | Name |
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| Chinese (Simplified) | 灵媒 |
| Chinese (Traditional) | 靈媒 |
| Dutch | Medium |
| French | Médium |
| German | Medium |
| Indonesian | Medium |
| Italian | Medium |
| Japanese | ミディアム |
| Korean | 미디엄 |
| Polish | Medium |
| Portuguese (Brazilian) | Médium |
| Russian | Медиум |
| Spanish (Spain) | Médium |
| Spanish (Latin America) | Médium |
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| Tarot Cards |
The Fool (Creates the last [[Tarot Cards|{{hl|purple|Tarot}}]] or [[Planet Cards|{{hl|cyan|Planet}}]] card used during this run<br><small>{{hl|purple|The Fool}} excluded</small> Available from start. Tarot The Fool.png)
The Magician (Enhances {{hl|orange|2}} selected cards to [[Card Modifiers|{{hl|orange|Lucky Cards}}]] Available from start. Tarot The Magician.png)
The High Priestess (Creates up to {{hl|orange|2}} random [[Planet Cards|{{hl|cyan|Planet}}]] cards<br>{{room}} Available from start. Tarot The High Priestess.png)
The Empress (Enhances {{hl|orange|2}} selected cards to [[Card Modifiers|{{hl|orange|Mult Cards}}]] Available from start. Tarot The Empress.png)
The Emperor (Creates up to {{hl|orange|2}} random {{hl|purple|Tarot}} cards<br>{{room}} Available from start. Tarot The Emperor.png)
The Hierophant (Enhances {{hl|orange|2}} selected cards to [[Card Modifiers|{{hl|orange|Bonus Cards}}]] Available from start. Tarot The Hierophant.png)
The Lovers (Enhances {{hl|orange|1}} selected card into a [[Card Modifiers|{{hl|orange|Wild Card}}]] Available from start. Tarot The Lovers.png)
The Chariot (Enhances {{hl|orange|1}} selected card into a [[Card Modifiers|{{hl|orange|Steel Card}}]] Available from start. Tarot The Chariot.png)
Justice (Enhances {{hl|orange|1}} selected card into a [[Card Modifiers|{{hl|orange|Glass Card}}]] Available from start. Tarot Justice.png)
The Hermit (Doubles money<br>{{hl|grey|(Max of {{Money|20}})}} Available from start. Tarot The Hermit.png)
The Wheel of Fortune ({{hl|green|1 in 4}} chance to add [[Foil|{{hl|edition|Foil}}]], [[Holographic|{{hl|edition|Holographic}}]], or [[Polychrome|{{hl|edition|Polychrome}}]] edition to a random [[Jokers|{{hl|orange|Joker}}]] Available from start. Tarot The Wheel of Fortune.png)
Strength (Increases rank of up to {{hl|orange|2}} selected cards by {{hl|orange|1}} Available from start. Tarot Strength.png)
The Hanged Man (Destroys up to {{hl|orange|2}} selected cards Available from start. Tarot The Hanged Man.png)
Death (Select {{hl|orange|2}} cards, convert the {{hl|orange|left}} card into the {{hl|orange|right}} card<br>{{hl|gray|(Drag to rearrange)}} Available from start. Tarot Death.png)
Temperance (Gives the total sell value of all current [[Jokers]]<br>{{hl|grey|(Max of}} {{hl|orange|{{Money|50}}}}{{hl|grey|)}} Available from start. Tarot Temperance.png)
The Devil (Enhances {{hl|orange|1}} selected card into a [[Card Modifiers|{{hl|orange|Gold Card}}]] Available from start. Tarot The Devil.png)
The Tower (Enhances {{hl|orange|1}} selected card into a [[Card Modifiers|{{hl|orange|Stone Card}}]] Available from start. Tarot The Tower.png)
The Star (Converts up to {{hl|orange|3}} selected cards to {{Suit|Diamonds}} Available from start. Tarot The Star.png)
The Moon (Converts up to {{hl|orange|3}} selected cards to {{Suit|Clubs}} Available from start. Tarot The Moon.png)
The Sun (Converts up to {{hl|orange|3}} selected cards to {{Suit|Hearts}} Available from start. Tarot The Sun.png)
Judgement (Creates a random [[Jokers|{{hl|orange|Joker}}]] card<br>{{room}} Available from start. Tarot Judgement.png)
The World (Converts up to {{hl|orange|3}} selected cards to {{Suit|Spades}} Available from start. Tarot The World.png)
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| Planet Cards |
Pluto (Increases {{ph|High Card}} hand value by {{mult|+1}} and {{chips|+10}} Available from start. Planet Pluto.png)
Mercury (Increases {{ph|Pair}} hand value by {{mult|+1}} and {{chips|+15}} Available from start. Planet Mercury.png)
Uranus (Increases {{ph|Two Pair}} hand value by {{mult|+1}} and {{chips|+20}} Available from start. Planet Uranus.png)
Venus (Increases {{ph|Three of a Kind}} hand value by {{mult|+2}} and {{chips|+20}} Available from start. Planet Venus.png)
Saturn (Increases {{ph|Straight}} hand value by {{mult|+3}} and {{chips|+30}} Available from start. Planet Saturn.png)
Jupiter (Increases {{ph|Flush}} hand value by {{mult|+2}} and {{chips|+15}} Available from start. Planet Jupiter.png)
Earth (Increases {{ph|Full House}} hand value by {{mult|+2}} and {{chips|+25}} Available from start. Planet Earth.png)
Mars (Increases {{ph|Four of a Kind}} hand value by {{mult|+3}} and {{chips|+30}} Available from start. Planet Mars.png)
Neptune (Increases {{ph|Straight Flush}} hand value by {{mult|+4}} and {{chips|+40}} Available from start. Planet Neptune.png)
Planet X (Increases {{ph|Five of a Kind}} hand value by {{mult|+3}} and {{chips|+35}} Play {{ph|Five of a Kind}} during the current run Planet Planet X.png)
Ceres (Increases {{ph|Flush House}} hand value by {{mult|+4}} and {{chips|+40}} Play {{ph|Flush House}} during the current run Planet Ceres.png)
Eris (Increases {{ph|Flush Five}} hand value by {{mult|+3}} and {{chips|+50}} Play {{ph|Flush Five}} during the current run Planet Eris.png)
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| Spectral Cards |
Familiar (Destroy {{hl|orange|1}} random card in your hand, add {{hl|orange|3}} random [[Card Modifiers#Enhancements|{{hl|orange|Enhanced}}]] [[Card Ranks#Face cards|{{hl|orange|face cards}}]] to your hand Available from start. Spectral Familiar.png)
Grim (Destroy {{hl|orange|1}} random card in your hand, add {{hl|orange|2}} random [[Card Modifiers#Enhancements|{{hl|orange|Enhanced}}]] [[Card Ranks#Aces|{{hl|orange|Aces}}]] to your hand Available from start. Spectral Grim.png)
Incantation (Destroy {{hl|orange|1}} random card in your hand, add {{hl|orange|4}} random [[Card_Modifiers#Enhancements|{{hl|orange|Enhanced}}]] [[Card Ranks#Number cards|{{hl|orange|numbered cards}}]] to your hand Available from start. Spectral Incantation.png)
Talisman (Add a [[Gold Seal|{{hl|orange|Gold Seal}}]] to {{hl|orange|1}} selected card in your hand Available from start. Spectral Talisman.png)
Aura (Add [[Foil|{{hl|edition|Foil}}]], [[Holographic|{{hl|edition|Holographic}}]], or [[Polychrome|{{hl|edition|Polychrome}}]] effect to {{hl|orange|1}} selected card in hand Available from start. Spectral Aura.png)
Wraith (Creates a random [[Rare Jokers|{{hl|red|Rare}} {{hl|orange|Joker}}]], sets money to {{$|0}} Available from start. Spectral Wraith.png)
Sigil (Converts all cards in hand to a single random [[Card Suits|{{hl|orange|suit}}]] Available from start. Spectral Sigil.png)
Ouija (Converts all cards in hand to a single random [[Card Ranks|{{hl|orange|rank}}]]<br>{{hl|red|-1}} hand size Available from start. Spectral Ouija.png)
Ectoplasm (Add [[Card Modifiers#Editions|{{hl|edition|Negative}}]] to a random {{hl|orange|Joker,}} {{hl|red|-1}} hand size Available from start. Spectral Ectoplasm.png)
Immolate (Destroys {{hl|orange|5}} random cards in hand, gain {{Money|20}} Available from start. Spectral Immolate.png)
Ankh (Create a copy of a random [[Jokers|{{hl|orange|Joker}}]], destroy all other Jokers <br> {{hl|gray|(Removes {{hl|edition|Negative}} from copy)}} Available from start. Spectral Ankh.png)
Deja Vu (Add a [[Red Seal|{{hl|red|Red Seal}}]] to {{hl|orange|1}} selected card in your hand Available from start. Spectral Deja Vu.png)
Hex (Add [[Card Modifiers#Editions|{{hl|edition|Polychrome}}]] to a random [[Jokers|{{hl|orange|Joker}}]], destroy all other Jokers Available from start. Spectral Hex.png)
Trance (Add a [[Blue Seal|{{hl|blue|Blue Seal}}]] to {{hl|orange|1}} selected card in your hand Available from start. Spectral Trance.png)
Medium ()
Cryptid (Create {{hl|orange|2}} copies of {{hl|orange|1}} selected card in your hand Available from start. Spectral Cryptid.png)
The Soul (Creates a [[Legendary Jokers|{{hl|purple|Legendary}}]] Joker <br> {{room}} Available from start. Spectral The Soul.png)
Black Hole (Upgrade every [[Poker Hands|{{hl|purple|poker hand}}]] by {{hl|orange|1}} level Available from start. Spectral Black Hole.png)
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