How to fix The Medium RTX Option Greyed Out issue on PC

Ali Hashmi
Ali Hashmi
4 Min Read
The Medium

Bloober Team has finally released their latest psychological horror title, The Medium. The game features next-gen visuals, ray-tracing, and a unique dual-reality gameplay system. The title is currently available on PC, Xbox Series S, and Series X. It is also part of Xbox Game Pass, and subscribers can get access to it now. The game has, however, launched with some technical problems. If you are running into an issue where The Medium RTX option is greyed out, here is how you can fix it.

Apart from RTX issues, players are running into performance issues, and the HDR on the PC isn’t working as intended. The developers are aware of this and are working to fix whatever the players are facing. There is also a lack of ultrawide support, which is pretty disappointing.

Fixing The Medium RTX Option greyed out issue

The Medium features ray-tracing through NVIDIA’s TRX. This is a fairly demanding feature and can impact your performance greatly. However, combined with DLSS, it can give pretty amazing results, both in visuals and performance. Some players can’t seem to access the setting, however, as it has been greyed out. This is because the game doesn’t launch in the DirectX 12 mode when you run it from the Desktop Shortcut. To launch the game in DirectX 12 mode, you can follow the steps below.


  • Instead of launching the game directly using the shortcut, open Steam
  • Here, open your Steam library, and find The Medium
  • Press the PLAY button shown here, and it will give you the option to run in either mode
The Medium RTX Option Greyed
Selecting DX12 Mode
  • Check the DX12 mode, and start the game


  • For the GOG version, open GOG Galaxy
  • Select The Medium, and then the Customization button 
  • After this, select Manage Installation and then lastly, the Configure option, as shown below
Configuring The Medium in GOG
  • Here, you want to enable the Launch Parameters
Enabling launch parameters
  • Click on Duplicate
  • Now, don’t change “File 2”, but instead add arguments you want to run your game with, which in the case is the -dx12
  • Change the label to anything, like The Medium – DX12
The Medium RTX Option Greyed
Adding the parameter and label
  • Press OK

The steps above will ensure that the game runs in DX12 mode, and you will be able to see the RTX option now, under the anti-aliasing settings.

Additionally, you can add a launch parameter to the executable itself as well. For that, follow the steps below.

  • Head over to where the game is installed
  • Right-click on the executable, and click Properties
  • From here, you want to open the Shortcut tab, and in the Target, add -dx12 at the end, as shown below

We hope this guide was helpful. If you have any questions, feel free to ask them in the comments below.

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Gaming enthusiast, massive Soulsborne fan with hundreds of hours spread across different Soulslike titles, and a passionate writer. Always on the lookout for interesting games with unique mechanics and design especially in the indie space. He loves to write informative guides for newer and ongoing releases.
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