Wear Headphones
It is recommended that you wear headphones to play The Medum as it will help you to better hear the footsteps of the Maw when it approaches, the Maw is a deadly monster that is able to track you through both the living and the spirit realms and will stop at nothing.
Wearing headphones will also help you hear the whispers of spirits when you explore the Niwa Hotel and find items that have traces of people who once stayed there. When this happens glowing gashes will appear on the item and if you are close enough to one of these objects you will be able to hear the spirits whispering.
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