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Erasmus, the iconic medium.

Iconic character
Source: Occult Adventures, pg(s). 30

The bodies of mediums act as vessels for astral entities, including spirits of the dead. Mediums channel these spirits through ritualistic seances and can grant spirits even greater influence over their bodies by going into a trance.1 They are often confused with necromancers or undead-possessed people due to their links to the deceased, and dismissed by arcane and divine scholars due to the prevalence of fraudulent mediums.2


Mediums are widely misunderstood on Golarion, and outright persecuted in Ustalav and Mendev for fears that mediums' psychic powers are drawn from evil sources.2

One exception is Nex, which prizes mediums for their ability to channel the nation's namesake archmage. Likewise, mediums are hated and hunted in Geb in fear of the medium potentially being an agent of Nex.2

Ulfen and Varisians both have strong traditions of storytelling and view mediums as capable of bringing their legends to life. Among samsarans, ghorans, and other races and societies that believe in reincarnation, mediums are important conduits of communication with past lives and spirits.2

Nexian channelers

Even though the archmage Nex simply disappeared, he created an astral reflection capable of serving the same role as a channelable spirit. Such mediums are renowned for mastering their third eye and gaining access to fragments of Nex's powers.3


There are no known restrictions on the race of a medium.


There are no known religious restrictions on mediums.


For additional as-yet unincorporated sources about this subject, see the Meta page.

  1. Jason Bulmahn, et al. “Chapter 1: Occult Classes” in Occult Adventures, 30. Paizo Inc., 2015
  2. 2.0 2.1 2.2 2.3 Robert Brookes, et al. “Legends and Lore (Medium)” in Occult Origins, 10. Paizo Inc., 2015
  3. Robert Brookes, et al. “Legends and Lore (Medium)” in Occult Origins, 11. Paizo Inc., 2015