This book is well-written and covers a vast scope. Contrary to what the title might lead you to believe, this book covers a lot more than just plain mediums. In fact, it offeres detailed information on just about any faction in the Skinlands that might interact with the Restless Dead: "Boardwalk mediums" found at carnivals and circuses the ruthless Giovanni vampires, even charlatans and frauds who possess no real talent, but manage to offend wraiths with their very presumption and chicanery.

This book is definitely worth the purchase price- it will enrich virtually any Wraith chronicle.

This is a fine resource for mediums, much better than the Quick and the Dead. The systems stuff is vastly improved, with a battery of new merits and flaws for mediums that I actually found useful (and can be used to supplement or replace the hedge magic paths for interacting with wraiths). There is some good stuff on summoning, a large section on Native American medicine men and shamanic dealings with the dead, a fresh look at many of the old ghost-dealing groups, and a new ability for those people who have had enough with wraiths shouting in their ears.