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.