https://wccftech.com/the-medium-interview-bloober-team-on-exclusivity-ray-tracing-support/amp/ said:
Which ray tracing features will be available in The Medium? Are there any technical differences between the various versions in this and other regards (resolution, frame rate, etc.?
We have two supported ray tracing modes for The Medium - Performance Mode that has enabled reflections and RTAO in all performant location (when only one word is rendered), and Quality Mode, which features reflections, RTAO, hybrid translucent, and some RT shadows enabled for the whole game world. The latter is paired with DLSS and some other Nvidia improvements but requires a lot of hardware power.