While there are some smaller puzzles in The Medium, the clock puzzle seems like the first real puzzle you encounter in the game.
After finding sadness upstairs, Marianne insists on speaking to the man who called her (who she discovered was the manager of Niwa resort).
When Marianne opens the room to Thomas’ office, Sadness disappears. This is when you’re free to roam the office itself.
Head behind the desk where you’ll find a note and other items, like a flashlight.
The important thing to pick up behind this desk is a small key. It’s not big enough to fit in a door, but it could open something else.
If you go to the cabinet in the corner, open it, and use your insight ability, you’ll find a switch. However, there’s no power going to it, but you do notice the cable runs further behind the cabinet, but how do you power it?
Find the grandfather clock in the office. Combine the small key you found on the desk with the clock.
You’ll notice that when you start moving the hands of the clock, you’ll start to see the spirit world rewind or fast-forward.
When you move to around 9:25, you’ll get the first imprint. You can leave the clock and examine the imprint for dialogue.
Continue moving the click hand to 8:55, where the room takes a completely different shape, and another imprint appears.
Move the hand to around 7:05 for another imprint.
When you move the hand to 6:45, the doorway in the spirit world will open.
Use your out-of-body ability to move Marianne through the doorway.
You’ll notice another fuse box that needs to be powered. However, there’s no spirit well nearby.
If you move the clock to 4:00 exactly, you’ll see another imprint of Thomas with a spirit well. Use it to collect energy.
Move the clock hand back, so the door opens.
Use your out-out-body again to power the fuse box.
Now, you can head through the secret door in the real world with Marianne.
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