As mentioned, our medium quality setting includes Texture and Shadow detail cranked to High, with shadows applied to the world and characters. We turn film grain on, but motion blur and post process special effects are turned off.
The results demonstrate that Duke Nukem Forever favors Nvidia's GeForce graphics cards at this detail setting, which is not a surprise considering the game's inclusion in the company's “The Way it’s Meant to be Played” program.
Not that it makes much of a difference, though. Both the Radeon HD 5570 and GeForce GT 240 are able to handle about 30 FPS minimum at 1920x1080. That's a solid result for both cards, despite the fact that the GeForce has a better average frame rate. Of the cards we're testing, only the GeForce GT 430 is realistically limited to 1280x1024.