While competing in a challenge, George is seriously injured and Nancy's other friend Bess Marvin must step in to take her place. The eccentric Sonny Joon has hijacked production of the show, which is spiraling out of control as certain contestants are being favored and dangerous missions are being assigned. Nancy Drew and her friend George Fayne end up winning a spot on a reality television show in New Zealand called Pacific Run, in which the contestants complete physical challenges to get five pieces of a medallion. The game is loosely based on a book entitled Real Fake (2007).

There are two levels of gameplay, Amateur and Master sleuth modes, each offering a different difficulty level of puzzles and hints, however neither of these changes affect the actual plot of the game. Players take on the first-person view of fictional amateur sleuth Nancy Drew and must solve the mystery through interrogation of suspects, solving puzzles, and discovering clues.

It has an ESRB rating of E for moments of mild violence. The game is available for play on Microsoft Windows and Mac OS X platforms. The Shattered Medallion is the 30th installment in the Nancy Drew point-and-click adventure game series by Her Interactive.

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