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- What we do
The medium depends on the problem.
Extra Medium is a strategy, creative, growth and technology studio. Every service below is practiced by the same small team, so strategy, craft and execution stay connected. Start with the problem, not the medium.

There’s no right medium. Until we know the problem.
- Strategy
- Creative
- Growth
- Brand
- Digital
- Technology
- AI
- Experiences
Use whatever moves it forward.
Seven problems. One studio.
- LaunchFor businesses bringing something new into the world.
- ReinventFor businesses becoming who they were always meant to become.
- GrowHelping businesses build meaningful and sustainable growth.
- ExpandFor businesses entering new markets and larger opportunities.
- LeadFor founders, executives, physicians and experts stepping into the light.
- IntelligenceFor businesses becoming more intelligent organizations.
- ExperiencesWhat people remember after the lights go down.
Sixteen ways in.
The services people most often ask us for, each with its own page.
- Growth Marketing AgencyExtra Medium is a growth marketing agency that treats growth as a system: acquisition, conversion, retention and the analytics that connect them.
- Fractional CMO & Growth StrategySenior marketing leadership on a part-time basis: strategy, team direction, budget ownership and accountability for results.
- Brand Strategy & Positioning AgencyPositioning, messaging and creative direction for businesses that want to be remembered, not just recognized.
- Branding & Rebranding AgencyNew identity or a full reinvention: Extra Medium designs and rolls out brands with the strategy to back them.
- Website Design & Development AgencyStrategy-first website design and development: memorable on the surface, structured underneath so search engines, AI answer engines and customers all understand exactly what you do.
- Ecommerce Growth AgencyAcquisition, conversion, retention and subscription growth for DTC and ecommerce brands.
- Shopify Growth & Strategy AgencyStore strategy, conversion optimization, landing pages, retention and paid media for Shopify brands.
- Paid Media & Performance Marketing AgencyGoogle, Meta, TikTok, Reddit and creator-driven advertising, managed by people who currently own monthly media investment for growing brands.
- SEO & AI Search Optimization AgencyTechnical SEO, content architecture, local search and optimization for AI answer engines.
- AI Consulting & Business AutomationAI strategy and implementation for businesses that want their operations, marketing and data connected: AI agents, automation, custom applications, integrations and the intelligence dashboards that make sense of it all.
- AI Agents & Business AutomationAgentic applications, intelligent workflows and integrations that take real tasks off your team's plate: lead handling, reporting, reconciliation, customer communication, research and more.
- Go-To-Market Strategy ConsultantPositioning, audience, offer, channels and launch sequencing for products and companies entering the market, or entering a new one.
- Product Launch Agency & StrategyLaunch strategy, creative, media and experiences for products and brands bringing something new into the world.
- Executive & Founder Branding AgencyExecutive branding, founder visibility, physician branding and thought leadership for leaders whose perspective should be sought out.
- Branded Podcast Strategy & ProductionStrategy, production, distribution and repurposing for branded podcasts, executive shows and video series.
- Experiential Marketing & Brand Activation AgencyBrand activations, launch events, trade show experiences, executive experiences and the content captured around them.
All 137 services.
Every one is scoped to the business, never sold from a menu. Search, or browse by problem.
Launch 10
Reinvent 19
- Rebranding
- Brand Refreshes
- Business Repositioning
- Website Redesigns
- Digital Transformation Strategy
- Messaging & Voice Development
- Creative Direction
- Marketing Audits
- Creative Audits
- Messaging Audits
- Competitive Analysis
- Customer Experience Strategy
- Ecommerce Transformation
- Subscription Optimization
- Strategic Consulting
- Product Strategy
- Go-To-Market Strategy
- Market Research
- Launch Strategy
Grow 26
- Brand Strategy
- Brand Positioning
- Ecommerce Strategy
- Growth Strategy
- Growth Marketing
- Performance Marketing
- Paid Media Strategy
- Google Advertising
- Meta Advertising
- TikTok Advertising
- Reddit Advertising
- SEO
- CRO
- Customer Acquisition Strategy
- Customer Journey Mapping
- Email Marketing Strategy
- SMS Marketing Strategy
- Retention Marketing
- Subscription Growth Strategy
- Affiliate Marketing Strategy
- Influencer Marketing Strategy
- Creator Partnerships
- Shopify Strategy & Optimization
- Analytics & Reporting
- Executive Dashboards
- Fractional CMO Services
Expand 17
- International Expansion Strategy
- Product Launch Strategy
- Market Expansion Strategy
- New Market Entry Strategy
- New Customer Acquisition Strategy
- Ecommerce Expansion Strategy
- Multi Channel Growth Strategy
- Partnership Strategy
- Creator & Affiliate Program Development
- Marketplace Strategy
- Landing Page Strategy & Design
- Website Strategy
- Website Design & Development
- Shopify Development
- Packaging Strategy
- Business Scaling Strategy
- Operational Growth Strategy
Lead 20
- Executive Branding
- Founder Visibility Strategy
- Personal Branding
- Thought Leadership Strategy
- Podcast Strategy
- Podcast Production
- Executive Communications
- Industry Positioning
- PR Strategy
- Media Training
- Speaking Strategy
- Physician Branding
- Executive Interviews
- Editorial Strategy
- Newsletter Strategy
- LinkedIn Strategy
- Community Building
- Video Series Production
- Branded Podcast Development
- Industry Authority Building
Intelligence 24
- Applied Intelligence Strategy
- AI Strategy & Consulting
- Agentic Applications
- AI Agents
- Custom AI Solutions
- Business Automation
- Intelligent Workflows
- Custom Application Development
- API Development
- API Integrations
- Voice AI Solutions
- Connected Experiences
- Connected Platforms
- Knowledge Systems
- Executive Intelligence Dashboards
- CRM Integrations
- Reporting Systems
- Internal Tools & Platforms
- Workflow Optimization
- Intelligent Search Systems
- AI Assistants
- Data Visualization
- Custom Software Solutions
- Intelligent Infrastructure Development
Experiences 21
- Product Launches
- Brand Activations
- Trade Shows
- Conferences
- Executive Experiences
- Experiential Marketing
- Event Strategy
- Speaker Programming
- Documentary Production
- Commercial Photography
- Commercial Film Production
- Video Production
- Creative Direction
- Campaign Production
- Live Productions
- Booth Experiences
- Podcast Experiences
- Editorial Production
- Social Content Production
- Event Storytelling
- Branded Experiences
What are you trying to make happen?
Don’t know what you need? Good. That’s our job.
Got it. We’ll be in touch shortly.
Usually within one business day. If it is urgent, email hello@xmedium.co.
Prefer email? hello@xmedium.co
Virginia Beach · Chicago · London. Clients across the US and UK.
Let’s talk