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Accounting · head to head

Medius vs Sage 50

Medius logo

Medius

Accounting

Accounts payable automation and supplier payments for mid-market finance teams, Marlin Equity owned

From
On request
Rated
-
Full reviewWebsite
Sage 50 logo

Sage 50

Accounting

Windows desktop accounting with the ledger held in a local data file rather than in a browser

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Medius the sourcing, contract and procurement modules are considerably less developed than the AP core, so buying Medius as a full source-to-pay suite means accepting weak upstream tooling.; Sage 50 it is a Windows desktop application, so Mac users need a virtual machine or a hosted desktop, and every added remote worker becomes a hosting bill rather than another browser tab.
  • They diverge on capability: Medius covers Invoice capture and coding, Sage 50 covers Local company data file.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Medius and Sage 50 actually diverge.

Attributes where Medius and Sage 50 differ
AttributeMediusSage 50
Starting priceOn request$29/month
Pricing modelquotesubscription
PlatformsWeb, iOS, AndroidWindows
FoundedUnknown1981

Identical on both: free tier (No), user rating (Not yet rated), category (Accounting).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Medius

  • Invoice capture and coding
  • Matching and exception handling
  • Fraud and anomaly detection
  • Supplier payments
  • Approval workflow
  • ERP integration

Only in Sage 50

  • Local company data file
  • Nominal, sales and purchase ledgers
  • Bank reconciliation
  • VAT and sales tax handling
  • Stock control
  • Job and project costing
  • Multi user access
  • Microsoft 365 integration

What people use each for

The jobs each tool is most often brought in to do.

Medius

  • A mid-market finance team where most spend arrives as an invoice with no purchase order to match againstnot Sage 50
  • A group with several legal entities on different ERPs that wants one AP process across all of themnot Sage 50
  • Reducing invoice fraud exposure with automated detection of supplier bank detail changesnot Sage 50
  • Replacing a scanning bureau and a shared AP inbox with automated capture and exception-based reviewnot Sage 50

Sage 50

  • An established small business that wants its accounting data physically in the building rather than on a vendor's serversnot Medius
  • A construction or trade business needing job costing and stock depth that the entry level cloud products do not matchnot Medius
  • A company with unreliable internet where a browser only ledger would stop work whenever the line dropsnot Medius
  • A long standing user with a decade of transaction history in the file for whom migrating to anything else is the expensive optionnot Medius

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Medius

  • The sourcing, contract and procurement modules are considerably less developed than the AP core, so buying Medius as a full source-to-pay suite means accepting weak upstream tooling.
  • Pricing is quote-only and driven by invoice volume, so a business with many low-value invoices pays disproportionately relative to the spend being controlled.
  • Payments are billed on transaction volume separately from the AP subscription, which is easy to omit from a cost comparison against a licence-only AP tool.
  • Private equity ownership since 2017 has produced an acquisition-driven product line, so payments and adjacent capability come from bought-in technology rather than the original platform.
  • ERP integration depth varies sharply by system, and organisations on less common or heavily customised ERPs face integration work that lengthens the implementation.

Sage 50

  • It is a Windows desktop application, so Mac users need a virtual machine or a hosted desktop, and every added remote worker becomes a hosting bill rather than another browser tab.
  • Multi user working shares a data file over the network, so all users effectively need to be on the same local network or on the same hosted server, and file corruption in a shared file environment is a recovery from backup rather than a support ticket.
  • The United States and United Kingdom editions are separate products with different tax engines, so a business trading in both markets cannot run one Sage 50 across them, and experience or add ons from one edition do not transfer to the other.
  • Additional users are licensed individually at full price, which means a part time bookkeeper, an approver who signs off purchase invoices and a manager who only ever reads reports all cost the same as the full time finance person.
  • Sage's development effort has moved to its cloud accounting products, so the eventual move off Sage 50 is a re-implementation with historical data conversion and a fresh chart of accounts rather than an in place upgrade, and that project only gets larger the longer the file grows.

Pricing, plan by plan

Medius

On request
  • Medius AP Automation$undefined/year
    • Two packaged AP automation tiers
    • Priced by invoice volume and entity count
    • Sourcing, contracts and procurement modules sold separately

Sage 50

$29/month
  • Pro Accounting$50/month
    • Core accounting
    • 1 user
    • Basic reports
  • Premium Accounting$85/month
    • 5 users
    • Job costing
    • Inventory

Which should you pick?

Choose Medius if

  • You need invoice capture and coding.
  • You work on Web, iOS, Android.
  • You also want matching and exception handling.
Medius review

Choose Sage 50 if

  • You need local company data file.
  • You work on Windows.
  • You also want nominal, sales and purchase ledgers.
Sage 50 review

Questions people ask

Is Medius or Sage 50 better?
Neither clearly leads. Medius starts at On request and Sage 50 at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Medius or Sage 50?
Medius starts at On request and Sage 50 at $29/month.
Does Medius or Sage 50 run on more platforms?
Medius runs on Web, iOS, Android. Sage 50 runs on Windows.
What is Medius best used for?
Medius is most often used for a mid-market finance team where most spend arrives as an invoice with no purchase order to match against, a group with several legal entities on different erps that wants one ap process across all of them, reducing invoice fraud exposure with automated detection of supplier bank detail changes, replacing a scanning bureau and a shared ap inbox with automated capture and exception-based review. Of those, a mid-market finance team where most spend arrives as an invoice with no purchase order to match against and a group with several legal entities on different erps that wants one ap process across all of them are not what Sage 50 is typically brought in for.
What can Medius do that Sage 50 cannot?
Medius covers Invoice capture and coding, Matching and exception handling, Fraud and anomaly detection, Supplier payments. Sage 50 covers Local company data file, Nominal, sales and purchase ledgers, Bank reconciliation, VAT and sales tax handling.

Answered from the vendors’ own pages

Medius: Is Medius a procurement suite or an AP tool?

Primarily an AP automation platform with procurement modules attached. If sourcing is your main requirement, look elsewhere.

Sage 50: Is Sage 50 cloud software?

No. The application runs on Windows and the ledger is a local file. The Sage 50cloud tiers add Microsoft 365 integration and a sync service for remote access, but the accounting itself is still desktop software.

Medius: Who owns Medius?

Marlin Equity Partners, which acquired it in 2017 and has funded several bolt-on acquisitions since.

Sage 50: Can my accountant work in it?

Yes, and many accountants in the United Kingdom and the United States know it well. Practically they will either take a backup of the company file, or connect through the remote data access service, or work on a hosted copy. Agree which of those before you start.

Medius: How is it priced?

By quote, driven by invoice volume and entity count, with payments billed separately on transaction volume.

Sage 50: Does it still require an annual subscription?

Sage moved Sage 50 to subscription licensing, so continued access and tax table updates depend on an active subscription. Confirm what happens to your ability to open historical data if you stop paying.

Medius: Does it replace our ERP?

No. It sits alongside the ERP and posts approved invoices into it.

Sage 50: Is the United Kingdom version the same product as the United States version?

No. They share a name and a heritage but they are different codebases with different tax handling. Buy the edition for the country where you file.

Sage 50: What about payroll?

Payroll is a separate Sage product with its own subscription and per employee cost. Budget for it separately rather than assuming the accounting subscription covers it.

Sage 50: How hard is it to move to a cloud system later?

Expect to convert opening balances and a limited window of transaction history rather than the full file, and to redo the chart of accounts, the customer and supplier records and any custom reports. Most businesses do it at a year end for that reason.

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