The graphics look good. Simply put, with the Medal of Honor series in general, it has always been more about the 'experience' as a whole rather than individual aspects of the graphics and sound. Now, the backgrounds are nicely rendered and the levels look appropriate, however the experience as a whole is spot on. You will feel as though you are actually in the midst of this firefight. As you hear your comrades begging for your help as they are trapped and being burned alive on your ship, you will feel the urgency of someone trying to save his friends. When you are on the deck of your ship and look up and see literally thousands of planes in the air, your chest will tighten as you realize that this did actually happen and you imagine what it must have been like to actually have been there. I will say this - the opening piece is very moving. It moved many an editor to tears as we watched it last E3. Playing it yourself is not quite as intense since you haven't got a moment to spare if you want to live, however it still conveys very strong emotions.
Character models are really excellent and at one point, I was sitting in a boat with a fellow soldier behind me and I turned to look at him and marveled at the detail and reality in his face. Sure, enemies all look pretty much the same within a level, but when you can snipe a guy between the eyes and watch him go cross-eyed before hitting the ground, that's a class act. The attention to detail is noticed and really appreciated.
Of course, standard in any Medal of Honor game is the amazing soundtrack that plays in the background. Intense battle music plays when it needs to, and quiet Asian-inspired tracks gently tinker in the background. Voicework is good and its interesting those times when you sneak up on some enemies and hear their conversation, for instance during an interrogation of a P.O.W. Cool stuff.