ΔE 11.8, fair: the same colour family, but not a straight swap. Shadow Thorn is a little lighter, more saturated, warmer than Medium Blue.
Only where an exact match doesn’t matter, such as a new unit or a highlight. Fair match (ΔE 12). Shadow Thorn is a little lighter, more saturated, warmer than Medium Blue.
The same difference applies the other way round: Medium Blue is a little darker, more muted, cooler.
ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.
See Medium Blue on the colour wheel See Shadow Thorn on the colour wheel
All matches: Medium Blue equivalents · Shadow Thorn equivalents