ΔE 15.4, loose: different enough that you should pick on purpose. Royal Blue is noticeably darker, more muted, warmer than Mediterranean Blue.
Not as a straight swap; see the closer alternatives below. Loose match (ΔE 15). Royal Blue is noticeably darker, more muted, warmer than Mediterranean Blue.
The same difference applies the other way round: Mediterranean Blue is noticeably lighter, more saturated, 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 Mediterranean Blue on the colour wheel See Royal Blue on the colour wheel
All matches: Mediterranean Blue equivalents · Royal Blue equivalents