ΔE 17.7, loose: different enough that you should pick on purpose. Medium Flesh is noticeably lighter, more muted, warmer than Apocalypse Sky.
Not as a straight swap; see the closer alternatives below. Loose match (ΔE 18). Medium Flesh is noticeably lighter, more muted, warmer than Apocalypse Sky.
The same difference applies the other way round: Apocalypse Sky is noticeably darker, 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 Apocalypse Sky on the colour wheel See Medium Flesh on the colour wheel
All matches: Apocalypse Sky equivalents · Medium Flesh equivalents