Is the long island medium show real?

Yes. The reality TV show "Long Island Medium" is considered to be real. With any documentary or reality TV show, it's difficult to say for certain if everything in the show is 100% real and unscripted. However, there has been no evidence found that shows that "Long Island Medium" is staged or scripted more than any other reality show or documentary.

It's extremely rare that a documentary or reality TV show is not staged or scripted at all. There are usually a few scenes or events filmed in a reality show that are partially or slightly scripted, set up, or influenced by the makers of the show.

As far as if Theresa Caputo, the "Long Island Medium", is a fake psychic or not, it's a matter of belief. She has not been proven to be a fake and she truly believes she can communicate with spirits of the dead. Some are skeptical of her psychic abilities, but she hasn't been shown to be a fraud.