Question about Medion Akoya P4386

The graphics card should actually fit, but you can never be sure with ready-made PCs. Do you still have a free PCIe slot? This is located under the CPU socket and has a "snap-in hook" on one side like the main memory. If you still have a free slot, you should check the dimensions of the graphics card again and possibly measure whether the graphics card would fit. I hope this answer has helped you a little....