
Where to find itFile › Export …
The combined output preset joins a print PDF with a structure tree for accessible reading. For a municipal brochure, prepare one file for printing and accessible distribution. The PDF carries the print profile as its output intent and organises content in the structure tree. Medusa checks PDF/X-4 and PDF/UA on the same finished file and writes only the identifications that pass. This preset retains bookmarks.
How to do it
- Open «File › Export …».
- Under «PDF preset», choose «Print and accessible (PDF/X-4 + PDF/UA)».
- Check page range, bleed and marks.
- Click «Export» and read both check results.
Limits
This preset omits links, forms and comments and provides no independent PDF/X certification.
Compared
PDF/X-4
- Medusa partlylabelled only after its own check, also together with PDF/UA; not certified
- Adobe InDesign available↗ Adobe: Adobe PDF export options
- QuarkXPress available↗ Quark: A Guide to QuarkXPress 2025
- Affinity Studio available↗ Affinity: PDF presets
Tagged, accessible PDF
- Medusa availablestructure tree, alt text, PDF/UA, also with PDF/X-4 in one file
- Adobe InDesigntagged PDF↗ Adobe: Adobe PDF export options
- QuarkXPress availablesection “Tagged PDF (PDF/UA)”↗ Quark: A Guide to QuarkXPress 2025
- Affinity Studiotagged PDF↗ Affinity: PDF accessibility
Vendor sources, as of 25.9.2026 · Full comparison with all sources