Medium well is when everything is cooked (browned) to the center except for a lite pink stripe in the middle barely showing. Medium Rare is when the meat is cooked (browned) on the outside ONLY and is RARE about half way through the meat. For medium rare, there should be uncooked blood on the plate (EWE - I hate that!).
It's all about the temperature of the meat. Rare means that the meats quite 'undone' and well means that it's quite 'done'. Well done meat has been cooked longer and therefore there's no red meat in the core of the steak.
Medium has been cooked a bit shorter and has a red/pink lining in the core. A rare cooked steak has been cooked quite short and is red and bloody in the core. If you grill a steak yourself you can choose the desired doneness by measuring the core temperature of the steak.
Use a meat thermometer and measure in the core of the steak. For example: a medium well steak has a core temperature of about 134 degrees Fahrenheit. I have found this Grill Chart that tells you what the core temperatures are for the level of doneness you want.
Good luck!
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