Some churches had instruments such as organs and bells. The organistrum or symphony (later known as a hurdy gurdy) was also found in churches. Two people were required to play this stringed instrument--one to turn the crank and the other to play the keys.

Medieval drama grew out of the liturgy, beginning in about the eleventh century. Some of the topics were from the Old Testament (Noah and the flood, Jonah and the whale, Daniel in the lion's den) and others were stories about the birth and death of Christ. These dramas were performed with costumes and musical instruments and at first took place directly outside the church. Later they were staged in marketplaces, where they were produced by local guilds.

The Middle Ages is inspired by programs from The Western Tradition.