A reversible thermosensitive recording medium including a substrate, a reversible thermosensitive recording layer and an intermediate layer. The reversible thermosensitive recording layer is configured to reversibly record and erase an image therein and disposed overlying the substrate and includes a binder resin and a reversible thermosensitive coloring composition. The reversible thermosensitive coloring composition includes an electron donating coloring compound and an electron accepting compound. The intermediate layer includes another binder resin and a content of hollow particles having a hollow ratio not less than 70% and a ratio of a maximum particle diameter thereof to a 50% cumulative particle diameter of from 2.0 to 3.0. The reversible thermosensitive recording layer achieves a colored state when heated to a temperature not lower than a melting point thereof, and achieves a discolorization state when heated to a temperature lower than the melting point. The reversible thermosensitive recording layer has an erasable energy range width of at least 0.1 mJ/dot when using a thermal head.