Cooking steak tips for medium to medium-rare requires careful attention to time and technique. The cooking duration can vary based on the thickness of the tips, but a general guideline suggests grilling for about 4-5 minutes per side on a hot grill. It's important to monitor the firmness of the meat to gauge doneness, as well as to consider carry-over cooking after removing them from the grill. Searing the steak tips initially can enhance flavor, and using a thermometer is recommended for accuracy, especially for those new to grilling. Some cooks prefer to marinate the tips, while others advocate for simply seasoning with salt and pepper. Techniques vary, with some suggesting a two-phase cooking method: searing followed by finishing in an oven for more controlled doneness. Proper heat management and avoiding excessive flipping are also emphasized to achieve the best results.