More info would be helpful for best advice. Will there be a TV in the room? How many are typically watching at the same time? Can the ceiling decor come down? Do you have a budget in mind?

@ffpalms : no tv will be in the room - the ceiling decor is staying - budget is not an issue .

What are your thoughts about this photo as inspiration? Is your ceiling medallion wired for a chandelier?

No- it’s not wired for a chandelier - I like this pic

This room might be ideal for 4 comfy chairs and a round, decorative table. Here are some ideas Jean.

Instead of chandelier, I suggest a lovely arc lamp. Something like this. Many available in a wide variety of styles.

I love Flo Mangan’s idea of four chairs pulled up to a round coffee table, and also that gorgeous arc lamp. Here’s some things I selected using the ceiling medallion for color inspiration.

I like this long console because it’s the same oblong shape as the medallion. It would look beautiful under the window on the back wall.

Modern Extending TV Stand with Storage Oval White & Natural Media Console · More Info