They recently added a pedestrian island in the road near where I live. It is not unnoticeable. With paint lines, high reflective markings, and literally a concrete wall.
Literally on day 1, a car made an illegal left turn and hit the clearly marked island at 20mph faster than the speed limit. It jumped the 3 foot high barrier, but the pedestrian on that island was saved.
Make car life in cities miserable.