In the expansion of \( \left( x^2 + \frac{1}{x^2} + 2 \right)^n \), the middle term corresponds to the term where the powers of \( x^2 \) and \( \frac{1}{x^2} \) balance out.
The total number of terms in the expansion is \( n+1 \), and the middle term is the \( \frac{n}{2} \)-th term when \( n \) is even.
Using the binomial expansion formula for the general term and considering the symmetry, the middle term has the form \( \frac{(2n)!}{(n!)^2} \).
Thus, the correct answer is \( \frac{(2n)!}{(n!)^2} \).