Do I ship it?

GamesAdventureAdventure + Medical Sim

Specimen · observed

Should I ship a Medical Sim Adventure game?

Adventure + Medical Sim

Only 19 developers shipped a Medical Sim Adventure game in the last 2 years, too few for firm odds: the middle one made est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.; the top game by est. revenue, Night Shift Nurses, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 42 more are announced, ×4.7 for every developer who shipped in the last year.

Verdict: poor odds, for a 4 / 10 build.

The middle developer here made $1.9k, ×4.0 the market's $480 for a 4 / 10 build, and 3 in 10 made under $180; 1 in 20 cleared $350k, ×749 the market median. Revenue is down 20% on the market; 42 games are announced against 9 developers who shipped in the last year.

Deciding numbers: median 4.0 times the market baseline, revenue down 20% on the market, 42 announced, ×4.7 per developer who shipped in the last year.
Nobody has said they are building this yet.
Adventure + Medical Sim
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 19
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $4.2k → $22k → $179 → $1.9k (still earning)
The last cohort is still earning.
Outcomes for Adventure + Medical Sim: Plate 1 · outcomes, 2 yr, n = 19
Bottom 30% $179 (exactly $179)
Median $1.9k (exactly $1,888)
Top 25% $17k (exactly $16,779)
Top 5% $356k (exactly $355,622)
Developers, 2 yr 19
Released games 65
Announced 42
Effort 4 / 10
AI-buildability Medium
Typical price $8.99

momentum: how a niche's revenue percentiles and developer count moved between two equal, adjacent periods, divided by the market's own move. See method., 12 months: revenue down 20% on the market, supply 10% fewer developers than the period before.

Free games: 15%, excluded from money figures.

See every window in the explorer →

Plate 2 · systems and tooling

Can AI deliver it?

AI-buildability for this niche is medium: the lowest rating among its tags.

Adventure
effort 4 / 10 · medium · effort 4 sits in the medium band
Medical Sim
effort 4 / 10 · medium · effort 4 sits in the medium band

How the rubric works →

Plate 3 · the cost side

What it takes

Effort
4 / 10 · mid 2D, writing-heavy, or simple 3D
Systems
Adventure, Medical Sim; 6 in 10 of the top 25% also carry Simulation, Visual Novel, Interactive Fiction
Price point
$8.99 typical · top 25% priced $19.99 or above
Art
6 in 10 of the top 25% ship with 2D, Anime, Atmospheric
Plate 4 · demand

Why players buy here

The top 25% priced at $19.99 or above; the middle game at $8.99.

The top 10 games average 76% positive over 1,202 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $180, median $1.9k, 1 in 4 over $16k, 1 in 20 over $350k.

3 in 10 developers made under $180. 8 in 10 of the 12 games released 1 to 2 years ago have fewer than 100 reviews. 42 games are announced against 9 developers who shipped in the last year, ×4.7 per shipper.

Plate 6 · same mechanic, other settings

Adjacent niches

Adventure with a different second tag, ranked by verdict then median.

  1. + SamuraiFair13 devs · median $261k · 14 announced
  2. + FMVFair144 devs · median $39k · 151 announced
  3. + PinballFair11 devs · median $8.1k · 17 announced
  4. + Job SimulatorFair40 devs · median $6.3k · 50 announced
  5. + Escape RoomFair165 devs · median $2.2k · 151 announced
  6. + Mini GolfFair12 devs · median $2.2k · 11 announced
  7. + SportsFair228 devs · median $1.5k · 224 announced
  8. + GolfFair18 devs · median $1.4k · 16 announced
  9. + IncrementalFair384 devs · median $1.2k · 420 announced
  10. + Time AttackFair33 devs · median $599 · 33 announced
  11. + Traditional RoguelikeFair89 devs · median $449 · 119 announced
  12. + Real-Time with PausePoor odds10 devs · median $561k · 7 announced

All 279 pairs on the Adventure page

Plate 7 · comparable specimens, by est. revenue

Comparable games

Capsule Game Released Price Reviews Est. copies Est. revenue Developer
The Mortuary Assistant older $24.99 7,269 92% 218k $5.4M (exactly $5,449,569) DarkStone Digital
Autopsy Simulator older $24.99 1,337 49% 40k $1.0M (exactly $1,002,349) Woodland Games
Mind Scanners older $16.99 1,095 78% 33k $558k (exactly $558,122) The Outer Zone
Heart's Medicine - Time to Heal older $19.99 807 93% 24k $484k (exactly $483,958) Blue Giraffe, GameHouse
Night Shift Nurses $19.99 593 84% 18k $356k (exactly $355,622) Shiravune
Heart's Medicine - Hospital Heat older $19.99 328 95% 9.8k $197k (exactly $196,702) Blue Giraffe, GameHouse
Heart's Medicine - Doctor's Oath older $19.99 181 62% 5.4k $109k (exactly $108,546) Blue Giraffe, GameHouse
Real Feel $19.99 170 64% 5.1k $102k (exactly $101,949) Entropy Digital Entertainment
Sanatorium - A Mental Asylum Simulator $12.99 208 59% 6.2k $81k (exactly $81,058) Zeitglas
The Patient S Remedy older $39.99 50 98% 1.5k $60k (exactly $59,985) MADA labo
Songs of Life $8.99 80 81% 2.4k $22k (exactly $21,576) DreamStep
Witch Please: Sex Service $7.99 70 65% 2.1k $17k (exactly $16,779) Aquilon
Necrologium $9.99 29 89% 870 $8.7k (exactly $8,691) Bob's Cult Studio
Neo Harbor Rescue Squad $19.99 7 71% 210 $4.2k (exactly $4,198) BancyCo
Dilemma $5.99 21 95% 630 $3.8k (exactly $3,774) DrAxelStudio
The Book of Plagues $6.99 17 94% 510 $3.6k (exactly $3,565) DiaMMax Games
Antidote to despair $8.99 7 85% 210 $1.9k (exactly $1,888) Gamet

Estimates: copies = reviews × 30, gross = copies × list price.