Do I ship it?

GamesBuildingBuilding + Medical Sim

Specimen · observed

Should I ship a Building Medical Sim?

Building + Medical Sim

Only 14 developers shipped a Building Medical Sim 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, Potion Tycoon, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 21 more are announced, ×3.0 for every developer who shipped in the last year.

Verdict: poor odds, for a 5 / 10 build.

The middle developer here made $11k, ×17 the market's $630 for a 5 / 10 build, and 3 in 10 made under $2.3k; 1 in 20 cleared $370k, ×601 the market median. Revenue is down 90% on the market; 21 games are announced against 7 developers who shipped in the last year.

Deciding numbers: median 16.8 times the market baseline, revenue down 90% on the market, 21 announced, ×3.0 per developer who shipped in the last year.
Nobody has said they are building this yet.
Building + Medical Sim
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 14
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $540k → $37k → $2.3k (still earning)
The last cohort is still earning.
Outcomes for Building + Medical Sim: Plate 1 · outcomes, 2 yr, n = 14
Bottom 30% $2.3k (exactly $2,274)
Median $11k (exactly $10,547)
Top 25% $37k (exactly $36,863)
Top 5% $377k (exactly $377,211)
Developers, 2 yr 14
Released games 32
Announced 21
Effort 5 / 10
AI-buildability Medium
Typical price $7.99

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 90% on the market, supply as many developers as the period before.

Free games: 6%, 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.

Building
effort 5 / 10 · medium · effort 5 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
5 / 10 · real systems or entry 3D
Systems
Building, Medical Sim; 8 in 10 of the top 25% also carry Simulation, Resource Management, Sandbox
Price point
$7.99 typical · top 25% priced $24.99 or above
Art
5 in 10 of the top 25% ship with 2D, Cartoony, Colorful
Plate 4 · demand

Why players buy here

The top 25% priced at $24.99 or above; the middle game at $7.99.

The top 10 games average 79% positive over 2,492 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $2.3k, median $11k, 1 in 4 over $36k, 1 in 20 over $370k.

3 in 10 developers made under $2.3k. 4 in 10 of the 7 games released 1 to 2 years ago have fewer than 100 reviews. 21 games are announced against 7 developers who shipped in the last year, ×3.0 per shipper.

Plate 6 · same mechanic, other settings

Adjacent niches

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

  1. + Job SimulatorStrong odds66 devs · median $28k · 70 announced
  2. + CatsFair52 devs · median $4.5k · 59 announced
  3. + TabletopFair56 devs · median $1.9k · 58 announced
  4. + Grid-Based MovementFair50 devs · median $719 · 57 announced
  5. + Interactive FictionFair17 devs · median $449 · 20 announced
  6. + Vehicular CombatPoor odds14 devs · median $303k · 40 announced
  7. + JRPGPoor odds10 devs · median $89k · 20 announced
  8. + Dating SimPoor odds28 devs · median $85k · 61 announced
  9. + Open World Survival CraftPoor odds112 devs · median $71k · 251 announced
  10. + Real-TimePoor odds14 devs · median $62k · 20 announced
  11. + CrimePoor odds13 devs · median $55k · 52 announced
  12. + SailingPoor odds13 devs · median $52k · 40 announced

All 210 pairs on the Building page

Plate 7 · comparable specimens, by est. revenue

Comparable games

Capsule Game Released Price Reviews Est. copies Est. revenue Developer
Two Point Hospital older $29.99 26,638 92% 799k $24M (exactly $23,966,209) Two Point Studios
Project Hospital older $24.99 8,387 89% 252k $6.3M (exactly $6,287,734) Oxymoron Games
Let's School older $19.99 5,887 92% 177k $3.5M (exactly $3,530,434) Pathea Games
Big Pharma older $24.99 1,443 78% 43k $1.1M (exactly $1,081,817) Twice Circled
War Hospital older $29.99 1,006 60% 30k $905k (exactly $905,098) Brave Lamb Studio S.A.
Galacticare older $29.99 600 85% 18k $540k (exactly $539,820) Brightrock Games
Potion Tycoon $19.99 629 71% 19k $377k (exactly $377,211) Snowhound Games
BM General Hospital $7.99 1,368 86% 41k $328k (exactly $327,910) zzzgame
Weed Shop 2 older $9.99 845 86% 25k $253k (exactly $253,246) ADhD Studios
Rec Center Tycoon - Management Simulator · EA older $11.99 260 73% 7.8k $94k (exactly $93,522) Jarrod Brown
Fable Hospital $24.99 82 75% 2.5k $61k (exactly $61,475) AMGames TC
Herbals tycoon · EA $9.99 123 76% 3.7k $37k (exactly $36,863) Orange Paper Studio
Doctor Life Simulator $4.99 128 62% 3.8k $19k (exactly $19,162) Bleeding Edge Studio, Blackburne Games… (Bleeding Edge Studio, Blackburne Games Studio FZ LLC)
Pharmacy Store Simulator $8.99 60 68% 1.8k $16k (exactly $16,182) Art Games Studio S.A.
Sim Hospital $7.99 44 50% 1.3k $11k (exactly $10,547) Dao Studio
Pharma Craft $6.99 28 75% 840 $5.9k (exactly $5,872) ZD Yazilim
英雄荣光医院 $6.99 11 100% 330 $2.3k (exactly $2,307) Areas R
電視夢工場 $3.99 19 52% 570 $2.3k (exactly $2,274) T-Time Technology CO., LTD.

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