Games › Choices Matter › Choices Matter + Medical Sim
Should I ship a Choices Matter Medical Sim?
Choices Matter + Medical Sim
Of 33 developers who shipped a Choices Matter Medical Sim in the last 2 years: 3 in 10 made under est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method., the middle one made est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method., 1 in 4 cleared est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method., 1 in 20 cleared est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 43 more are announced, ×2.2 for every developer who shipped in the last year.
Verdict: poor odds, for a 4 / 10 build.
The middle developer here made $4.2k, ×8.8 the market's $480 for a 4 / 10 build, and 3 in 10 made under $900; 1 in 20 cleared $370k, ×794 the market median. Revenue is up 90% on the market; 43 games are announced against 20 developers who shipped in the last year.
| Bottom 30% | $899 (exactly $899) |
|---|---|
| Median | $4.2k (exactly $4,198) |
| Top 25% | $19k (exactly $19,162) |
| Top 5% | $377k (exactly $377,211) |
| Developers, 2 yr | 33 |
| Released games | 60 |
| Announced | 43 |
| 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 up 90% on the market, supply 55% more developers than the period before.
Free games: 10%, excluded from money figures.
Can AI deliver it?
AI-buildability for this niche is medium: the lowest rating among its tags.
- Choices Matter
- effort 4 / 10 · medium · effort 4 sits in the medium band
- Medical Sim
- effort 4 / 10 · medium · effort 4 sits in the medium band
What it takes
- Effort
- 4 / 10 · mid 2D, writing-heavy, or simple 3D
- Systems
- Choices Matter, Medical Sim; 4 in 10 of the top 25% also carry Simulation, Life Sim, Management
- Price point
- $8.99 typical · top 25% priced $19.99 or above
- Art
- 5 in 10 of the top 25% ship with Atmospheric, 2D, Story Rich
Why players buy here
The top 25% priced at $19.99 or above; the middle game at $8.99.
The top 10 games average 75% positive over 3,827 reviews.
What kills games here
3 in 10 developers made under $900. 6 in 10 of the 16 games released 1 to 2 years ago have fewer than 100 reviews. 43 games are announced against 20 developers who shipped in the last year, ×2.2 per shipper.
Adjacent niches
Choices Matter with a different second tag, ranked by verdict then median.
- + FMVStrong odds
- + Escape RoomFair
- + SportsFair
- + RhythmFair
- + Hidden ObjectFair
- + TriviaFair
- + Board GameFair
- + RacingFair
- + ChessFair
- + Real-Time with PausePoor odds
- + RomePoor odds
- + World War IPoor odds
Comparable games
War Hospital 2024 · $905k 
Accident 2021 · $657k 
Mind Scanners 2021 · $558k 
Galacticare 2024 · $540k 
Do No Harm 2025 · $430k | Capsule | Game | Released | Price | Reviews | Est. copies | Est. revenue | Developer |
|---|---|---|---|---|---|---|---|
| | War Hospital | older | $29.99 | 1,006 60% | 30k | $905k (exactly $905,098) | Brave Lamb Studio S.A. |
| | Accident | older | $14.99 | 1,462 76% | 44k | $657k (exactly $657,461) | Duality Games, Spirit Games Studio |
| | Mind Scanners | older | $16.99 | 1,095 78% | 33k | $558k (exactly $558,122) | The Outer Zone |
| | Galacticare | older | $29.99 | 600 85% | 18k | $540k (exactly $539,820) | Brightrock Games |
| | Do No Harm | $15.99 | 896 74% | 27k | $430k (exactly $429,811) | Darts 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 | |
 | Revenge Of The Colon | older | $12.99 | 366 84% | 11k | $143k (exactly $142,630) | Lilou Studio |
 | Emergency Room Simulator | $24.99 | 154 43% | 4.6k | $115k (exactly $115,454) | Caipirinha Games | |
 | Oyabu Clinic Deathcare Corporation | older | $14.99 | 213 93% | 6.4k | $96k (exactly $95,786) | Flying Panjandrum / ふらいんぐパンジャンドラム |
 | Sanatorium - A Mental Asylum Simulator | $12.99 | 208 59% | 6.2k | $81k (exactly $81,058) | Zeitglas | |
 | SEX Hospital 💦 | $9.99 | 189 69% | 5.7k | $57k (exactly $56,643) | Lust Desires 🖤 | |
 | Orgasm Lab Simulator 💦🍌 | $14.99 | 119 69% | 3.6k | $54k (exactly $53,514) | BanzaiProject | |
 | Prescribe and Pray | $11.99 | 71 70% | 2.1k | $26k (exactly $25,539) | Nuclear Rabbits | |
 | 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) | |
 | Wound Man | $8.99 | 65 93% | 2.0k | $18k (exactly $17,530) | Aspidochelone Studios |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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