Do I ship it?

GamesEconomyEconomy + Medical Sim

Specimen · observed

Should I ship a Medical Sim Economy game?

Economy + Medical Sim

Only 14 developers shipped a Medical Sim Economy 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, Potion Tycoon, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 12 more are announced.

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

The middle developer here made $5.9k, ×9.4 the market's $630 for a 5 / 10 build, and 3 in 10 made under $2.4k; 1 in 20 cleared $370k, ×601 the market median. Revenue is down 45% on the market; 12 games are announced against 8 developers who shipped in the last year.

Deciding numbers: median 9.4 times the market baseline, revenue down 45% on the market, 12 announced, ×1.5 per developer who shipped in the last year.
Nobody has said they are building this yet.
Economy + 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: $73k → $19k → $13k (still earning)
The last cohort is still earning.
Outcomes for Economy + Medical Sim: Plate 1 · outcomes, 2 yr, n = 14
Bottom 30% $2.3k (exactly $2,307)
Median $5.9k (exactly $5,872)
Top 25% $19k (exactly $19,162)
Top 5% $377k (exactly $377,211)
Developers, 2 yr 14
Released games 25
Announced 12
Effort 5 / 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 45% on the market, supply 35% more developers than the period before.

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.

Economy
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
Economy, Medical Sim
Price point
$8.99 typical
Plate 4 · demand

Why players buy here

The top 10 games average 77% positive over 1,810 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $2.4k, median $5.9k, 1 in 4 over $19k, 1 in 20 over $370k.

3 in 10 developers made under $2.4k. 7 in 10 of the 6 games released 1 to 2 years ago have fewer than 100 reviews. 12 games are announced against 8 developers who shipped in the last year.

Plate 6 · same mechanic, other settings

Adjacent niches

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

  1. + Job SimulatorFair116 devs · median $22k · 125 announced
  2. + Football (Soccer)Fair21 devs · median $6.8k · 29 announced
  3. + ScienceFair39 devs · median $5.9k · 39 announced
  4. + MiningFair116 devs · median $5.0k · 173 announced
  5. + LootFair74 devs · median $4.6k · 114 announced
  6. + CollectathonFair125 devs · median $3.8k · 151 announced
  7. + God GameFair47 devs · median $2.8k · 58 announced
  8. + Auto BattlerFair59 devs · median $2.4k · 79 announced
  9. + IdlerFair441 devs · median $2.3k · 589 announced
  10. + IncrementalFair408 devs · median $2.2k · 612 announced
  11. + ArcadeFair199 devs · median $2.1k · 285 announced
  12. + Strategy RPGFair95 devs · median $2.0k · 128 announced

All 161 pairs on the Economy page

Plate 7 · comparable specimens, by est. revenue

Comparable games

Capsule Game Released Price Reviews Est. copies Est. revenue Developer
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
Weedcraft Inc older $19.99 1,549 79% 46k $929k (exactly $928,935) Vile Monarch
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
CURE - A Hospital Simulator · EA $9.99 830 86% 25k $249k (exactly $248,751) Sentinel Games
Rec Center Tycoon - Management Simulator · EA older $11.99 260 73% 7.8k $94k (exactly $93,522) Jarrod Brown
Prison Tycoon®: Under New Management older $19.99 144 62% 4.3k $86k (exactly $86,357) Abylight Studios
Fable Hospital $24.99 82 75% 2.5k $61k (exactly $61,475) AMGames TC
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.
Dead 4 Now: Bio-Weapon Simulator $14.99 29 75% 870 $13k (exactly $13,041) d'Evo
Pharma Craft $6.99 28 75% 840 $5.9k (exactly $5,872) ZD Yazilim
Pharma R&D Manager $49.99 3 66% 90 $4.5k (exactly $4,499) Innopede GmbH
Real Pharmacy Simulator · EA $12.99 10 20% 300 $3.9k (exactly $3,897) Mannered Monster
英雄荣光医院 $6.99 11 100% 330 $2.3k (exactly $2,307) Areas R

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