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Should I ship a Medical Sim Immersive Sim?
Immersive Sim + Medical Sim
Only 18 developers shipped a Medical Sim Immersive 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, Ambulance Life: A Paramedic Simulator, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 53 more are announced, ×5.3 for every developer who shipped in the last year.
Verdict: poor odds, for a 8 / 10 build.
The middle developer here made $6.0k, ×4.0 the market's $1.5k for a 8 / 10 build, and 3 in 10 made under $420; 1 in 20 cleared $890k, ×596 the market median. Revenue is up 1040% on the market; 53 games are announced against 10 developers who shipped in the last year.
| Bottom 30% | $419 (exactly $419) |
|---|---|
| Median | $6.0k (exactly $5,995) |
| Top 25% | $19k (exactly $19,292) |
| Top 5% | $893k (exactly $893,402) |
| Developers, 2 yr | 18 |
| Released games | 47 |
| Announced | 53 |
| Effort | 8 / 10 |
| AI-buildability | Low |
| Typical price | $9.99 |
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 1040% on the market, supply 25% more developers than the period before.
Free games: 15%, excluded from money figures.
Can AI deliver it?
AI-buildability for this niche is low: the lowest rating among its tags.
- Immersive Sim
- effort 8 / 10 · low · effort 8 sits in the low band
- Medical Sim
- effort 4 / 10 · medium · effort 4 sits in the medium band
What it takes
- Effort
- 8 / 10 · online systems, open world
- Systems
- Immersive Sim, Medical Sim; 6 in 10 of the top 25% also carry Life Sim, Simulation, Management
- Price point
- $9.99 typical · top 25% priced $19.99 or above
- Art
- 8 in 10 of the top 25% ship with 3D, Atmospheric, Realistic
Why players buy here
The top 25% priced at $19.99 or above; the middle game at $9.99.
The top 10 games average 68% positive over 2,441 reviews.
What kills games here
3 in 10 developers made under $420. 6 in 10 of the 8 games released 1 to 2 years ago have fewer than 100 reviews. 53 games are announced against 10 developers who shipped in the last year, ×5.3 per shipper.
Adjacent niches
Immersive Sim with a different second tag, ranked by verdict then median.
- + FMVStrong odds
- + Trading Card GameStrong odds
- + MinigamesStrong odds
- + WesternStrong odds
- + BoxingStrong odds
- + Job SimulatorFair
- + Asynchronous MultiplayerFair
- + Dating SimFair
- + RomanceFair
- + LGBTQ+Fair
- + Visual NovelFair
- + Split ScreenFair
Comparable games
112 Operator 2020 · $4.3M 
Ambulance Life: A Paramedic Simulator 2025 · $893k 
Weed Shop 2 2017 · $253k 
CURE - A Hospital Simulator 2025 · EA · $249k 
Traditional Chinese Medicine Simulator 2021 · EA · $137k | Capsule | Game | Released | Price | Reviews | Est. copies | Est. revenue | Developer |
|---|---|---|---|---|---|---|---|
| | 112 Operator | older | $24.99 | 5,688 88% | 171k | $4.3M (exactly $4,264,294) | Jutsu Games |
| | Ambulance Life: A Paramedic Simulator | $29.99 | 993 50% | 30k | $893k (exactly $893,402) | Aesir Interactive | |
| | Weed Shop 2 | older | $9.99 | 845 86% | 25k | $253k (exactly $253,246) | ADhD Studios |
| | CURE - A Hospital Simulator | · EA | $9.99 | 830 86% | 25k | $249k (exactly $248,751) | Sentinel Games |
| | Traditional Chinese Medicine Simulator | · EA older | $14.99 | 304 96% | 9.1k | $137k (exactly $136,709) | 曲波 |
 | Real Feel | $19.99 | 170 64% | 5.1k | $102k (exactly $101,949) | Entropy Digital Entertainment | |
 | Rec Center Tycoon - Management Simulator | · EA older | $11.99 | 260 73% | 7.8k | $94k (exactly $93,522) | Jarrod Brown |
 | Pharmacy Simulator | · EA older | $9.99 | 244 57% | 7.3k | $73k (exactly $73,127) | Altai Entertainment |
 | SEX Hospital 💦 | $9.99 | 189 69% | 5.7k | $57k (exactly $56,643) | Lust Desires 🖤 | |
 | Big Bad Pharma | $6.99 | 92 84% | 2.8k | $19k (exactly $19,292) | Middlewood Studio | |
 | 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 | |
 | Symptoms of Infection | · EA | $3.50 | 58 89% | 1.7k | $6.1k (exactly $6,090) | ORB Research & Broadcasting |
 | FORENSIC - M.E. Protocol | $12.49 | 16 62% | 480 | $6.0k (exactly $5,995) | k148 Game Studio | |
 | Pompiers Simulator | · EA | $7.99 | 4 100% | 120 | $959 (exactly $959) | Vincent Tartar |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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