Games › Life Sim › Life Sim + Medical Sim
Should I ship a Medical Sim Life Sim?
Life Sim + Medical Sim
Of 32 developers who shipped a Medical Sim Life 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.. 42 more are announced.
Verdict: poor odds, for a 4 / 10 build.
The middle developer here made $4.5k, ×9.5 the market's $480 for a 4 / 10 build, and 3 in 10 made under $1.2k; 1 in 20 cleared $240k, ×524 the market median. Revenue is down 80% on the market; 42 games are announced against 22 developers who shipped in the last year.
| Bottom 30% | $1.2k (exactly $1,166) |
|---|---|
| Median | $4.5k (exactly $4,499) |
| Top 25% | $37k (exactly $36,863) |
| Top 5% | $249k (exactly $248,751) |
| Developers, 2 yr | 32 |
| Released games | 69 |
| 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 80% on the market, supply 120% more developers than the period before.
Free games: 9%, excluded from money figures.
Can AI deliver it?
AI-buildability for this niche is medium: the lowest rating among its tags.
- Life Sim
- 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
- Life Sim, Medical Sim; 4 in 10 of the top 25% also carry Simulation, Sandbox, Choices Matter
- Price point
- $8.99 typical · top 25% priced $19.99 or above
- Art
- 6 in 10 of the top 25% ship with Atmospheric, 3D, Realistic
Why players buy here
The top 25% priced at $19.99 or above; the middle game at $8.99.
The top 10 games average 77% positive over 2,541 reviews.
What kills games here
3 in 10 developers made under $1.2k. 5 in 10 of the 10 games released 1 to 2 years ago have fewer than 100 reviews. 42 games are announced against 22 developers who shipped in the last year.
Adjacent niches
Life Sim with a different second tag, ranked by verdict then median.
- + FMVStrong odds
- + MinigamesStrong odds
- + MusicStrong odds
- + Job SimulatorFair
- + Football (Soccer)Fair
- + FaithFair
- + Artificial IntelligenceFair
- + GamblingFair
- + DemonsFair
- + Point & ClickFair
- + LogicFair
- + ZombiesFair
Comparable games
Project Hospital 2018 · $6.3M 
Night Shift Nurses 2024 · $356k 
Weed Shop 2 2017 · $253k 
CURE - A Hospital Simulator 2025 · EA · $249k 
Emergency Room Simulator 2026 · $115k | 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 |
| | Night Shift Nurses | $19.99 | 593 84% | 18k | $356k (exactly $355,622) | Shiravune | |
| | 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 |
| | Emergency Room Simulator | $24.99 | 154 43% | 4.6k | $115k (exactly $115,454) | Caipirinha Games | |
 | Real Feel | $19.99 | 170 64% | 5.1k | $102k (exactly $101,949) | Entropy Digital Entertainment | |
 | Lost Scavenger | · EA older | $14.99 | 220 51% | 6.6k | $99k (exactly $98,934) | Rockbee |
 | Prison Tycoon®: Under New Management | older | $19.99 | 144 62% | 4.3k | $86k (exactly $86,357) | Abylight Studios |
 | 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 🖤 | |
 | Orgasm Lab Simulator 💦🍌 | $14.99 | 119 69% | 3.6k | $54k (exactly $53,514) | BanzaiProject | |
 | Medic: Pacific War | · EA | $9.99 | 143 70% | 4.3k | $43k (exactly $42,857) | Hypnotic Ants |
 | Herbals tycoon | · EA | $9.99 | 123 76% | 3.7k | $37k (exactly $36,863) | Orange Paper Studio |
 | Big Bad Pharma | $6.99 | 92 84% | 2.8k | $19k (exactly $19,292) | Middlewood 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) |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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