Do I ship it?

GamesManagementManagement + Medical Sim

Specimen · observed

Should I ship a Medical Sim Management game?

Management + Medical Sim

Of 31 developers who shipped a Medical Sim Management game 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.. 49 more are announced, ×2.3 for every developer who shipped in the last year.

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

The middle developer here made $3.8k, ×6.0 the market's $630 for a 5 / 10 build, and 3 in 10 made under $1.7k; 1 in 20 cleared $420k, ×684 the market median. Revenue is down 80% on the market; 49 games are announced against 21 developers who shipped in the last year.

Deciding numbers: median 6.0 times the market baseline, revenue down 80% on the market, 49 announced, ×2.3 per developer who shipped in the last year.
Nobody has said they are building this yet.
Management + Medical Sim
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 31
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $40k → $73k → $19k → $4.5k → $3.8k (still earning) → $599 (still earning)
The last cohort is still earning.
Outcomes for Management + Medical Sim: Plate 1 · outcomes, 2 yr, n = 31
Bottom 30% $1.6k (exactly $1,617)
Median $3.8k (exactly $3,774)
Top 25% $19k (exactly $19,162)
Top 5% $430k (exactly $429,811)
Developers, 2 yr 31
Released games 66
Announced 49
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 80% on the market, supply 110% more developers than the period before.

Free games: 5%, 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.

Management
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
Management, Medical Sim; 4 in 10 of the top 25% also carry Simulation, Choices Matter, Economy
Price point
$7.99 typical · top 25% priced $24.99 or above
Art
6 in 10 of the top 25% ship with 3D, Atmospheric, First-Person
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 70% positive over 3,810 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $1.7k, median $3.8k, 1 in 4 over $19k, 1 in 20 over $420k.

3 in 10 developers made under $1.7k. 6 in 10 of the 12 games released 1 to 2 years ago have fewer than 100 reviews. 49 games are announced against 21 developers who shipped in the last year, ×2.3 per shipper.

Plate 6 · same mechanic, other settings

Adjacent niches

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

  1. + RomeFair21 devs · median $64k · 23 announced
  2. + Job SimulatorFair195 devs · median $17k · 225 announced
  3. + WesternFair18 devs · median $13k · 22 announced
  4. + Artificial IntelligenceFair114 devs · median $12k · 154 announced
  5. + JRPGFair37 devs · median $9.4k · 35 announced
  6. + MinigamesFair22 devs · median $7.4k · 15 announced
  7. + RhythmFair19 devs · median $5.9k · 24 announced
  8. + UnderwaterFair37 devs · median $5.0k · 54 announced
  9. + CollectathonFair182 devs · median $3.5k · 230 announced
  10. + DwarvesFair13 devs · median $3.2k · 18 announced
  11. + 3D FighterFair11 devs · median $3.1k · 15 announced
  12. + IncrementalFair611 devs · median $1.9k · 893 announced

All 214 pairs on the Management 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
112 Operator older $24.99 5,688 88% 171k $4.3M (exactly $4,264,294) Jutsu Games
Let's School older $19.99 5,887 92% 177k $3.5M (exactly $3,530,434) Pathea Games
Bio Inc. Redemption older $12.99 3,051 87% 92k $1.2M (exactly $1,188,975) DryGin Studios
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.
Ambulance Life: A Paramedic Simulator $29.99 993 50% 30k $893k (exactly $893,402) Aesir Interactive
Mind Scanners older $16.99 1,095 78% 33k $558k (exactly $558,122) The Outer Zone
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
CURE - A Hospital Simulator · EA $9.99 830 86% 25k $249k (exactly $248,751) Sentinel Games
Fable Hospital $24.99 82 75% 2.5k $61k (exactly $61,475) AMGames TC
Prescribe and Pray $11.99 71 70% 2.1k $26k (exactly $25,539) Nuclear Rabbits
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)
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

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