Games › Medical Sim › Medical Sim + Multiple Endings
Should I ship a Multiple Endings Medical Sim?
Medical Sim + Multiple Endings
Only 17 developers shipped a Multiple Endings Medical 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, Do No Harm, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 25 more are announced, ×2.3 for every developer who shipped in the last year.
Verdict: poor odds, for a 4 / 10 build.
The middle developer here made $2.3k, ×4.8 the market's $480 for a 4 / 10 build, and 3 in 10 made under $450; 1 in 20 cleared $420k, ×905 the market median. Revenue is down 35% on the market; 25 games are announced against 11 developers who shipped in the last year.
| Bottom 30% | $449 (exactly $449) |
|---|---|
| Median | $2.3k (exactly $2,274) |
| Top 25% | $18k (exactly $17,530) |
| Top 5% | $430k (exactly $429,811) |
| Developers, 2 yr | 17 |
| Released games | 34 |
| Announced | 25 |
| Effort | 4 / 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 35% on the market, supply 85% more developers than the period before.
Free games: 12%, excluded from money figures.
Can AI deliver it?
AI-buildability for this niche is medium: the lowest rating among its tags.
- Medical Sim
- effort 4 / 10 · medium · effort 4 sits in the medium band
- Multiple Endings
- effort 3 / 10 · high · effort 3 sits in the high band
What it takes
- Effort
- 4 / 10 · mid 2D, writing-heavy, or simple 3D
- Systems
- Medical Sim, Multiple Endings; 8 in 10 of the top 25% also carry Choices Matter, Puzzle, Simulation
- Price point
- $7.99 typical · top 25% priced $12.99 or above
- Art
- 6 in 10 of the top 25% ship with Story Rich, Atmospheric, 2D
Why players buy here
The top 25% priced at $12.99 or above; the middle game at $7.99.
The top 10 games average 73% positive over 1,449 reviews.
What kills games here
3 in 10 developers made under $450. 7 in 10 of the 7 games released 1 to 2 years ago have fewer than 100 reviews. 25 games are announced against 11 developers who shipped in the last year, ×2.3 per shipper.
Adjacent niches
Medical Sim with a different second tag, ranked by verdict then median.
- + PuzzleFair
- + SandboxPoor odds
- + BuildingPoor odds
- + Point & ClickPoor odds
- + Immersive SimPoor odds
- + EconomyPoor odds
- + Life SimPoor odds
- + Choices MatterPoor odds
- + Visual NovelPoor odds
- + Resource ManagementPoor odds
- + ManagementPoor odds
- + SimulationPoor odds
Comparable games
War Hospital 2024 · $905k 
Mind Scanners 2021 · $558k 
Do No Harm 2025 · $430k 
Revenge Of The Colon 2023 · $143k 
Oyabu Clinic Deathcare Corporation 2023 · $96k | 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. |
| | 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 | |
| | Revenge Of The Colon | older | $12.99 | 366 84% | 11k | $143k (exactly $142,630) | Lilou Studio |
| | 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 | |
 | The Patient S Remedy | older | $39.99 | 50 98% | 1.5k | $60k (exactly $59,985) | MADA labo |
 | The Kindeman Remedy | older | $4.99 | 270 67% | 8.1k | $40k (exactly $40,419) | Troglobytes Games |
 | Herbals tycoon | · EA | $9.99 | 123 76% | 3.7k | $37k (exactly $36,863) | Orange Paper Studio |
 | Prescribe and Pray | $11.99 | 71 70% | 2.1k | $26k (exactly $25,539) | Nuclear Rabbits | |
 | Wound Man | $8.99 | 65 93% | 2.0k | $18k (exactly $17,530) | Aspidochelone Studios | |
 | Alien Morgue | $7.99 | 34 94% | 1.0k | $8.2k (exactly $8,150) | BurGum Games | |
 | Real Pharmacy Simulator | · EA | $12.99 | 10 20% | 300 | $3.9k (exactly $3,897) | Mannered Monster |
 | The Book of Plagues | $6.99 | 17 94% | 510 | $3.6k (exactly $3,565) | DiaMMax Games | |
 | 電視夢工場 | $3.99 | 19 52% | 570 | $2.3k (exactly $2,274) | T-Time Technology CO., LTD. | |
 | Epi Derick | $7.99 | 6 66% | 180 | $1.4k (exactly $1,438) | Fireslug Studios |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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