Games › Medical Sim › Medical Sim + Puzzle
Should I ship a Puzzle Medical Sim?
Medical Sim + Puzzle
Only 17 developers shipped a Puzzle 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.. 27 more are announced.
Verdict: fair, for a 4 / 10 build.
The middle developer here made $6.1k, ×13 the market's $480 for a 4 / 10 build, with 3 in 10 under $1.9k. Revenue is up 1462555% on the market; 27 games are announced against 14 developers who shipped in the last year.
| Bottom 30% | $1.9k (exactly $1,888) |
|---|---|
| Median | $6.1k (exactly $6,090) |
| Top 25% | $18k (exactly $17,530) |
| Top 5% | $430k (exactly $429,811) |
| Developers, 2 yr | 17 |
| Released games | 41 |
| Announced | 27 |
| 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 too few recent games to read momentum, supply 365% 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
- Puzzle
- effort 2 / 10 · high · discrete rules, levels are data
What it takes
- Effort
- 4 / 10 · mid 2D, writing-heavy, or simple 3D
- Systems
- Medical Sim, Puzzle; 8 in 10 of the top 25% also carry Choices Matter, Multiple Endings, Point & Click
- Price point
- $7.99 typical · top 25% priced $12.99 or above
- Art
- 6 in 10 of the top 25% ship with Atmospheric, Story Rich, Dark
Why players buy here
The top 25% priced at $12.99 or above; the middle game at $7.99.
The top 10 games average 75% positive over 1,716 reviews.
What kills games here
3 in 10 developers made under $1.9k. 27 games are announced against 14 developers who shipped in the last year.
Adjacent niches
Medical Sim with a different second tag, ranked by verdict then median.
- + 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
- + Female ProtagonistPoor odds
Comparable games
Surgeon Simulator 2013 · $4.1M 
Surgeon Simulator 2 2021 · $1.2M 
Big Pharma 2015 · $1.1M 
Do No Harm 2025 · $430k 
Creature Lab 2023 · $206k | Capsule | Game | Released | Price | Reviews | Est. copies | Est. revenue | Developer |
|---|---|---|---|---|---|---|---|
| | Surgeon Simulator | older | $9.99 | 13,796 82% | 414k | $4.1M (exactly $4,134,661) | Bossa Studios |
| | Surgeon Simulator 2 | older | $19.99 | 2,033 44% | 61k | $1.2M (exactly $1,219,190) | Bossa Studios |
| | Big Pharma | older | $24.99 | 1,443 78% | 43k | $1.1M (exactly $1,081,817) | Twice Circled |
| | Do No Harm | $15.99 | 896 74% | 27k | $430k (exactly $429,811) | Darts Games | |
| | Creature Lab | older | $19.99 | 343 51% | 10k | $206k (exactly $205,697) | Image Power S.A. |
 | Sanatorium - A Mental Asylum Simulator | $12.99 | 208 59% | 6.2k | $81k (exactly $81,058) | Zeitglas | |
 | Angel Engine | $7.99 | 303 80% | 9.1k | $73k (exactly $72,629) | HMS Studios, Black Lantern Collective | |
 | Healing Spree | older | $14.99 | 83 51% | 2.5k | $37k (exactly $37,325) | Paro |
 | Prescribe and Pray | $11.99 | 71 70% | 2.1k | $26k (exactly $25,539) | Nuclear Rabbits | |
 | Plague M.D. | older | $5.99 | 134 73% | 4.0k | $24k (exactly $24,080) | CosCom Art Group |
 | Wound Man | $8.99 | 65 93% | 2.0k | $18k (exactly $17,530) | Aspidochelone Studios | |
 | MALPRAXIS™ | $8.99 | 35 48% | 1.1k | $9.4k (exactly $9,440) | Sunscorched Studios | |
 | Necrologium | $9.99 | 29 89% | 870 | $8.7k (exactly $8,691) | Bob's Cult Studio | |
 | Alien Morgue | $7.99 | 34 94% | 1.0k | $8.2k (exactly $8,150) | BurGum Games | |
 | Symptoms of Infection | · EA | $3.50 | 58 89% | 1.7k | $6.1k (exactly $6,090) | ORB Research & Broadcasting |
 | Cure for Danmaku Synd | $6.99 | 17 100% | 510 | $3.6k (exactly $3,565) | ToAge |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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