Do I ship it?

GamesMedical SimMedical Sim + Resource Management

Specimen · observed

Should I ship a Medical Sim Resource Management game?

Medical Sim + Resource Management

Of 20 developers who shipped a Medical Sim Resource 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.. 33 more are announced, ×2.4 for every developer who shipped in the last year.

Verdict: poor odds, for a 4 / 10 build.

The middle developer here made $3.9k, ×8.2 the market's $480 for a 4 / 10 build, and 3 in 10 made under $600; 1 in 20 cleared $370k, ×794 the market median. Revenue is down 90% on the market; 33 games are announced against 14 developers who shipped in the last year.

Deciding numbers: median 8.2 times the market baseline, revenue down 90% on the market, 33 announced, ×2.4 per developer who shipped in the last year.
Nobody has said they are building this yet.
Medical Sim + Resource Management
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 20
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $73k → $37k → $1.4k → $5.9k (still earning) → $599 (still earning)
The last cohort is still earning.
Outcomes for Medical Sim + Resource Management: Plate 1 · outcomes, 2 yr, n = 20
Bottom 30% $600 (exactly $600)
Median $3.9k (exactly $3,897)
Top 25% $37k (exactly $36,863)
Top 5% $377k (exactly $377,211)
Developers, 2 yr 20
Released games 34
Announced 33
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 90% on the market, supply 135% more developers than the period before.

Free games: 6%, 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.

Medical Sim
effort 4 / 10 · medium · effort 4 sits in the medium band
Resource Management
effort 4 / 10 · medium · effort 4 sits in the medium band

How the rubric works →

Plate 3 · the cost side

What it takes

Effort
4 / 10 · mid 2D, writing-heavy, or simple 3D
Systems
Medical Sim, Resource Management; 6 in 10 of the top 25% also carry Simulation, Building, Economy
Price point
$8.99 typical · top 25% priced $19.99 or above
Art
4 in 10 of the top 25% ship with 3D, 2D, Atmospheric
Plate 4 · demand

Why players buy here

The top 25% priced at $19.99 or above; the middle game at $8.99.

The top 10 games average 78% positive over 2,138 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $600, median $3.9k, 1 in 4 over $36k, 1 in 20 over $370k.

3 in 10 developers made under $600. 7 in 10 of the 7 games released 1 to 2 years ago have fewer than 100 reviews. 33 games are announced against 14 developers who shipped in the last year, ×2.4 per shipper.

Plate 6 · same mechanic, other settings

Adjacent niches

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

  1. + PuzzleFair17 devs · median $6.1k · 27 announced
  2. + SandboxPoor odds11 devs · median $37k · 25 announced
  3. + BuildingPoor odds14 devs · median $11k · 21 announced
  4. + Point & ClickPoor odds22 devs · median $8.2k · 26 announced
  5. + Immersive SimPoor odds18 devs · median $6.0k · 53 announced
  6. + EconomyPoor odds14 devs · median $5.9k · 12 announced
  7. + Life SimPoor odds32 devs · median $4.5k · 42 announced
  8. + Choices MatterPoor odds33 devs · median $4.2k · 43 announced
  9. + Visual NovelPoor odds16 devs · median $4.2k · 14 announced
  10. + ManagementPoor odds31 devs · median $3.8k · 49 announced
  11. + SimulationPoor odds73 devs · median $3.6k · 132 announced
  12. + Female ProtagonistPoor odds8 devs · median $3.6k · 12 announced

All 20 pairs on the Medical Sim page

Plate 7 · comparable specimens, by est. revenue

Comparable games

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
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
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
Rec Center Tycoon - Management Simulator · EA older $11.99 260 73% 7.8k $94k (exactly $93,522) Jarrod Brown
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
Angel Engine $7.99 303 80% 9.1k $73k (exactly $72,629) HMS Studios, Black Lantern Collective
Fable Hospital $24.99 82 75% 2.5k $61k (exactly $61,475) AMGames TC
Herbals tycoon · EA $9.99 123 76% 3.7k $37k (exactly $36,863) Orange Paper 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
Sim Hospital $7.99 44 50% 1.3k $11k (exactly $10,547) Dao Studio
Pharma Craft $6.99 28 75% 840 $5.9k (exactly $5,872) ZD Yazilim
Real Pharmacy Simulator · EA $12.99 10 20% 300 $3.9k (exactly $3,897) Mannered Monster

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