Do I ship it?

GamesRPGRPG + Medical Sim

Specimen · observed

Should I ship a Medical Sim RPG?

RPG + Medical Sim

Only 17 developers shipped a Medical Sim RPG 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, BM General Hospital, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 26 more are announced, ×2.6 for every developer who shipped in the last year.

Verdict: poor odds, for a 6 / 10 build.

The middle developer here made $600, level with the market's $630 for a 6 / 10 build, and 3 in 10 made under $240; 1 in 20 cleared $320k, ×522 the market median. Revenue is down 95% on the market; 26 games are announced against 10 developers who shipped in the last year.

Deciding numbers: median 1.0 times the market baseline, revenue down 95% on the market, 26 announced, ×2.6 per developer who shipped in the last year.
Nobody has said they are building this yet.
RPG + Medical Sim
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 17
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $178 → $19k → $839 (still earning)
The last cohort is still earning.
Outcomes for RPG + Medical Sim: Plate 1 · outcomes, 2 yr, n = 17
Bottom 30% $239 (exactly $239)
Median $600 (exactly $600)
Top 25% $12k (exactly $12,425)
Top 5% $328k (exactly $327,910)
Developers, 2 yr 17
Released games 47
Announced 26
Effort 6 / 10
AI-buildability Medium
Typical price $6.99

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 95% on the market, supply 45% more developers than the period before.

Free games: 17%, 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.

RPG
effort 6 / 10 · medium · effort 6 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
6 / 10 · full 3D single-player, physics sims, content-heavy RPG
Systems
RPG, Medical Sim; 4 in 10 of the top 25% also carry Simulation, Building, Choices Matter
Price point
$6.99 typical · top 25% priced $7.99 or above
Art
4 in 10 of the top 25% ship with Anime, 2D, Cute
Plate 4 · demand

Why players buy here

The top 25% priced at $7.99 or above; the middle game at $6.99.

The top 10 games average 84% positive over 1,845 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $240, median $600, 1 in 4 over $12k, 1 in 20 over $320k.

3 in 10 developers made under $240. 4 in 10 of the 7 games released 1 to 2 years ago have fewer than 100 reviews. 26 games are announced against 10 developers who shipped in the last year, ×2.6 per shipper.

Plate 6 · same mechanic, other settings

Adjacent niches

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

  1. + FMVStrong odds169 devs · median $54k · 144 announced
  2. + IdlerFair357 devs · median $2.2k · 471 announced
  3. + Boss RushFair20 devs · median $1.8k · 27 announced
  4. + SportsFair113 devs · median $1.5k · 124 announced
  5. + Combat RacingFair22 devs · median $629 · 28 announced
  6. + Split ScreenFair28 devs · median $450 · 31 announced
  7. + Precision PlatformerFair41 devs · median $449 · 43 announced
  8. + SamuraiPoor odds14 devs · median $261k · 14 announced
  9. + Open World Survival CraftPoor odds76 devs · median $96k · 165 announced
  10. + 4XPoor odds26 devs · median $54k · 56 announced
  11. + MinigamesPoor odds19 devs · median $40k · 34 announced
  12. + Real-Time with PausePoor odds15 devs · median $28k · 19 announced

All 262 pairs on the RPG page

Plate 7 · comparable specimens, by est. revenue

Comparable games

Capsule Game Released Price Reviews Est. copies Est. revenue Developer
Mind Scanners older $16.99 1,095 78% 33k $558k (exactly $558,122) The Outer Zone
BM General Hospital $7.99 1,368 86% 41k $328k (exactly $327,910) zzzgame
Lost Scavenger · EA older $14.99 220 51% 6.6k $99k (exactly $98,934) Rockbee
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
The Patient S Remedy older $39.99 50 98% 1.5k $60k (exactly $59,985) MADA labo
Herbals tycoon · EA $9.99 123 76% 3.7k $37k (exactly $36,863) Orange Paper Studio
The city of eyes and the girl in dreamland $7.99 104 85% 3.1k $25k (exactly $24,929) UVKen
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)
Insiders older $13.99 40 80% 1.2k $17k (exactly $16,788) ANG People s.r.o.
Animal Doctor older $19.99 27 25% 810 $16k (exactly $16,192) Caipirinha Games
Live Hard, Die Hard $4.99 83 89% 2.5k $12k (exactly $12,425) Asobism.Co.,Ltd
Pharma Craft $6.99 28 75% 840 $5.9k (exactly $5,872) ZD Yazilim
Rod of Asclepius $19.99 3 100% 90 $1.8k (exactly $1,799) Worcco Arts
Psyhonds · EA $6.99 4 75% 120 $839 (exactly $839) Meriteri Games
Tales of Arcrath $19.99 1 100% 30 $600 (exactly $600) Codex Games USA
Fool's Court $4.99 3 66% 90 $449 (exactly $449) Veras Studios

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