Games › Strategy › Strategy + Medical Sim
Should I ship a Medical Sim Strategy game?
Strategy + Medical Sim
Of 25 developers who shipped a Medical Sim Strategy 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.. 38 more are announced, ×2.9 for every developer who shipped in the last year.
Verdict: poor odds, for a 5 / 10 build.
The middle developer here made $600, level with the market's $630 for a 5 / 10 build, and 3 in 10 made under $180; 1 in 20 cleared $61k, ×98 the market median. Revenue is up 1280% on the market; 38 games are announced against 13 developers who shipped in the last year.
| Bottom 30% | $180 (exactly $180) |
|---|---|
| Median | $600 (exactly $600) |
| Top 25% | $3.8k (exactly $3,774) |
| Top 5% | $61k (exactly $61,475) |
| Developers, 2 yr | 25 |
| Released games | 65 |
| Announced | 38 |
| Effort | 5 / 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 up 1280% on the market, supply 10% more developers than the period before.
Free games: 5%, excluded from money figures.
Can AI deliver it?
AI-buildability for this niche is medium: the lowest rating among its tags.
- Strategy
- effort 5 / 10 · medium · effort 5 sits in the medium band
- Medical Sim
- effort 4 / 10 · medium · effort 4 sits in the medium band
What it takes
- Effort
- 5 / 10 · real systems or entry 3D
- Systems
- Strategy, Medical Sim; 7 in 10 of the top 25% also carry Simulation, Management, Economy
- Price point
- $6.99 typical · top 25% priced $24.99 or above
- Art
- 3 in 10 of the top 25% ship with 2D, 2.5D, 3D
Why players buy here
The top 25% priced at $24.99 or above; the middle game at $6.99.
The top 10 games average 74% positive over 892 reviews.
What kills games here
3 in 10 developers made under $180. 9 in 10 of the 13 games released 1 to 2 years ago have fewer than 100 reviews. 38 games are announced against 13 developers who shipped in the last year, ×2.9 per shipper.
Adjacent niches
Strategy with a different second tag, ranked by verdict then median.
- + FMVStrong odds
- + Job SimulatorFair
- + BaseballFair
- + LGBTQ+Fair
- + WuxiaFair
- + FarmingFair
- + Martial ArtsFair
- + SubmarineFair
- + NavalFair
- + IdlerFair
- + Shop KeeperFair
- + HackingFair
Comparable games
Two Point Hospital 2018 · $24M 
Project Hospital 2018 · $6.3M 
112 Operator 2020 · $4.3M 
Let's School 2023 · $3.5M 
Bio Inc. Redemption 2018 · $1.2M | 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. |
 | Mind Scanners | older | $16.99 | 1,095 78% | 33k | $558k (exactly $558,122) | The Outer Zone |
 | Galacticare | older | $29.99 | 600 85% | 18k | $540k (exactly $539,820) | Brightrock Games |
 | Potion Tycoon | $19.99 | 629 71% | 19k | $377k (exactly $377,211) | Snowhound Games | |
 | Fable Hospital | $24.99 | 82 75% | 2.5k | $61k (exactly $61,475) | AMGames TC | |
 | Dead 4 Now: Bio-Weapon Simulator | $14.99 | 29 75% | 870 | $13k (exactly $13,041) | d'Evo | |
 | Live Hard, Die Hard | $4.99 | 83 89% | 2.5k | $12k (exactly $12,425) | Asobism.Co.,Ltd | |
 | Gelluloid Domination | $11.99 | 13 84% | 390 | $4.7k (exactly $4,676) | Tractor Set GO! | |
 | Pharma R&D Manager | $49.99 | 3 66% | 90 | $4.5k (exactly $4,499) | Innopede GmbH | |
 | Dilemma | $5.99 | 21 95% | 630 | $3.8k (exactly $3,774) | DrAxelStudio | |
 | Cure for Danmaku Synd | $6.99 | 17 100% | 510 | $3.6k (exactly $3,565) | ToAge | |
 | Propa. | $7.99 | 11 54% | 330 | $2.6k (exactly $2,637) | Contagio Games | |
 | Co OPERATION: MultiTurn | $19.99 | 4 100% | 120 | $2.4k (exactly $2,399) | Mind Feast Games |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
Your address goes to Buttondown, which sends the letter, and nowhere else. Every issue has an unsubscribe link. No tracking beyond the open count Buttondown keeps.