Do I ship it?

GamesMedical SimMedical Sim + Time Management

Specimen · observed

Should I ship a Time Management Medical Sim?

Medical Sim + Time Management

Only 14 developers shipped a Time Management 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, ×3.4 for every developer who shipped in the last year.

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

The middle developer here made $1.7k, ×3.5 the market's $480 for a 4 / 10 build, and 3 in 10 made under $180; 1 in 20 cleared $420k, ×905 the market median. Revenue is down 85% on the market; 27 games are announced against 8 developers who shipped in the last year.

Deciding numbers: median 3.5 times the market baseline, revenue down 85% on the market, 27 announced, ×3.4 per developer who shipped in the last year.
Nobody has said they are building this yet.
Medical Sim + Time Management
Fig. 1 · this niche among 16,100
Plate 1 · outcomes, 2 yr n = 14
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $40k → $37k → $11k → $30 (still earning)
The last cohort is still earning.
Outcomes for Medical Sim + Time Management: Plate 1 · outcomes, 2 yr, n = 14
Bottom 30% $180 (exactly $180)
Median $1.7k (exactly $1,676)
Top 25% $37k (exactly $36,863)
Top 5% $430k (exactly $429,811)
Developers, 2 yr 14
Released games 35
Announced 27
Effort 4 / 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 85% on the market, supply 35% more developers than the period before.

Free games: 3%, 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
Time Management
effort 3 / 10 · high · effort 3 sits in the high 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, Time Management; 5 in 10 of the top 25% also carry Simulation, Resource Management, Life Sim
Price point
$6.99 typical · top 25% priced $15.99 or above
Art
8 in 10 of the top 25% ship with 3D, Atmospheric, First-Person
Plate 4 · demand

Why players buy here

The top 25% priced at $15.99 or above; the middle game at $6.99.

The top 10 games average 78% positive over 2,342 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $180, median $1.7k, 1 in 4 over $36k, 1 in 20 over $420k.

3 in 10 developers made under $180. 4 in 10 of the 7 games released 1 to 2 years ago have fewer than 100 reviews. 27 games are announced against 8 developers who shipped in the last year, ×3.4 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. + Resource ManagementPoor odds20 devs · median $3.9k · 33 announced
  11. + ManagementPoor odds31 devs · median $3.8k · 49 announced
  12. + SimulationPoor odds73 devs · median $3.6k · 132 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
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
Accident older $14.99 1,462 76% 44k $657k (exactly $657,461) Duality Games, Spirit Games Studio
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
Heart's Medicine - Time to Heal older $19.99 807 93% 24k $484k (exactly $483,958) Blue Giraffe, GameHouse
Do No Harm $15.99 896 74% 27k $430k (exactly $429,811) Darts Games
CURE - A Hospital Simulator · EA $9.99 830 86% 25k $249k (exactly $248,751) Sentinel Games
Heart's Medicine - Hospital Heat older $19.99 328 95% 9.8k $197k (exactly $196,702) Blue Giraffe, GameHouse
Heart's Medicine - Doctor's Oath older $19.99 181 62% 5.4k $109k (exactly $108,546) Blue Giraffe, GameHouse
Angel Engine $7.99 303 80% 9.1k $73k (exactly $72,629) HMS Studios, Black Lantern Collective
Herbals tycoon · EA $9.99 123 76% 3.7k $37k (exactly $36,863) Orange Paper Studio
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)
Sim Hospital $7.99 44 50% 1.3k $11k (exactly $10,547) Dao Studio
Pharmacy Simulator: Big Pharma $3.99 14 50% 420 $1.7k (exactly $1,676) Yusuf Islam Seyhan, Samet Acar
Tales of Arcrath $19.99 1 100% 30 $600 (exactly $600) Codex Games USA
Malpractice Hospital $3.99 2 50% 60 $239 (exactly $239) Jason Hodge Games
Royal Dental $5.99 1 100% 30 $180 (exactly $180) Visionaire Labs

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