Games › Medical Sim › Medical Sim + Visual Novel
Should I ship a Visual Novel Medical Sim?
Medical Sim + Visual Novel
Only 16 developers shipped a Visual Novel 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, Night Shift Nurses, made about est. revenue: est. copies × today's US list price; gross, before Steam's cut, taxes and refunds. See method.. 14 more are announced.
Verdict: poor odds, for a 4 / 10 build.
The middle developer here made $4.2k, ×8.8 the market's $480 for a 4 / 10 build, and 3 in 10 made under $840; 1 in 20 cleared $350k, ×749 the market median. Revenue is down 85% on the market; 14 games are announced against 7 developers who shipped in the last year.
| Bottom 30% | $839 (exactly $839) |
|---|---|
| Median | $4.2k (exactly $4,198) |
| Top 25% | $25k (exactly $24,929) |
| Top 5% | $356k (exactly $355,622) |
| Developers, 2 yr | 16 |
| Released games | 31 |
| Announced | 14 |
| 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 85% on the market, supply 20% fewer developers than the period before.
Free games: 19%, 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
- Visual Novel
- effort 2 / 10 · high · script, choices and static art
What it takes
- Effort
- 4 / 10 · mid 2D, writing-heavy, or simple 3D
- Systems
- Medical Sim, Visual Novel
- Price point
- $8.99 typical
Why players buy here
The top 10 games average 78% positive over 1,280 reviews.
What kills games here
3 in 10 developers made under $840. 6 in 10 of the 9 games released 1 to 2 years ago have fewer than 100 reviews. 14 games are announced against 7 developers who shipped in the last year.
Adjacent niches
Medical Sim with a different second tag, ranked by verdict then median.
- + PuzzleFair
- + SandboxPoor odds
- + BuildingPoor odds
- + Point & ClickPoor odds
- + Immersive SimPoor odds
- + EconomyPoor odds
- + Life SimPoor odds
- + Choices MatterPoor odds
- + Resource ManagementPoor odds
- + ManagementPoor odds
- + SimulationPoor odds
- + Female ProtagonistPoor odds
Comparable games
Night Shift Nurses 2024 · $356k 
Real Feel 2025 · $102k 
The Patient S Remedy 2021 · $60k 
SEX Hospital 💦 2024 · $57k 
The city of eyes and the girl in dreamland 2024 · $25k | Capsule | Game | Released | Price | Reviews | Est. copies | Est. revenue | Developer |
|---|---|---|---|---|---|---|---|
| | Night Shift Nurses | $19.99 | 593 84% | 18k | $356k (exactly $355,622) | Shiravune | |
| | Real Feel | $19.99 | 170 64% | 5.1k | $102k (exactly $101,949) | Entropy Digital Entertainment | |
| | The Patient S Remedy | older | $39.99 | 50 98% | 1.5k | $60k (exactly $59,985) | MADA labo |
| | SEX Hospital 💦 | $9.99 | 189 69% | 5.7k | $57k (exactly $56,643) | Lust Desires 🖤 | |
| | The city of eyes and the girl in dreamland | $7.99 | 104 85% | 3.1k | $25k (exactly $24,929) | UVKen | |
 | Songs of Life | $8.99 | 80 81% | 2.4k | $22k (exactly $21,576) | DreamStep | |
 | Witch Please: Sex Service | $7.99 | 70 65% | 2.1k | $17k (exactly $16,779) | Aquilon | |
 | Syntherapy | older | $14.99 | 27 74% | 810 | $12k (exactly $12,142) | Crowned Daemon Studios |
 | Necrologium | $9.99 | 29 89% | 870 | $8.7k (exactly $8,691) | Bob's Cult Studio | |
 | My Life: Pet Vet | older | $14.99 | 19 42% | 570 | $8.5k (exactly $8,544) | Caipirinha Games |
 | Neo Harbor Rescue Squad | $19.99 | 7 71% | 210 | $4.2k (exactly $4,198) | BancyCo | |
 | Dilemma | $5.99 | 21 95% | 630 | $3.8k (exactly $3,774) | DrAxelStudio | |
 | The Book of Plagues | $6.99 | 17 94% | 510 | $3.6k (exactly $3,565) | DiaMMax Games |
Estimates: copies = reviews × 30, gross = copies × list price.
Five niches a week, one death, one deep dive.
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