Do I ship it?

GamesMechanicsMedical Sim

Specimen · observed

Should I ship a Medical Sim?

Medical Sim

Of 93 developers who shipped a Medical Sim 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.. 151 more are announced, ×3.0 for every developer who shipped in the last year.

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

The middle developer here made $2.3k, ×4.8 the market's $480 for a 4 / 10 build, and 3 in 10 made under $300; 1 in 20 cleared $320k, ×690 the market median. Revenue is up 80% on the market; 151 games are announced against 51 developers who shipped in the last year.

Deciding numbers: median 4.8 times the market baseline, revenue up 80% on the market, 151 announced, ×3.0 per developer who shipped in the last year.
Nobody has said they are building this yet.
Medical Sim
Fig. 1 · this niche among 355
Plate 1 · outcomes, 2 yr n = 93
Median est. gross by half-year cohort, 2023 H1 to 2026 H2: $2.2k → $12k → $1.2k → $4.2k → $4.9k → $959 → $3.6k (still earning) → $119 (still earning)
The last cohort is still earning.
Outcomes for Medical Sim: Plate 1 · outcomes, 2 yr, n = 93
Bottom 30% $300 (exactly $300)
Median $2.3k (exactly $2,274)
Top 25% $17k (exactly $16,779)
Top 5% $328k (exactly $327,910)
Developers, 2 yr 93
Released games 251
Announced 151
Effort 4 / 10
AI-buildability Medium
Typical price $7.99

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 80% on the market, supply 20% more developers than the period before.

Free games: 16%, 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

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
Price point
$7.99 typical · top 25% priced $19.99 or above
Plate 4 · demand

Why players buy here

The top 25% priced at $19.99 or above; the middle game at $7.99.

The top 10 games average 74% positive over 6,279 reviews.

Plate 5 · the loss side

What kills games here

Developer outcomes in the last 2 years by share: 3 in 10 under $300, median $2.3k, 1 in 4 over $16k, 1 in 20 over $320k.

3 in 10 developers made under $300. 7 in 10 of the 48 games released 1 to 2 years ago have fewer than 100 reviews. 151 games are announced against 51 developers who shipped in the last year, ×3.0 per shipper.

Plate 6 · every pair with this tag

All pairs with Medical Sim

19 pairs with a mechanicwith: mechanics · settings · any
  1. Medical Sim + Puzzle Fair $6.1k 17 devs
  2. Sandbox + Medical Sim Poor odds $37k 11 devs
  3. Building + Medical Sim Poor odds $11k 14 devs
  4. Medical Sim + Point & Click Poor odds $8.2k 22 devs
  5. Immersive Sim + Medical Sim Poor odds $6.0k 18 devs
  6. Economy + Medical Sim Poor odds $5.9k 14 devs
  7. Life Sim + Medical Sim Poor odds $4.5k 32 devs
  8. Choices Matter + Medical Sim Poor odds $4.2k 33 devs
  9. Medical Sim + Visual Novel Poor odds $4.2k 16 devs
  10. Medical Sim + Resource Management Poor odds $3.9k 20 devs
  11. Management + Medical Sim Poor odds $3.8k 31 devs
  12. Simulation + Medical Sim Poor odds $3.6k 73 devs
  13. Medical Sim + Multiple Endings Poor odds $2.3k 17 devs
  14. Adventure + Medical Sim Poor odds $1.9k 19 devs
  15. Medical Sim + Time Management Poor odds $1.7k 14 devs
  16. Strategy + Medical Sim Poor odds $600 25 devs
  17. RPG + Medical Sim Poor odds $600 17 devs
  18. Exploration + Medical Sim Dead $1.8k 14 devs
  19. Action + Medical Sim Dead $360 10 devs
Plate 7 · comparable specimens, by est. revenue

Comparable games

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
The Mortuary Assistant older $24.99 7,269 92% 218k $5.4M (exactly $5,449,569) DarkStone Digital
112 Operator older $24.99 5,688 88% 171k $4.3M (exactly $4,264,294) Jutsu Games
Surgeon Simulator older $9.99 13,796 82% 414k $4.1M (exactly $4,134,661) Bossa Studios
Let's School older $19.99 5,887 92% 177k $3.5M (exactly $3,530,434) Pathea Games
Surgeon Simulator 2 older $19.99 2,033 44% 61k $1.2M (exactly $1,219,190) Bossa Studios
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
Autopsy Simulator older $24.99 1,337 49% 40k $1.0M (exactly $1,002,349) Woodland Games
Ambulance Life: A Paramedic Simulator $29.99 993 50% 30k $893k (exactly $893,402) Aesir Interactive
Do No Harm $15.99 896 74% 27k $430k (exactly $429,811) Darts Games
Potion Tycoon $19.99 629 71% 19k $377k (exactly $377,211) Snowhound Games
Night Shift Nurses $19.99 593 84% 18k $356k (exactly $355,622) Shiravune
BM General Hospital $7.99 1,368 86% 41k $328k (exactly $327,910) zzzgame
CURE - A Hospital Simulator · EA $9.99 830 86% 25k $249k (exactly $248,751) Sentinel Games
SKETCHY MASSAGE $10.99 438 85% 13k $144k (exactly $144,409) OZ WORKS
Emergency Room Simulator $24.99 154 43% 4.6k $115k (exactly $115,454) Caipirinha Games
Real Feel $19.99 170 64% 5.1k $102k (exactly $101,949) Entropy Digital Entertainment
Sanatorium - A Mental Asylum Simulator $12.99 208 59% 6.2k $81k (exactly $81,058) Zeitglas

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