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I've logged a couple hundo hours into this game for good reason. It's so fun, detailed and difficult and has such good replay value. i would absolutely love an update / more DLC (shocking), and here's why:

1) I'd like more variation w/the patients and customization of my own doctors' aesthetics. I think the simplistic design of the graphics in this game lends itself well to the fact that this game has SO much information in it, but I'd like to just see some different names/variation in people to curb the monotony.

2) I'd like more decorative items/floors/walls/swatches -- nuff said i think.

3) I'd like an in-game glossary of medical equipment, lab tests, illnesses, etc. I think a catalog of these things in more detail would be really helpful for players to be more efficient when doing their diagnoses but also for planning the layout of their hospitals. I've had to do google searches about what an MRI finds compared to a CAT scan, and it's pretty nuanced... the game itself doesn't explain these things and I think having a "medical journal" of sorts would be a really interesting and fun addition to the UI.

These are just off the top of my head but I'll prob edit later when I think of other things more related to gameplay. Feel free to put your suggestions in the comments -- I'm really just hoping someone involved in the project will see this and think about developing this insanely awesome game even further.