The game looks good and was highly entertaining on first and second play-through. However, the game's strongest point of historical accuracy is also the game's biggest limitation. Events and quest opportunities appear in exactly the same sequence and exactly the same time on each play-through. The game must also be completed in a fixed number of turns. There is therefore a little bit of strategy, but primarily in the form of attempting to reach a game-desired optimum rather than player exploration. Because of the limitations, the novelty of the game wears out by the third play, but with such a low price, it's not such a bad deal.
I've played the Sims, and on a quick look-through, this game seemed to be similar enough that I might like it. The first tutorial taught the basics of running a small clinic to see patients. The second tutorial taught me how to build and furnish rooms. So far so good. But tutorial three was a jumbled mess, catapulting me suddenly from a small building with a few rooms to a multi-story hospital with multiple specialized doctors and rooms, and little or no explanation of HOW to actually do the things I was supposed to be learning. I never could figure out how to hire a Surgeon and satisfy the game that I had hired one, despite hiring three of them. Worse still, tutorial screens blocked out much of my view of the hospital rooms, and there was no way to drag these screens out of the way, or move my view of the hospital. The first two tutorials felt like the Sims, but the third tutorial had more people to manage than an entire Sims town, all in the same building, without any additional explanation. I could not pull up stats on a doctor by selecting their picture from the roster; I could only pull up their information by physically locating their body in the mass of people in the hospital and clicking on them directly. I couldn't even figure out how to change view between floors, and the tutorial didn't offer me that information either. This game was a waste of money, and it's unplayable.
