Somehow I've played this for a crazy number of hours in the last year, without even realizing it. It's a really fun and challenging simulation game, which makes you not only the builder of the hospital but the overseer of all the patients as well. If you leave all your doctors to their own devices all of the time, you won't make money or have a high patient turnover. The design seems simplistic, and in some ways it is, but as far as management goes, there is a lot to consider. It took me several tries to find an efficient way of planning my hospital, in order to not have patients die from neglect or have my staff take too long transporting or otherwise. I still have a long way to go. I recommend doing a little bit of IRL research as to how hospitals are built, because it will help you succeed. As opposed to most sims where it's just a design by theme, this sim really takes into account the urgency and efficiency of a working hospital. The only things I would like to see "improve" (not because of gameplay, but more just a personal want) is more variation of people and buildable items. Also, after a while, symptoms and diseases become slightly predictable, but I suppose maybe that's done on purpose. I would also enjoy a glossary of tests available so I can understand why I should run certain tests and not others, because sometimes I just run things for the heck of it. I don't know *exactly* what the difference between an MRI and a CT scan are, just that they find anomalies differently somehow. That's just one example though--there are TONS of tests the labs can run, and I really don't know what half of them are. So, more clarification on that would be nice. tl;dr: Really fun and detailed game. Don't expect it to be easy.
