Game prompts for account creation/startup on first load, with a tiny skip. Huge amounts of EULA and terms on start, which I skipped (I cannot conscionably agree to whatever they say). Main loader advertises for DLC, and Paradox account items... Multiplayer is through 3rd party Paradox account only (not even LAN or direct connect). Game play itself is inconsequential after all of these...
The game needs a serious reworking of its UI/UX. Tutorial 3, for instance, requires people to look things up outside of the game because it doesn't give you sufficient information for a goal. The game will warn you when someone has something your hospital can't treat, but good luck in figuring out how to get there. Perhaps you need a new piece of equipment, a doctor with a skill you don't have covered, or an entirely new ward? There's no way to tell. Menus are a mess, and there are a lot of them. The game might be better if the "ward" or "unit" system were eliminated and the hospital were treated as a whole. And then there's the first scenario. It pushes you in, way too deep, with a giant functioning hospital with all sorts of elements you've never seen before and your goal is to make it make money and more efficient. No curve to ease into it at all.
Avoid at all costs. Do not reward any developer for utilizing DRM and microtransactions and attempting to exploit players.
Great game. The pacing is good. There are pseudo-random levels to choose from, even as part of the main campaign. You get money to unlock new techs at the "map" area (Which, if you want them all, you have to repeat some levels for money. But, again, the pacing even of this is good.), but you still have to use in-mission resources to use it. The "double dip" sounds bad, but it works really well. Stages are rather fun, some frantic bug slaughters, some slow captures, and a few hair-pulling defend-against-a-raid ones too. UI is decent, with acceptable (remappable) keybindings. Graphics and sound works. This is easy to play in short segments -- a good "lunch break" game. I find myself surprised how much I enjoy it.
