The previous reviews will tell you that the game is unfinished and not functional. This might have been true for 2018, but is not the case today. I have bought the game in 2019 and faced only minor bugs (i.e. structures could not be deleted). Today, I don't encounter any bugs at all while playing and I have played this game for more than 50 hours so far. The game is not like theme hospital, it is a serious hospital simulator. You can build rooms, hire staff and let them do their job. But you can also control every step of diagnostics and treatment yourself, for a single patient, some patients or even all patients with a different degree of difficulty (that's the free doctor mode DLC). I like this game very much and in my opinion, it is even worth the full price! The only downside is the UI that is not always self-explaining, so I strongly recommend to play the tutorial first!