I am so thrilled about this game. Back in the 90´s I got my hands on one of the first copies. I still remember my first weekend as a teen locked in with my friends all day and night and trying to survive the first few days as a hospital manager. The hardest part was that you have to do all things simultaneously. Check whether new patients arrived, admit them, hire new staff, buy all the small and large things needed in a hospital, schedule staff, check whether your doctors chose the right treatment, build rooms, enjoy some of the treatmenst and so on until you reached the end of day when the bill for the rent is charged and booom ... game over. You forgot to check your income. Behind the beautiful hand drawn graphics there lies this other world of hard business. You have to develop a plan for earning enough money to survive while there are lots of things going on and your competitors are also out there making it hard, to get your hands on good employees while sending their mobsters to beat up your doctors and nurses which then miss their shifts which leads to patients not being treated and thus dying which is followed by bad press which makes it hard to get new personel. Talking of personel, one fun fact is, that there are more staff than patients in the game. Still you have to split your ressources wisely and focus on some of the different medicinal branches, otherwise the the rent and the salaries will hit and KO you very quickly at the end of the day. To sum it up, there is no difficulty setting. If you are the kind of player who wants to be taken by the hand and guided throgh the game then this game might frustrate you. But if you enjoy figuring out things by trial and error in several increments then this game is the ultimate experience for you. If you still feel, it´s too hard, you can always join the welcoming community which is very helpful from my experience and you can even bump into the current developer from time to time.
