You don't cure patients; you decide their fate. In this grim medical sim, review records and face impossible bioethical dilemmas. Consult the Medical Bible and choose who gets the bed. Every signature impacts your Ethics, Reputation, and Legal Risk. In a broken system, mercy is a dangerous luxury.

Public builds
—No reading yet
Counted once we have watched for 90 days (since 21 Oct 2026)
Distinct builds deployed to a game's public (default) Steam branch, as Steam's client network describes them.
Checked within minutes of each Steam change. Observed since 21 Oct 2026.
Source: Steam client network (PICS), App info, public branch. Full methodology
Latest public build
Build 25635587
Update posts
3 postsPosts announcing an update, tagged or not
Posts in a game's official Steam news feed that announce an update: tagged as patch notes by the developer, or plainly about a patch or a released update.
Source: Steam Web API, ISteamNews/GetNewsForApp. Full methodology
Typical gap between builds
Not enough builds yet| Build | Went live | Patch notes |
|---|---|---|
| 25635587 | Reading and pause menu update |
From Steam’s client network, last checked . Builds before 21 Oct 2026, when we started watching, aren't listed. Patch notes are the developer’s update post from an hour before to a day after the build. Not every build gets one. How we count
| Posted | Update |
|---|---|
| 30 Sept 2026 | Reading and pause menu update Patch notes |
| 11 Jun 2026 | Dilemma Update: Path Selection & Quality of Life Improvements Patch notes |
| 12 May 2026 | Minor Update - Medical Report Fixes & Text Adjustments Patch notes |
Steam keeps no record of past build numbers, so before 21 Oct 2026 a game’s update history comes from its own Steam news: posts tagged as patch notes, and untagged posts that plainly announce a patch or a released update. Older posts are still being read in, most played games first. How we count