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Project Hospital
At 
GAMIVO, Project Hospital is available for ≈ $7.37, the site's tracked low. That makes this a fitting moment to pick it up if you want hospital design, staff management and diagnostic casework in one game. Sandbox mode lets you choose between building a clinic from scratch and taking over a prefab, while the campaign and challenges provide more directed goals. It is a single-player game, so the appeal is shaping and running an institution at your own pace. At GAMIVO, Project Hospital costs $24.99, the site's tracked low; its mix of hospital building and medical cases suits players who enjoy planning their own operation.
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Price History
Past 36 months · Updated dailyHistorical Low~ $8.492023-11Current Low Across Stores~ $9.99Steamvs. Historical Low+18%
Prices cover Steam and 39 authorized stores; only legitimate offers are counted. The chart shows weekly market-wide lows and Steam's official price across the past 36 months.
01About Project Hospital
Project Hospital combines hospital construction and management with hands-on medical casework. Design rooms, hire staff and care for patients, from examinations to surgery. Sandbox mode lets you build clinics or manage prebuilt facilities. The campaign focuses on rescuing hospitals in crisis. Steam player rating: 89% from 8,460 reviews. Released October 30, 2018.
Credits
Developer
Oxymoron Games
Publisher
Oxymoron Games
Lowest recorded in 36 months
$8.492023-11-20 · SteamBase game · same records as the chart above; USD history, not a regional Steam low.Language support
| Language | Interface | Subtitles | Audio |
|---|---|---|---|
| Simplified Chinese | Yes | — | — |
| Traditional Chinese | Yes | — | — |
| English | Yes | — | — |
Show 16 more languages
| Language | Interface | Subtitles | Audio |
|---|---|---|---|
| French | Yes | — | — |
| German | Yes | — | — |
| Spanish | Yes | — | — |
| Czech | Yes | — | — |
| Portuguese-Brazil | Yes | — | — |
| Spanish-Latin America | Yes | — | — |
| Russian | Yes | — | — |
| Turkish | Yes | — | — |
| Ukrainian | Yes | — | — |
| Italian | Yes | — | — |
| Dutch | Yes | — | — |
| Japanese | Yes | — | — |
| Hungarian | Yes | — | — |
| Polish | Yes | — | — |
| Korean | Yes | — | — |
| Swedish | Yes | — | — |
Steam PC edition data · 2026-11-07
02Before you buy
Build and manage
In sandbox mode, build clinics or large hospitals while managing staff, patients and your own ambulance service.
Modes and languages
The campaign, tutorials and six challenges complement sandbox play. Steam PC lists interface support for English, German, French, Japanese, Polish, Simplified Chinese and Traditional Chinese, among other languages.
03Frequently asked questions
What can I do to treat patients?
Examine patients, run laboratory tests, use equipment to solve diagnostic cases, hospitalize patients and perform surgery.
Can I build a hospital from scratch?
Yes. Sandbox lets you start from scratch or manage one of the prebuilt hospitals or clinics.
What is the campaign about?
The campaign casts you as a crisis manager trying to save several hospitals in critical condition.
Popular Steam reviews
Native-language selection · 10 reviewsSelected helpful reviews in this language show both recommendations and criticisms. This selection does not represent the overall positive rating; opinions reflect the version reviewed.
RecommendedSteam player
I am an RN working on a med-surg trauma floor. One would think after a long day of work the last thing I would want to do is go back to work virtually, but I have always had a love for management games. I have to say of all the hospital sims out there, this one by far is more accurate in its portrayal of running a hospital. I think that works to its benefit and its downfall depending on what you want in a game. If i didnt have the real life experience I have I could see this being an intimidating game to get in to. The mechanics are not initally easy to pick up or understand, because hospitals are complex beasts with many departments and specialization required to diagnose and treat patients. Now if this is what you are looking for and want, something complex with a front loaded learning curve you will enjoy this game greatly. If you are looking for a game that portrays real and accurate diseases, diagnosis, and treatment, while somewhat simplifying the process, this is the game for you. If you want something easier to understand and get in to I would recommend theme hospital, which isnt a knock at that game as both are great, but both are vastly different in complexty. While this game isnt perfect, it can be bugging at times or just simply unintuitive, for example I could not figure out why my staff wernt performing life saving emergency surgeries at night resulting in some patients dieing. Turns out my nursing staff were set to transportation, which qued them to transport patients to deparments that were closed at night, resulting in them not being available to assist with surgery until the following day after completing the transport. There is no indication that was the issue besides searching the forums for others with similar problems. On a final note, the game fails in a few areas of accuracy, which is forgivable as this is a video game after all, also the developers over time have worked on some of these. A few that come to mind, a extremely small percent of my day is spent transporting patients from place to place, in the hospital we have staff that are specifically hired to transport patients and that is their entire job. Instead much of what I do as a nurse is blended with the role of the Dr. in this game. The Dr. administers medications and performs all the treatments within this game. What would be more accurate is to have the Dr. assess a large volume of patients, diagnosing and then going back to his/her office to place orders in a computer that would then be carried out by the nursing staff. This varies depending on the specialty and department but generally holds true. If this game added transporters they may actually make the game run smoother as it opens up some bottlenecks as in its current state the Dr. is doing double the work by being both the nurse and medical provider. There is also a difference in the flow of the patients stay. Normally a patient comes to the ER or gets directly admitted from his/her doctors office. They are sent to a floor that is equipped to deal with their care whether they need standard med-surg, telemetry, icu ect. While on this floor though they can be sent anywhere in the hospital then come back, they can go to surgery for a few hours and come back to their starting unit, go to radiology, IR, EP, ultrasound, ect. ect. but they are always sent back to their standard care unit upon completion of treatment. Think of these units as the body of the hospital and the treatment departments as the arms and legs, being sent out but always returning. In this game there is no body to the hospital, the game is very segregated by department. If you have someone in your cardiology unit and they need surgery, but you have no beds in your surgery unit then often times they go critical or die because the game doesnt allow you to perform certain treatment unless they are under a specific departments care. Real life hospitals are not this rigid. You can be located on any unit and floor and so long as an OR room and staff is available you can be sent to the OR you dont need to be transfered to their specific unit and take up their specific beds if that make sense. These are some things I think can improve the game both in the flow of gameplay and in accuracy but does not reduce my opinion on the game. After all it is just that a GAME, and it gets a lot of stuff pretty damn close to accurate while also being entertaining. So if youve always had an itch to manage a hospital that involves real diseases and real treatments, give this game a shot.Show moreShow less
21.9 hours at review529 people found this helpful
Not recommendedSteam player
Gameplay is smooth, interesting for a short while and entertaining. The only issue (and why I cant recommend the game and/or Developers in future ventures) is because they monetized the game like a PARADOX/EA title: Release 40% of the complete game and charge exorbitant amounts for DLC that was (or should be) part of the main title. Greedily sucking every penny out of their fanbase,Show moreShow less
112 hours at review596 people found this helpful
RecommendedSteam player
I'm [already] loving it. Doubtful about purchasing this or Two Point Hospital, I have to say that: - Project Hospital costs less (about 22€ versus 31€, both on sale); - Project Hospital is heavily micro-management focused, whereas TPO is more casual-players oriented; - Project Hospital represents a more serious intake on hospital world, and better represents its procedures and challenges; - Two Point Hospital has a better artworks (graphics + audio); - Two Points Hospital has got more rooms to build; - Two Points Hospital can be more funny, because it's very cartoonish (I prefer a more serious approach, because of the delicate arguments being treated); - Both have a Sandbox mode, but Two Point Hospital was more Campaign-oriented and got Sandbox mode only days ago, so it has more campaign scenarios; - Both hasn't got Multiplayer (and it's better so, damn!). Project Hospital isn't an Early Access title. This can be a good news - people can't complain about devs fleeing in Bermudas with their money - but also a bad news, because devs could left the boat after delivering the shipment, if you know what I mean. Actually, only two things drives me mad: 1) The impossibility of rotate the camera -> design a tight room on a 64x64 hospital can be a real pain; 2) Audio compartment -> I must shoot the Volume level of my speaker to the stars in order to hear a [not so pleasant] babbling of medical staff and patients, that seems recorded with a laptop mic or something; and the music is almost not existant, but I can bear that. *** For the devs, if they're reading: I heartly suggest, even if this game is very good, to drop the price in a 15-20 bucks range, at least when it's on sale! *** Ok. I must leave. Don't forget to check other Reviewers' reviews, also. They can be ordered from the most Useful to the least. You can find better explained and more detailed informations on this game.Show moreShow less
14.3 hours at review262 people found this helpful
Not recommendedSteam player
Fun game but I dont recommend it if you're looking for a long term game. Its fun for a while but has some silly design decisions holding it back. As your hospital gets larger its less profitable, instead of being established and thriving you're just rocking the boat when you expand. Patient numbers don't increase as you become more diverse in your ability to treat people. Its always the same pool of patients and each time you add a new department they take patients away from other departments that were needed to maintain profitability. With 1 department built, it gets a lot of patients and your staff is cost effective, kept busy. With lots of departments they each get a handful of patients and that staff you had for each is now a huge financial burden. There are a few other annoying design choices, but nothing quite as frustrating as that one. Also: Why can't I rub numbing ointment on someone if they're in the wrong office? Go get some and rub it on.. Why does a patient have to wait for that HDU bed to become available before I can then move them to ICU instead of just canceling that move and sending them to ICU directly.. there wont be a bed available before they die. Why do I need a trauma center (a $23,000 room) to take a stool sample of someone in basic observation, a department where they are stable enough to get up and yes, use the bathroom on their own. Why wont my surgical teams take care of their needs between patients? When its super busy they just sit at their desk waiting, their performance tanks as their needs go unfulfilled, THERE'S A TOILET 10 FEET AWAY!. And the list goes on Anyway, it was fun, but I see no reason why my starter clinic has the same 100 patients/day that a 6 story, 9 department mega hospital would.Show moreShow less
156.2 hours at review224 people found this helpful
RecommendedSteam player
You know what? I bought this game accidentally, I was looking for Two Point Hospital. Best mistake I ever made, this is now possibly my favourite game. I never even bothered to go back and get TPH. I play a lot - a lot - of 'run an x' sim games and whilst I love all the rest of them there always comes a point where the game plateaus and I get a bit bored of it. That's not happened yet with Project Hospital. The aspect where you can get involved in diagnosing patients with such a wide array of possible symptoms, diseases and tests is a genuinely interesting mechanic that really holds my attention through the gameplay. You can progress at your own pace, you can speed through building lots of different departments early if you want the challenge or you can really master one area before you tackle the next. I really like that the difficulty of each department is more emergent from the complexities and urgencies of related conditions, and that it doesn't handhold you into choosing simpler departments earlier - you can easily find yourself with a more complicated department than you realised, and making that mistake is never game-breaking, just a great challenge. All the different challenges from the different insurance companies, and the conflicting things to balance when designing hospitals for best efficiency, mean that even after almost 500 hours I've still got things to strive for and the game hasn't hit that plateau for me. Also, I really like the art style. Just clean and very pleasing. Great game, absolutely 10/10 all round.Show moreShow less
497.8 hours at review254 people found this helpful
Not recommendedSteam player
It's a good game with a lot of potential. You'll sure get your money's worth. That is if you don't get super deep into it. I mainly played sandbox so that's what I'll comment on here: + In the beginning it is a very fun/challenging game. You need to have a pretty efficient setup to actually start generating some decent money in this game. When everything works out though it's great. - The fact you can diagnose patients is cool but it becomes repetitive after a few hours as there's not that much variety, so you end up doing the same procedure over and over. The full speed time option feels incredibly slow. The second half of building your hospital is where the real fun should begin... but alas there are so many quality of life issues here. For example, to train your doctors you need to manually send them to study rooms. And there they will study until their shift is over and gain like 8% more skill each time. When they're done you have to manually reassign them to the same task for their next 8%. If you're training like 10 doctors at a time, that's at least 160 clicks you need to perform every day just because the devs couldn't be bothered to make a train until X% option. Even when you do have 100% skilled doctors they seem to not be able to do their job, so you still have to manually diagnose way too many patients to prevent people from dying in droves. And then there's the lag factor caused by lack of optimization. If I simply open an empty big hospital in sandbox mode my FPS will already drop to like 50 FPS and further down to 30 if I start moving the mouse around. This is pretty ridiculous. An empty hospital shouldn't create (such) lag.Show moreShow less
158 hours at review138 people found this helpful
RecommendedSteam player
I'm enjoying this game, though it can be frustrating. The graphics are excellent. The game-play is pretty much real-world, with patients presenting with symptoms of actual diseases and conditions, not silly made-up ones. Patients can even present with COVID-19. Project Hospital is a highly complex game with wonderful detail. BUT -- as a former registered nurse, I cringe at some of the things I see in the game. People with fractures of foot, ankle, or leg walking around? Where are the wheelchairs? A patient waiting for surgery in the morning gets up and eats a snack right before going into surgery. That is a big no-no. The patient I saw doing that was having surgery for her fractured mandible (jawbone). How could she even eat at all? Another patient came in with a fractured finger, and comes out with an arm cast on! An arm cast won't do a fractured finger much good, really. The finger should just be splinted. It is certainly silly to see the patients who have been hospitalized overnight, some of them waiting for surgery in the morning, get up and walk out of the hospital as soon as it opens in the morning without having their surgery! That's just bizarre. But it is just a game, and we must go with the flow. One of the biggest challenges is to build a hospital, and that is not easy to do! And it can also be frustrating. I put in one section of a department that was required. I used the "pre-fab" for that section, a four-bed ward. The game kept telling me I didn't have that ward, when I doggone well did, and it was one that came with all the equipment needed. But it kept telling me I didn't have it. So I demolished the one I had put in, and put in the SAME pre-fab in the same location, and the game acknowledged that I did have that ward in place. There is very little instruction in most walkthroughs on the mechanics of the game. The only one I found that does have such information is at Gamepressure.com: https://guides.gamepressure.com/project-hospital/. Even this guide does not cover all the mechanics. Some of the terminology takes some getting used to for American players. One unit is called the High Dependency Unit. In American usage, that would be the Critical Care Unit. "Orthopaedy" is their word for what we call Orthopedics. And so on. It doesn't take much time to figure out what the terms mean. The learning curve for the game is steep. I've had to trash a number of games, but I learn each time I do that, and can get further in the game each time I start over. I must confess that I'm 75, but I've also been playing computer games since the late 1970s. Give Project Hospital a try.Show moreShow less
28.2 hours at review244 people found this helpful
Not recommendedSteam player
My decision to give this a thumbs down is based mostly on problems with pathfinding of NPCs, and a seriously inconvenient user interface. The most annoying fact is that the graphics in this game a very unpolished. NPCs are moving only in 90 degrees along the iso map, and they turn 90 degrees instantly, including any medical bed or other equipment they are using at the time. Watching a doc or a patient zig-zagging through a room for a destination hurts my sense of immersion very much. Personnel-patient interactions are not always parallelised in the game engine, so if a doc calls in a patient, they do not move at the same time, first the doc goes to their seat, then the patient starts moving. Wasted game time. It is also somewhat annoying to figure out how to compose a room. Some components have to be bought separately but placed in a fixed pattern, which you learn by trial and error. And the isometric style is in some cases a real obstacle in placing things. I still try to overcome my negative impressions with more playing, but from my current perspective I would not recommend my friends to buy this. [Edit] Steam asked me if I like to revise my review after a few more days of playing it. These are the things that i noticed most often as irritating: - There are no family members visiting hospitalised patients. - No children patients - I did not see any traces of pregnancy or childbirth procedures - No crime victims seen so far, or treatment of criminals in secured sections - The clipping! Oh man, patients and personnel are passing right through each other. Nothing annoys me more in this game if nurses with stretchers slowly pass through each other, or they walk with a stretcher towards a wall, the stretcher passes into the next room and then they turn in an instant by 90 degrees, ignoring all laws of physics and immersion - In the scenarios there is too much repetition of the same reasons for incoming patients. - I still do not understand how shared rooms work, or if I did understand it, certainly the hospital personnel doesn't because they do not seek the closest shared room but one that matches their department.Show moreShow less
47.1 hours at review125 people found this helpful
RecommendedSteam player
Employee got drunk last night. Priceless I love all this influx of management games, it was one of my favorite genres back in the day and I’m very happy this game came out. People often compare Project hospital to Two point hospital, but these games cannot be compared. They are aimed at different people and has different gameplay. One is great fun comedy management game with all kinds of fictional illnesses which supposed to make you smile. Project hospital is more on a simulation side and tries to be realistic. I personally love both games, it’s good to switch between them depending on your mood. Project hospital offers in depth simulation of hospital life. It tries to be realistic but not too much so it’s still fun to play, there is a nice balance between fun and deep gameplay and I’m very happy about it. I want the game to be accessible and not require a an engineer degree to play. This game offers real illnesses and real treatments. Doctors and nurses do every action which is required, you can see them taking the equipment, inspecting the patient, throwing gloves into trash bin and washing their hands after inspecting the patient. If a patient needs some more serious procedures they‘re being taken to another department. After some procedures you get a diagnosis and then must treat the patient by choosing the right treatment for the according symptoms and illness. If you can‘t treat the patient you can send him off to another hospital. So be careful diagnosing the patients. If you‘re tired doing everything yourself which will happen obviously, you can switch to automatic treatment, but sometimes it might be difficult for a doctor to diagnose the patient because his skill level is too low. In that case you must take over. How effective the diagnosing and treatment is depends on doctor‘s experience and skill. The attention to detail in this game game is really good. To start with the hospital you first need to build it and here you have an absolute freedom. First you lay foundations (similarly to Prison architect) but here everything is more user friendly and less confusing. You build the walls, floor, add furniture and equipment and of course hire staff. To make your patients feel a bit better you can decorate your hospital with flowers and other decorations. If you‘re lazy or just tired of building room after room you can choose prebuilt templates of rooms which include all the needed equipment, you just place the room and assign staff to it. There are eight departments. Patients first come into an emergency department where they tell you how they feel, doctors then must find what is wrong exactly by talking to a patient and examining him. When they find what is wrong they send the patient to one of the departments for further treatment, hospitalization or send him home prescribing some drugs if it‘s nothing too serious. To have your hospital fully functioning and being able to treat anyone you must build different departments and hire skilled staff. And don‘t forget about night shifts, hospital should be opened 24/7 after all. Patients and your staff also have traits, positive and negative ones. A patient with clean feet will leave less dirt on the floor. Or another example – a doctor who spends twice the time eating. The game comes with a nice tutorial which will teach you how to treat patients, how to build your hospital, hire staff and how to manage your hospital, tutorial is very welcomed in such a game because it’s not a simple game to understand without any tutorials. There are also challenges and sandbox mode. In sandbox mode you’re free to choose how to play. You can simply start with en empty lot and build everything from the start or you can start with a prebuilt hospital. You unlock everything from the start or unlock everything by playing, you even can choose if patients can die or not. So everyone can play how they like. Graphically the game looks really nice. Technically the graphics are no good, but artistically and visually it looks great. I don‘t like Unity engine But this game is 2D which means there’s no jaggies and it looks crisp sharp at 1080p. 3D Unity games usually have anti-aliasing problems. Like I said the game is 2D so there’s no camera rotation. I don’t know if it’s good or bad. On one hand I like to rotate my camera on the other hand if there’s a big area I sometimes get confused where is what after rotating the camera many times. I’m good with how the game is right now. Animations are not the best but they’re in no way are bad. Nothing to be concerned about, graphically the game looks good. A great example that you don’t need fancy 3D graphics(of course if developers have the budget and resources nothing beats Planet coaster attention to detail) and you can make visually appealing game using simple graphics. And of course this lets practically everyone to enjoy the game because it will run on any PC. Just look at the requirements, they'll make you smile. One little annoying thing I noticed. When there are many items in one place it’s hard to select the one you want because you select the item by not clicking on it but instead clicking below it. To give you an example lets say there’s a table, computer on a table and a clock on the wall above the table. If you want to click on the clock it might be quite difficult because you need to click on the ground below the clock. Some suggestions for DLC/free updates from me. It would be nice to have children’s wing where you would need to look for staff who are good with children and decorate the wing accordingly to improve children’s mood. Also it would be nice to have a psychiatry wing where patients with depression would be treated. You could look deeper into it and find the cause of their depression. You could hospitalize patients who are prone to harming themselves and also alcoholics and drug addicts. How about deathcare? Making the last days of those people as comfortable as possible would be fun. And the most important one which I think should be added for free is birth clinic. Seriously this should be in the game and I hope it will. The first game from these developers, but the game feels finished. There are some bugs like disappearing patients but nothing which couldn’t be fixed with some patches. I recommend this game to the fans of management games. Deep gameplay, nice graphics, lots of things to do will keep you busy for a while. The price is very reasonable, you can't go wrong with it. Pros Appealing graphics Good number of real illnesses Realistic treatment mechanics Deep gameplay and management system Many design options Freedom Suited for everyone from casuals to hardcore players Cons Selecting items could be a pain Needs more departments My curator pageShow moreShow less
20.5 hours at review230 people found this helpful
Received for free
Not recommendedSteam player
I wanted to like this game. It takes a more serious approach to the Hospital Sim and I like that. The problem is there is no "game" in this game. You just build the rooms needed, hire the staff needed, and then sit back and watch. There are no new challenges or unexpected twists or turns. The player has no agency over what happens. You just sit and watch. It's boring. Most of my "hours played" were accumulated waiting for the game to do something as I watched Netflix, because I was that f***ing bored.Show moreShow less
108 hours at review101 people found this helpful
Source: original Steam user reviews. Helpful votes are an archived snapshot, not live data. Last collected: 08/15/2026.