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Project Hospital on Steam
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Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.
Project Hospital is a management, medical sim and city builder game
developed and published by Oxymoron Games.
Released on October 30th 2018 is available on Windows, MacOS, Linux, Steam Deck and Steam Machine
in 19 languages: English, French, German, Spanish - Spain, Czech, Portuguese - Brazil, Spanish - Latin America, Traditional Chinese, Russian, Turkish, Ukrainian, Italian, Simplified Chinese, Dutch, Japanese, Hungarian, Polish, Korean and Swedish.
It has received 8,413 reviews of which 7,488 were positive and 925 were negative resulting in a rating of 8.6 out of 10. 😎
The game is currently priced at 24.99€ on Steam, but you can find it for 6.95€ on Eneba.
The Steam community has classified Project Hospital into these genres:
Management
Medical Sim
City Builder
Job Simulator
Simulation
Sandbox
Building
Strategy
Education
Economy
Life Sim
Character Customization
Realistic
Isometric
2D
Moddable
Indie
Stylized
Replay Value
Resource Management
Here is the detailed breakdown of supported languages for Project Hospital:
| UI | Subtitle | Audio | |
|---|---|---|---|
| English | |||
| German | |||
| French | |||
| Italian | |||
| Korean | |||
| Spanish - Spain | |||
| Simplified Chinese | |||
| Traditional Chinese | |||
| Russian | |||
| Japanese | |||
| Polish | |||
| Dutch | |||
| Swedish | |||
| Hungarian | |||
| Czech | |||
| Turkish | |||
| Portuguese - Brazil | |||
| Ukrainian | |||
| Spanish - Latin America |
Media & Screenshots
Get an in-depth look at Project Hospital through various videos and screenshots.
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System requirements
These are the minimum specifications needed to play the game. For the best experience, we recommend that you verify them.
Windows
- Requires a 64-bit processor and operating system
- OS *: Windows 7 64bit
- Processor: Intel i3 3210, AMD Ryzen 3 1200
- Memory: 4 GB RAM
- Graphics: Integrated Intel HD 4000
- Storage: 1 GB available space
MacOS
- Processor: Intel i3 3210, AMD Ryzen 3 1200
- Memory: 4 GB RAM
- Graphics: Integrated Intel HD 4000
- Storage: 1 GB available space
- Additional Notes: Mac Mini - to avoid startup issues, please install the game on the MAIN SSD. There's also a known issue, sound might not work with specific audio drivers/plugins installed on the system.
Linux
- Processor: Intel i3 3210, AMD Ryzen 3 1200
- Memory: 4 GB RAM
- Graphics: Integrated Intel HD 4000
- Storage: 1 GB available space
Steam Price & Best Deals
User reviews & Ratings
Explore reviews from Steam users sharing their experiences and what they love about the game.
Project Hospital Made Me Learn Real Medicine By Almost Killing a Guy With Lead Poisoning Project Hospital lets you run things two ways. At the micro level, you take control of an individual doctor (you can even rename yourself into the role) and work clinic patients directly, running the actual exams (physicals, chest exams, skin allergy tests, and so on) to reach a diagnosis. At the macro level, you're managing the whole hospital instead: expenses, patient flow, staffing, the works. Both layers are playable, both are genuinely deep, and the game trusts you to actually understand what you're doing instead of holding your hand through it. Pros The diagnostic complexity is the best part of the game. Patients don't always present cleanly. You'll get someone in through the clinic or via an ambulance trauma case with vague complaints, breathing trouble, some pain, nothing alarming on the surface, and then they'll suddenly collapse. Transfer them to internal medicine and you find out it's actually lead poisoning or some other condition the original department couldn't catch with the tests available to it. Miss it, and the patient dies. That's the game punishing you for not paying attention, and it's brutal in a way that feels earned rather than cheap. It's built on real medicine, and it shows. Symptoms map to diseases the way they actually do in real life, department by department, test by test. I'd genuinely believe an actual doctor would enjoy sitting down with this. I've picked up a surprising amount of real medical knowledge just from playing, enough that it renewed an interest in biology I had as a kid and had completely forgotten about. The tutorials are excellent. This is a complicated game and it will absolutely overwhelm you if you're not paying attention, but the tutorials do a genuinely good job walking you through hospital flow, department dependencies, and how everything connects before it throws you into the deep end. Follow them properly and the rest of the game clicks into place instead of feeling like a wall of systems. There's a modding community, and it's still alive. Not huge, but active enough to matter. Good mods out there adding new departments, name changes, decorative items, posters, and other small quality-of-life touches that add up over a long playthrough. Your staff have personality, and it actually affects how you manage them. Employees aren't interchangeable stat blocks. Some have long commutes that affect their reliability, some are young parents juggling that alongside work, some are just more diligent on day shift versus night shift. It makes staffing feel less like filling slots and more like actually managing people, quirks and all. The day/night shift system adds a real layer of planning. The hospital runs day and night shifts, but starting up the night shift is entirely on you. You have to hire for it and actually pay attention to which rooms get heavy use during the day so you can staff and prep the right departments for the night. It's an easy thing to ignore early on and a genuinely satisfying system once you start optimizing around it. Cons The patient queuing system is a black box, and not in a good way. Patients who've clearly been waiting longer than others sometimes get skipped over for someone who arrived after them, with no visible explanation for why. I never figured out the actual logic behind it. It should be transparent, and it just isn't, which makes it hard to trust the system is even working correctly. Janitors clean whatever they want, not what actually needs cleaning. You can't direct them to a specific dirty tile. They'll wander off and re-clean a spotless hallway while an actual mess sits there in plain view. It's a small thing, but it's the kind of small thing that gets genuinely annoying once you notice it, especially in a game this focused on managing what's in front of you. This game is not for everyone, and it knows it. I recently finished one of the six major challenges and only 3.4% of players have actually completed it. That's a real signal about how steep the learning curve is here. If you go in expecting something casual, you'll bounce off hard, and the game isn't going to soften that for you. Bottom Line This is a genuinely deep, well-researched sim that rewards patience and punishes carelessness in a way that feels earned rather than cheap. It's not for a casual audience, and a couple of the systems (the queue logic especially) could use more transparency, but if you stick with it, it's a lot of fun and honestly kind of educational. Thoroughly enjoyed my time with it.
Fun game but I have a couple of gripes. Firstly I wish the undo feature went back further than one action. Secondly I wish there was more to actually running the hospital. The bulk of the game is building with a little bit of diagnosis on the side. Otherwise though this feels like a grown up version of Two Point Hospital which is what I was looking for.
Project Hospital is crunchy management and deep simulation steeped in real-world medicine. I don't know how to explain my absolute infatuation with this except to say that after 65+ hours, it feels like I've only scratched the surface of the base game. Gameplay + Details At first glance, this looks like average top-down management: build hospitals one room at a time, hire employees, take loans, balance budgets. Then a patient dies and the game asks, "Would a more efficient hospital be able to handle this case better?" The answer, always, is yes . Turns out, this is a management game with an ever-evolving enemy: time . Controls. Keyboard + Mouse only. Allegedly "playable" on Deck, but I wouldn't. Playtime. Infinite??? Settings/Options. Minimal and paltry. No windowed mode and no way to prevent game from automatically minimizing if you open another window. What Works For Me ✅ Building. Not gonna lie, I picked this up to build and decorate custom hospitals, and… wasn’t impressed. Building isn't intuitive or particularly flexible; you only recover ~50% when deleting new objects, must lay foundations before walls, must zone carefully because rooms have minimum size and equipment requirements, and many items have specific locations. There's a tragic dearth of decorations. However, there's also a surprising degree of freedom (more if you're willing to sacrifice patient's lives) and experimentation. Every hospital I've built has been completely different from the ones before… though, admittedly, at this point, I'm just trying to optimize. ✅ Details. I'm a process/operations engineer and project manager by trade. For me, management games are wish fulfillment: Once you understand how they work, they work every time. Project Hospital isn't like that. This is the only one I've ever played that I couldn't constantly run at 3X speed; there are so many moving parts, and every cog interacts with another, and any speck of dust can throw off the entire system. It's so cool. ✅ Diagnosis + Treatment. A hilarious percentage of modders and folks at the subreddit are medical professionals drawn to the realistic workflow, diagnostic process, and treatments -- and that the game doesn't hold your hand. The first time I bumped into a complicated diagnosis, I had to google what the various tests even do because the game doesn't bother to tell you. If I hadn't, the patient would have died of a hidden symptom. I love this. ✅ Employee Management. Employees have positions, traits, skills, specialties, whatever -- y'know, generic management sim stuff. However , unlike in many games, these things matter because they affect response time. That hungover nurse or that doctor with 1% advanced diagnosis skill? Yeah, they're not responding to a problem as quickly as an early bird or more skilled doc. ✅ Game Modes. Base game includes three campaigns and a smattering of "challenges" designed to test your optimization skills and patience, plus a sandbox mode if you want to free-build and explore new systems. I've had fun with every single one, and am constantly impressed by how deep this game actually is. ✅ Ongoing Dev Support. Eight years later, this still gets regular security and QoL patches. Thank you, Oxymoron Games! ✅ Workshop Support. I'm currently using three lightweight mods ("More Occupations" and "More Names" for variety, plus "Outdoor Objects for Indoor" for building), but in another hundred hours, I'll head over to the Steam Workshop to add new departments and new diagnoses. Change how patients collapse. Download pretty hospitals. The community isn't super active in 2026, but there's a lotta quality mods out there. ✅ TIME. As I said earlier, the greatest enemy is time. How long does it take someone to respond to a patient collapsing in the hallway? A lab to run a test? A ward to transport someone to surgery? A surgeon to show up? HOW CAN YOU STREAMLINE THE PROCESS? What Doesn't Work For Me 🟥 Animation. The 2D art is lovely, but there's a lot of clipping and stiff movements as nurses wheel patients through walls/objects. You have to just go with it. 🟥 Crash to Desktop Count: 6. Autosave does its best, but I recommend manually saving after any significant or time-consuming renovations. 🟥 Painting Walls. When Oxymoron patched camera rotation into this isometric 2D game, it made it easier to decorate -- but more annoying to paint walls. Unlike in The Sims , walls are only colored in the direction you're looking at; you have to rotate the camera 180° first to properly paint a room. It doesn't sound like a big deal until you have five floors sprawling across a 96x96 lot. (Also, I would like more decorative items, please.) 🟥 Time Stats. WHY CAN'T WE SEE HOW LONG PATIENTS ARE WAITING? 🟥 Triage + EMS. You can place reception desks and assign nurses to "triage" (change priority order of) patients, and ambulances deliver critical patients to your trauma center. In both cases, the nurse and paramedics don't… help? No emergency treatment or discovered symptoms or anything at all; honestly, in a game where time is the only thing that matters, this is the least functional mechanic. Tips + Tricks ➡️ Assume that any pre-built hospital or template room is deliberately designed to waste time and endanger patients. ➡️ Radiology, Medical Labs, and any Operating Rooms should be central to ALL departments -- whether a middle floor or the middle of the complex. Group a department's Cardiology room with their general offices to reduce waiting rooms. Final Thoughts + Recommendation For the first few hours, Project Hospital didn't feel like much. There didn't seem to be a lot going on, and the tutorial levels were kinda… whatever. But somewhere along the way, it started to unfold. I glimpsed systems and complexity that I'd never seen in other games. Within a few weeks, this consumed my brain and free time. I think about it at work and while making dinner and while trying to sleep. I once woke up at 3AM and ran to my computer to see if relocating an entire wing would make things run more smoothly. I hate this game. I love it beyond all reason. I do not recommend it if you have any medical anxiety, hate building and rely solely on templates, just want to chill and not think too hard about how something works, or if patient deaths might upset you. In all of these cases, I think you'd enjoy [url=https://store.steampowered.com/app/535930/Two_Point_Hospital/?curator_clanid=45365863]Two Point Hospital . That said, if Two Point was too goofy or easy for you, or if you’re looking for a genuinely complex management game that reveals new layers the longer you play… you need Project Hospital . DLC Reviews: [url=https://steamcommunity.com/id/dustbath/recommended/1149760/]Doctor Mode • [url=https://steamcommunity.com/id/dustbath/recommended/1282550]Hospital Services Follow [url=https://store.steampowered.com/curator/45365863/]Eekz Today for more crafting, life sim, management, strategy, and story-rich recommendation
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Frequently Asked Questions
Project Hospital is currently priced at 24.99€ on Steam.
No, Project Hospital is currently not on sale. You can purchase it for 24.99€ on Steam.
Yes, Project Hospital received 7,488 positive votes out of a total of 8,413 achieving a rating of 8.64.
😎
Project Hospital was developed and published by Oxymoron Games.
Yes, Project Hospital is playable and fully supported on Windows.
Yes, Project Hospital is playable and fully supported on MacOS.
Yes, Project Hospital is playable and fully supported on Linux.
Yes, Project Hospital is playable on Steam Deck, though it might require a few minor tweaks. Make sure to check the Steam store page and community feedback on ProtonDB for exact compatibility details.
Yes, Project Hospital is playable on Steam Machine, though it might require a few minor tweaks. Make sure to check the Steam store page and community feedback on ProtonDB for exact compatibility details.
No, Project Hospital does not support VR.
Project Hospital is a single-player game.
Yes, there are 4 DLCs available for Project Hospital. Explore additional content available for Project Hospital on Steam.
Yes, Project Hospital is fully integrated with Steam Workshop. Visit Steam Workshop.
No, Project Hospital does not support Steam Remote Play.
Yes, Project Hospital is enabled for Steam Family Sharing. This means you can share the game with authorized users from your Steam Library, allowing them to play it on their own accounts. For more details on how the feature works, you can read the original Steam Family Sharing announcement or visit the Steam Family Sharing user guide and FAQ page.
You can find solutions or submit a support ticket by visiting the Steam Support page for Project Hospital.
Data sources
The information presented on this page is sourced from reliable APIs to ensure accuracy and relevance. We utilize the Steam API to gather data on game details, including titles, descriptions, prices, and user reviews. This allows us to provide you with the most up-to-date information directly from the Steam platform.
Additionally, we incorporate data from the SteamSpy API, which offers insights into game sales and player statistics. This helps us present a comprehensive view of each game's popularity and performance within the gaming community.
Last Updates| Steam data | 04 October 2026 13:47 UTC |
|---|---|
| SteamSpy data | 16 October 2026 04:14 UTC |
| Steam price | 26 October 2026 20:08 UTC |
| Steam reviews | 22 October 2026 16:02 UTC |
If you'd like to dive deeper into the details about Project Hospital, we invite you to check out a few dedicated websites that offer extensive information and insights. These platforms provide valuable data, analysis, and user-generated reports to enhance your understanding of the game and its performance.
- SteamDB - A comprehensive database of everything on Steam about Project Hospital
- SteamCharts - Analysis of Project Hospital concurrent players on Steam
- ProtonDB - Crowdsourced reports on Linux and Steam Deck Project Hospital compatibility
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Game modes
Features
Online players
230
Developer
Oxymoron Games
Publisher
Oxymoron Games
Release
30 Oct 2018
Platforms
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