Project Hospital on Steam - User reviews, Price & Information

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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 medical sim, city builder and management game developed and published by Oxymoron Games.
Released on October 30th 2018 is available on Windows, MacOS and Linux 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 8,348 reviews of which 7,392 were positive and 956 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 4.99€ on Gamivo.


The Steam community has classified Project Hospital into these genres:

Media & Screenshots

Get an in-depth look at Project Hospital through various videos and screenshots.

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 - there's a known issue, sound might stop working with Zoom installed on the same computer
Linux
  • Processor: Intel i3 3210, AMD Ryzen 3 1200
  • Memory: 4 GB RAM
  • Graphics: Integrated Intel HD 4000
  • Storage: 1 GB available space

User reviews & Ratings

Explore reviews from Steam users sharing their experiences and what they love about the game.

March 2026
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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Feb. 2026
I wake up every day resentful that his masterpiece is not getting another dlc or sequal.
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Jan. 2026
As a student of architecture and an aspiring architect, I am passionate about planning and designing hospitals, and I hope to do so in the future. There are some limited machinery, appliances, furniture, and features. btw I like the game so much, but what i hated the most is lack of furniture, i am expecting more I want moreeeeeeeeeee!!!
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Dec. 2025
Please make a sequel to this. Easily a top 5 realistic game for me. If you ever wondered why hospitals are so complicated play this game and it will show you.
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June 2025
---{ Graphics }--- ☐ You forget what reality is ☐ Beautiful ☐ Good ☑ Decent ☐ Bad ☐ Don‘t look too long at it ☐ MS-DOS ---{ Gameplay }--- ☑ Very good ☐ Good ☐ It's just gameplay ☐ Mehh ☐ Watch paint dry instead ☐ Just don't ---{ Audio }--- ☐ Eargasm ☐ Very good ☐ Good ☑ Not too bad ☐ Bad ☐ I'm now deaf ---{ Audience }--- ☐ Kids ☑ Teens ☑ Adults ☐ Grandma ---{ PC Requirements }--- ☐ Check if you can run paint ☑ Potato ☐ Decent ☐ Fast ☐ Rich boi ☐ Ask NASA if they have a spare computer ---{ Game Size }--- ☐ Floppy Disk ☑ Old Fashioned ☐ Workable ☐ Big ☐ Will eat 15% of your 1TB hard drive ☐ You will want an entire hard drive to hold it ☐ You will need to invest in a black hole to hold all the data ---{ Difficulty }--- ☐ Just press 'W' ☑ Easy ☐ Easy to learn / Hard to master ☐ Significant brain usage ☐ Difficult ☐ Dark Souls ---{ Grind }--- ☐ Nothing to grind ☐ Only if u care about leaderboards/ranks ☐ Isn't necessary to progress ☑ Average grind level ☐ Too much grind ☐ You'll need a second life for grinding ---{ Story }--- ☑ No Story ☐ Some lore ☐ Average ☐ Good ☐ Lovely ☐ It'll replace your life ---{ Game Time }--- ☐ Long enough for a cup of coffee ☐ Short ☐ Average ☐ Long ☑ To infinity and beyond ---{ Price }--- ☐ It's free! ☑ Worth the price ☐ If it's on sale ☐ If u have some spare money left ☐ Not recommended ☐ You could also just burn your money ---{ Bugs }--- ☑ Never heard of ☐ Minor bugs ☐ Can get annoying ☐ ARK: Survival Evolved ☐ The game itself is a big terrarium for bugs ---{ ? / 10 }--- ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☑ 10
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Frequently Asked Questions

Project Hospital is currently priced at 24.99€ on Steam.

Project Hospital is currently not on sale. You can purchase it for 24.99€ on Steam.

Project Hospital received 7,392 positive votes out of a total of 8,348 achieving a rating of 8.60.
😎

Project Hospital was developed and published by Oxymoron Games.

Project Hospital is playable and fully supported on Windows.

Project Hospital is playable and fully supported on MacOS.

Project Hospital is playable and fully supported on Linux.

Project Hospital is a single-player game.

There are 4 DLCs available for Project Hospital. Explore additional content available for Project Hospital on Steam.

Project Hospital is fully integrated with Steam Workshop. Visit Steam Workshop.

Project Hospital does not support Steam Remote Play.

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 28 April 2026 11:34
SteamSpy data 24 April 2026 02:44
Steam price 29 April 2026 04:47
Steam reviews 29 April 2026 09:54

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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