Challenge Mode is OUT NOW

Challenge Mode is our new FREE DLC full of unrelenting stress for the management masochists! You thought our game was too easy.

Well, feedback received; we've worked day and night twiddling our knobs and levers into a diabolical arrangement that's sure to make even the most experienced director perspirate. As they say, be careful what you wish for.

Be sure your game is fully updated to play! See the full patch notes summary below.

Patient Overload!

Swarms of inconsiderate patients will barge into your hospital on the brink of death – often requiring rooms you’ve yet to build. But be quick, as every condition now kills patients quicker than it did previously. Leave them too long and you'll pay hefty fines.

They're Mutating?!

At any moment one of your previously discovered conditions can mutate into a far deadlier variant strain. A perfect time to get those doctors you forgot to fire into the Research Lab, I’d say.

Goodbye, Money!

We hope you’re responsible with your finances because you’ll be burning holes in your pockets keeping up with patients’ vexing needs and staff demands. Say goodbye to your money, we’re robbing you of credits and free items.

And don’t even think about crying to Baz, he won’t be any help. The generous colossal is now a colossal ****. Baz’s freebies will now only consist of cheap consumables. You’ll have to pay full price for everything else!

Fine, we’ll allow you to use The Research Lab, Training Room, Recovery Ward and Craftech immediately. You’ll need them in order to avoid killing too many patients.

Patch v1.1.0

Challenge Mode

• Challenge Mode is available is an optional setting that can be enabled when starting any level (both story and sandbox) if you enjoy suffering and misery

• In order to experience challenge mode on a level you’ll need to start again from scratch, it cannot be enabled in an already-existing hospital

• All career progress (research, consultants, unlocks, etc) is shared between challenge mode and regular mode

• Each level has an additional cosmetic reward available for reaching a 5 star hospital rating in challenge mode (it’s quite hard)

• Several new achievements are also available for reaching 5 stars in challenge mode

All of the features and changes listed below are exclusive to challenge mode, and do not impact regular gameplay!

Mutated Conditions!

Conditions have begun to mutate into deadly new strains, and it’s a race against time to research the cures before your hospital is flooded with death and disaster. Put those nerds in the Research Lab to work before it’s too late!

• Conditions now randomly mutate, massively increasing their treatment difficulty, health decay rate, and patient spawn rate

• Mutated conditions do not benefit from any existing research bonuses (they are effectively research level 0)

• All mutated conditions are the same difficulty level, regardless of their original difficulty Mutations must be researched (via normal means or by making use of the Research Lab) in order to re-discover the treatment, at which point the mutation is cleared

• Successfully clearing a mutation results in a bounty of credits and Loamite

More Patients!

Infection rates have surged and HEAL’s “KPI safeties” were switched off because they were illegal, so keep an eye on the shuttle bays – the goddamned patients are coming in hordes!

• A new “Challenge Spawner” system will progressively increase the number of patients spawning, regardless of if your hospital is also growing in size

• Patients are more likely