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Sanatorium - A Mental Asylum Simulator

Also known as Sanatorium - A Mental Asylum Simulator, samas, sanatorium a mental asylum simulator

The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.

Last update
13 Jun 2026
Players now
0

Latest update

Announcement

v1.2.2Bugfixes 1.2.2

Fixed an issue where NPC dialogue events could fail after a dynamically selected dialogue had already been played. Added an extra safeguard to ensure the Ward 4 ending triggers correctly. Improved reliability when relea…

4 changesFixGameplayRead announcement

Update history

Browse past updates and patch notes for this game.

20 updates

Gallery

In-game media

Achievements

Community progression

Top picks from 30 Steam achievements, sorted by player unlock rates.

  • Welcome to CastlewoodsComplete the tutorial.87.6%
  • Ward 1 - RehabilitationFinish your first duties in the Rehabilitation Ward.45.0%
  • A Sound InvestmentBuy the gramophone from the shop.43.2%
  • Keeps the Doctor awayUse any diet treatment 20 times.43.0%
  • Ward 3 - AsocialsBring order to the Asocials Ward.25.0%
  • Hercule DocteurHidden24.9%