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Steam News8 November 20257mo ago

Patch Notes 1.01a

Dear Doctors, Thank you for your support. We were inspired by all the encouraging messages and comments. We appreciate all your feedback, reports, and save files.

Full notes

Full Sanatorium - A Mental Asylum Simulator update

Read the full published notes in a cleaner layout. The original post stays linked below.

What changed

6 fixes0 additions8 changes1 removal
  • Performance
  • Gameplay
  • Fixes
  • UI and audio
  • Store
changedWe appreciate all your feedback, reports, and save files. Based on what we've seen since launch, we've made a key change to improve stability and reduce the chances of getting stuck in critical campaign sequences.
removedCore UpdateRemoved the autosave from the office table.
fixedBug FixesFixed a crash when an experimental card attempted to hit more targets than it should.
fixedBug FixesFixed an issue where localized card descriptions could disappear on slower systems.
fixedBug FixesFixed a bug where Endless Mode remained active even after being deselected.
fixedBug FixesFixed an issue in Endless Mode where the Janitor’s drop station shutters would remain closed.

Dear Doctors,

Thank you for your support. We were inspired by all the encouraging messages and comments.

We appreciate all your feedback, reports, and save files. Based on what we've seen since launch, we've made a key change to improve stability and reduce the chances of getting stuck in critical campaign sequences.

Core Update

  • Removed the autosave from the office table.

  • Campaign save points now occur in the player’s room, not at the table.

  • This significantly reduces soft locks and allows better error recovery.

Bug Fixes

  • Fixed a crash when an experimental card attempted to hit more targets than it should.

  • Fixed an issue where localized card descriptions could disappear on slower systems.

  • Fixed a bug where Endless Mode remained active even after being deselected.

  • Fixed an issue in Endless Mode where the Janitor’s drop station shutters would remain closed.

  • Fixed a bug preventing the menu from opening with the Start button on Steam Deck.

  • Fixed lingering shop cards that remained visible after purchase in rare cases.

  • Improved logging for better failure detection in player reports.

UI & UX Polish

  • Improved mouse cursor detection on UI elements and buttons.

  • Polished Save Game selection and load UI for better clarity.

  • Slightly increased card scale on hover for improved readability.

Known Issues (Planned for Next Patch)

  • Japanese localization may cause text overlap with handwritten story fragment assets.

  • Syndrome Catalogue tutorial window can reopen the catalogue due to overlap.

  • Some players report being stuck in Ward 3 after accusing the wrong patient.

  • Repeated use of the onscreen keyboard on Steam Deck during name entry may cause a crash.

We're continuing to monitor your feedback and are working on additional fixes and quality-of-life improvements. Thanks for helping us improve Sanatorium.

If you'd like to help or have input, the best way is to join our Discord.

Source

Steam News / 8 November 2025

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