In this update5
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
- Gameplay
- Performance
- UI and audio
- Balance
- Events
- Fixes
Sanatorium - A Mental Asylum Simulator changes
Dear Doctors,
Since you took up your position, the Sanatorium has made several improvements based on your feedback.
Thanks to your participation in clinic governance, we have already implemented multiple improvements to the clinic’s work environment:
Patient Overview – Providing additional information during treatment.
Steam Deck Verified – You can now guide the healing of minds while traveling.
The Board has now approved a further clinic quality-of-life update focused on money balance, Endless Mode variation, and general stability.
This also includes improvements brought to our attention by you, such as Resolution and Screen Mode Options and Skippable Game Over Cutscenes.
These changes add new shop options, random money events, display settings, and several fixes to prevent progression and UI issues.
We remain grateful for your continued service and dedication. Please reach out to us on Discord, Steam, or our Subreddit with any feedback or questions.
New Content
Economy / Shop
Added two new extra shop cards.
Institutional Donation: spend money to gain prestige.
Supplemental Funding: spend prestige to gain money.
Cards will appear if the player is low on prestige or money.
Random Events
Added new money-related random events for all wards.
Added events for unexpected ward expenses, including water damage, nurse overtime, library fees, and clinic vehicle subsidies.
Gameplay / Balance
Rebalanced money across all wards.
Adjusted economy pacing so surplus money has more use and Endless Mode has more financial variation.
Display / Options
Added display options, including resolution and screen mode settings.
Fixed several font and spacing issues in the UI.
Cutscenes
Added a skip button.
Bug Fixes
Improved general stability.
Inventory is now pruned on every level change.
Item cards marked as survives pruning are kept during level changes.
Resolved an issue that could lock players out in Ward 4.
Source
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