Changelog.ggBeta
HomeGamesUpdatesPricingMethodology
Steam News29 July 20261mo ago

Patch 1.3 - Checkpoints & Ward 4

Dear Doctors, Since you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements.

In this update3

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

4 fixes2 additions3 changes0 removals
  • Performance
  • UI and audio
  • Balance
  • Gameplay
  • Fixes
  • Events
changedSince you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements.
addedChangesAdded a Restart Ward button to the pause menu.
changedChangesRebalanced the appearance of Witness characters in Ward 4 to improve ending progression.
addedChangesAdded additional safeguards during ward initialization to prevent progression issues.
fixedFixesFixed an issue where some variables were not reset correctly when restarting a ward or loading a game.
fixedFixesFixed an issue where players could occasionally fail to receive cards they were meant to obtain via event or dialogue.

Sanatorium - A Mental Asylum Simulator changes

changedSince you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements.
addedAdded a Restart Ward button to the pause menu.
changedRebalanced the appearance of Witness characters in Ward 4 to improve ending progression.
addedAdded additional safeguards during ward initialization to prevent progression issues.
fixedFixed an issue where some variables were not reset correctly when restarting a ward or loading a game.

Dear Doctors,

Since you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements.

Changes

  • Added a Restart Ward button to the pause menu.

  • Rebalanced the appearance of Witness characters in Ward 4 to improve ending progression.

  • Added additional safeguards during ward initialization to prevent progression issues.

Fixes

  • Fixed an issue where some variables were not reset correctly when restarting a ward or loading a game.

  • Fixed an issue where players could occasionally fail to receive cards they were meant to obtain via event or dialogue.

  • Fixed an issue where NPC dialogue could fail to appear in certain situations, including some cutscenes in Ward 3 and parts of Ward 4.

  • Fixed minor translation issues.

Save Game Compatibility

To ensure a stable experience, existing Ward 4 save files will automatically be reset to the latest checkpoint (Day 1) if an issue is detected during loading.

Source

Steam News / 29 July 2026

Open original post

Changelog.gg summarizes and formats this update. How we read updates.