One of the first things any player will notice when they first boot up Project Hospital is its apparent complexity. From the very get go, you can see that jumping into the three lengthy tutorial levels can only just begin to scrape the surface of the plethora of gameplay features available and perfectly sets the stage for a deep hospital simulation that is as unapologetically elaborate as it is intensely rewarding.
Visually, Project Hospital pays homage to the forerunner of the medical simulation genre, 1997’s Theme Hospital, by presenting itself from an isometric camera perspective and similarly pleasing pixelated visuals. Despite pursuing similar visual aims, a vivid colour palette and consistently top notch texture work elevates Project Hospital far above the graphical limitations of its obvious inspiration. Almost everything that can be seen on screen at any given time practically pops and these great visuals add much enjoyment to spending hours arranging props and decretive items in ways that look just right.
Unfortunately, the overall visual flair is slightly dampened by the character sprites which are slightly too realistic to entirely fit with the overall pixel-art aesthetic. Compounding matters, characters are stiffly animated and somewhat inhuman in their movements. That is not to say that the character look overtly bad by any means; the sprites are perfectly serviceable and you certainly stop noticing any slight stylistic differences after a few minutes, but it was still a little disappointing to see the excellent visual standard let down in this way.
On the other hand, the game’s music is near flawless. Its a pleasing mix of optimistic piano riffs accompanied by various medical sounds (that’s the technical term by the way) and fits the game’s look and feel like a glove. I often found myself sitting idle on the main menu just to soak in the excellent title theme. The only complaint I can level at the soundtrack is that it is not yet available on Steam‘s music player and I sincerely hope it becomes purchasable as part of any future collectors edition.
Play it your way
The majority of gameplay is, as you would expect, focused around constructing and managing hospital facilities. This includes recruiting staff and keeping their needs met, maintaining finances and most importantly ensuring patient satisfaction across various hospital departments. These departments offer your hospital different specialisms and treatment options. Investing in an operating theatre and surgery wing for example allows you to prescribe major surgeries in your treatments.
Controlling the functions of your departments is supported by a robust building mode, which offers zoning tools, the ability to create walls and place props or equipment in addition to an almost overwhelming amount of visual customisation. If you have the inclination, you can give each individual department a distinct colour scheme and are even given the option to alter individual staff uniforms to match it. In fact, almost every item has at least three different looks to choose from and despite being purely cosmetic helps make all of your hospitals feel entirely unique.
The level of cosmetic tweaking on offer is mirrored by the possibility for practically insane levels micromanagement. ‘Management mode’ lets you check individual staff member’s efficiency, roles, specialisations, assigned areas, supervisors, satisfaction levels and so much more. This all helps you assign your staff to different time slots or different roles based upon their individual skills. You can even tweak the level of certainty doctor’s need before giving a diagnosis. Picking a lower certainty threshold will drastically increase your patient turnover (and thus your income) but could potentially have tragic repercussions.
If the level of micromanagement offered by the base game wasn’t quite enough to fulfil your thirst, the free Doctor Mode DLC lets you assume the role of a character created doctor in one of your own hospitals and take patient’s treatments into your own hands.
Naturally, this level of intrusion may not be for everyone and the game has a few features to help facilitate you in directing your attention to the elements of the game that most interest you. The building presets, for example, allow the player to almost completely circumvent the time consuming process of equipping rooms if they do not wish to do so. This level of gameplay flexibility is excellent, and something more simulators should widely aim to accommodate. It allows you to maximise fun by keeping your gameplay focused on the parts you enjoy the most.
Not so elementary
The game is also very notable for its realism. Unlike most other medical management sims, in Project Hospital you deal with real conditions and prescribe real treatments – from what I could gather with my strenuous medical experience of the odd childhood injury and a dubious knowledge of A-level biology. This of course leaves the game with quite a steep learning curve and whilst getting to grips with the inner workings of highly realistic hospital ward may seem like a compelling challenge for some, it makes it hard to recommend this title to any casual players.
Furthermore, although the user interface design makes an admirable attempt to simplify the vast number of different tools on offer, the seemingly limitless overlapping sub-menus, tabs and windows can still seem confusing even after a few hours of play.
Getting to grips with its systems and idiosyncrasies may feel confusing at first but, at its core, Project Hospital is a best-in-class medical management sim. Although not for everyone, fans of the genre with the perseverance to master its realism and complexity will find a highly rewarding simulation packaged with a set of pleasing visuals and an excellent soundtrack to boot.
Just so you’re aware! In order to facilitate a review this product was given to our organisation free of charge.