Simulation
Do No Harm
Give it 2 hours
Gets good by 2h almost every game dips in hours 2–3
Started playing 81% of owners
Steam reviews 75% positive of 961
What the data shows
- In the first 2 hours almost 1 in 2 reviews are negative (44%); after 4h it's 1 in 5 (21%).
- 81% of owners got the first achievement.
When it gets good
Share of positive reviews by how many hours the reviewer had played when writing the review.
before it gets good opening up fully opened up
Based on all 974 Steam reviews in every language. Median playtime in a sample of 297 reviews: 6.4h for positive, 2.9h for negative. Almost every game is rated lower in the first 2–3 hours: that window includes refunds and quick first impressions. What matters is how deep the dip is and how fast the game recovers.
Where players quit
Share of players who started the game and reached each story milestone. 100% is the most common achievement (81.2% of owners), so people who bought the game and never launched it don't count.
Story milestones aren't labeled yet; all achievements are listed below.
All achievements (46)
- Thank you, doc! Treat your first patient 100%
- Careless Missed 3 anomaly in a day 78%
- Savior Reputation has reached the max value 72%
- Licensed to Kill Do harm to a patient 65%
- Paranoid Drink 2 laudanum when there is no anomaly 62%
- Closer look Buy magnifying glass 47%
- Listen carefully Buy stethoscope 27%
- Blind Confidence Complete a day without lamp 26%
- Medical virtuoso Heal a patient instantly with mixed medicines 22%
- Ending: Dragged into the Abyss Become Lurker’s victim 11%
- Criminal Kill 7 patients 9.6%
- Ending: My Honey Pie Get Eaten by Cannibal 8.4%
- Small price for Salvation Sacrifice a patient for the Killer 7.9%
- Ticket to escape Cure Thomas 7.8%
- Ending: Out of Mind Executed by villagers 7.1%
- Breaking Bad Complete one of Gravedigger’s lists 6.2%
- Lovecraftian doctor Heal a Transform Level 3 Fishman 6.0%
- Hard choice Cure Marianne 5.2%
- Ending: A new cycle begins Accept Priest’s final offer 4.9%
- Ending: Fleeing evil, becoming prey Run Away from Priest 4.8%
- Oops Kill a patient instantly with mixed medicines 4.2%
- Ending: Imprisoned Thrown in jail 2.5%
- Ending: Escape The Island with Thomas - Alora Rescued Cure Thomas and escape the island with Alora 2.3%
- Ending: Escape The Island with Marianne - Alora Rescued Cure Marianne and escape the island with Alora 2.0%
- Merchant of Death Complete all of Gravedigger’s lists 1.8%
- Ending: Blinded by Lust Accept Witch’s final offer 1.6%
- Ending: Cursed to Eternity Run Away from Witch 1.6%
- Ending: Burnt to ashes Executed by villagers 1.4%
- Ending: Escape The Island with Thomas - Alora is Left Behind Cure Thomas and leave Alora on the island 1.4%
- Ending: Bankrupt Lose all your money 1.2%
- Ending: Escape The Island with Marianne - Alora is Left Behind Cure Marianne and leave Alora on the island 1.1%
- No one knows the Doctor Accept Nyarla’s offer 1.0%
- Before time Escape the island, before 30 days 0.7%
- Playing out the trickster Decline Nyarla's offer 0.7%
- Dr. Speedrun Lose the Game by killing the first patient in "Do No Harm" mode 0.6%
- Allergic to Mistakes Kill a patient with a medicine they're allergic to in “Do No Harm” mode 0.6%
- Ending: Drowned in the Depths. - Alora drowned with you Try to escape and drown with Alora 0.6%
- Full HP Earn 100 health in “Infinite” mode 0.5%
- Level Up Treat 50 patients and earn a total of 100 XP in “Infinite” mode. 0.5%
- Ending: Drowned in the Depths. - Alora is Left Behind Try to escape and drown, leaving Alora behind. 0.5%
- A Little Bit of This, a Little Bit of That… Lose a game by killing a patient with an alternative medicine in “Do no Harm” mode. 0.4%
- Clock’s Just a Decoration Treat a patient with less than 1 second on the clock in “Time rush” Mode 0.4%
- Doctor of the Year Treat 50 patients in a single run of “Do no Harm” mode 0.2%
- Do no Haste Earn 2 bonus minutes during “Time Rush" mode. 0.2%
- Doctor's Marathon Survive 10 minutes in “Time Rush” mode 0.2%
- Emergency Care Treat 5 patients within 2 minutes in “Time Rush” mode 0.2%
Steam page Updated: 2026-10-20.