IndieSimulationStrategy
Project Hospital
Give it 5 hours
Gets good by 5h then rated almost like by veterans
Fully opens up by 20h rated like by long-time players
Reach the ending 4% of players who started
Started playing 88% of owners
Steam reviews 89% positive of 9,433
What the data shows
- In the first 2 hours 1 in 2 reviews are negative (46%); after 20h it's 1 in 20 (5%).
- Fully opens up by hour 20.
- 4% of players who start reach the ending.
- The biggest drop-off is between “Intern” (Complete level 1) and “Resident” (Complete level 2): from 86% to 56% of starters.
- 88% 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 9,465 Steam reviews in every language. Median playtime in a sample of 296 reviews: 30.7h for positive, 4.4h 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 (88% of owners), so people who bought the game and never launched it don't count.
- Started playing 100%
- Intern Complete level 1. 87% −13
- Resident Complete level 2. Most players quit here 56% −31
- Attending Complete level 3. 48% −7
- Fellow Complete level 4. 19% −29
- Specialist Complete level 5. 7% −12
- Chief of Hospital Complete level 6. 4% −3
story milestone ending biggest drop-off
Story milestones were labeled by AI from achievement names and descriptions; mistakes are possible.
All achievements (61)
story milestone ending side
- Young doctor Treat your first patient. 100%
- Builder Build your first room with mandatory equipment. 93%
- Ah, that's the spot Congratulations, you placed your first object! 90%
- You shall not pass! Build room without door access. 88%
- Intern Complete level 1. 87%
- You are hired Hire your first employee. 83%
- Destroyer Remove your first room. 69%
- Manager Hire 20 employees. 62%
- I insure you Contract an insurance company. 62%
- Uh, more spots! Place 100 single objects. 60%
- Instant hospital Place 15 prefabs. 57%
- Resident Complete level 2. 56%
- Wait, is this a bar? Hire 5 staff members with the 'alcoholic' perk. 49%
- Going up Build first floor. 49%
- Attending Complete level 3. 48%
- Who's the boss? Assign chief doctor with good boss perk. 47%
- The Great wall of hospital Build over 1000 tiles of walls. 45%
- Mover Move 50 objects. 44%
- Dr. Jan Itor Have your janitors clean 10000 tiles. 42%
- Spender Spend over 1 000 000$. 39%
- EAAAAGLEEEE Rotate an object 4 times before placing it. 31%
- Senior doctor in da house! Treat 1000 patients. 31%
- Please do not die in the corridors! Let 10 clinic patients collapse. 31%
- My turn! Take control over 30 patients. 30%
- Very nice! Absolutely beautiful! Place 100 decorations. 29%
- Doctor Right Diagnose correctly 20 times under your care. 28%
- Hello? Anybody? Take over a patient from the clinic and have him wait for more than two game hours. 27%
- Oh, all the spots! Place 1000 single objects. 27%
- Home run! Send 20 patients home. 23%
- Top floor please! Build maximum amount of floors. 22%
- On fire(d) Fire 20 employees. 21%
- Never stop spinning meeee Rotate the camera 100 times 21%
- Good credit Pay debt to the bank in only 20 days in level 4. 20%
- I choose you... Create your own character. 20%
- Safe working environment Place 30 bio-hazard trashcans. 19%
- Fellow Complete level 4. 19%
- It's me, Marius! Place 30 toilets. 18%
- Do you like my hospital? Build functional hospital with every department. 17%
- Litter free Place 30 trashcans. 16%
- Banker Have 700 000$ in your budget. 16%
- Let's put the skills to the test Activate Specialist mode 12%
- Goodbye, training wheels! Finish the Doctor Mode DLC tutorial 11%
- The walls have eyes Place 30 eye test posters. 10%
- Herr Wilhelm Röntgen Have 30 patients under your care undergo Xray examination. 9.4%
- You didn't see anything Treat your first patient in Specialist mode 7.3%
- Specialist Complete level 5. 6.9%
- I knight thee. Arise, Specialist! Treat 20 patients in Specialist mode 5.7%
- Gardener Place 30 trees. 5.3%
- ...and you and you and you too. Create 10 own characters. 5.0%
- Dr. Acula Take blood from 50 patients under your care. 4.4%
- Chief of Hospital Complete level 6. 4.2%
- Emergency master Complete challenge level 1. 3.9%
- Wrong again Misdiagnose 20 patients under your care. 2.4%
- General surgery master Complete challenge level 2. 2.3%
- Internal medicine master Complete challenge level 3. 1.8%
- Chief of chiefs Complete all objectives in level 6. 1.8%
- Hospital 51 Build 10 satellites. 1.8%
- Orthopaedy master Complete challenge level 4. 1.6%
- Neurology master Complete challenge level 6. 1.4%
- Cardiology master Complete challenge level 5. 1.2%
- Paging doctor Mouse Finish the Doctor Mode DLC level 1.0%
Steam page Updated: 2026-10-19.