I can tell you, this is the most realistic hospital simulation on the market for now, waiting for Project hospital 2, or another hospital sim game to come out because this game have soo many restriction for "sandbox lover"
I recommended it just because no similar game with better realistic feature exist

Cons:
- Small Map, so many player want to make their real life hospital from their workplace but this game map is limited to 96x96 tiles, so annoying, and limiting creativity (and we dont care about the efficiency!)
- You cant change ambulance parking, because its been a default from the map, you only can make "fake parking with no function at all"
- a lot of bugs
- Only a few departement (No pediatric / ob/gyn departement even its a major dept in real life)
- some diseases have some strange diagnostic pathway or treatment, but still tolerable for a game

I wanted to like it, but obviously not for very long. Somehow I thought this would be similar to the old Theme Hospital, but it's not. Constructing the hospital reminded me strongly of Visual Basic during my job my training as an electronics technician in the 1990s. And that's not a good memory. The game is very serious. I got a second job training as a nurse and that's probably the second reason why I don't like this game. The structure of German hospitals is different. There's for example usually not a nurse at the reception but an office employee. I know that's not an important aspect. The important aspect is the realism the game forces upon me. If there were fantasy illnesses, I'd have probably liked this game.

Dieses Spiel ist leider sehr underratet. Als Gamer mit medizinischem Background, kann ich die Arbeit an den vielen verschiedenen Krankheitsbildern und Methoden gar nicht hoch genug einschätzen. Es ist ein nettes, forderndes Aufbauspiel. Außerdem kann man die Rolle einzelner Ärzte übernehmen.