County Hospital Cautery is a 4-player online co-op and single-player sci-fi horror game. Experiments in a secret laboratory hidden behind an abandoned hospital have gone too far, you and your team must use all the equipment to eliminate the threat before a worse one awakens. Get your flametrhower!

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Coming Soon To Early Access

The developers of this game intend to release as a work in progress, developing with the feedback of players.

Note: Games in Early Access are not complete and may or may not change further. If you are not excited to play this game in its current state, then you should wait to see if the game progresses further in development. Learn more

What the developers have to say:

Why Early Access?

“I offer early access to develop a community where players can interact with the developer and become so interested in the game that their opinions can have a strong influence on the final product.

Approximately how long will this game be in Early Access?

“3 months”

How is the full version planned to differ from the Early Access version?

“The Early Access version of County Hospital contains the complete core simulation with all basic systems fully playable. During Early Access, we will expand the game significantly by adding new enemies, missions, Steam Achievements, and deeper management mechanics based on community feedback. The full version will also feature a more polished core”

What is the current state of the Early Access version?

“The current version features the complete "SOLO" and "MULTIPLAYER" campaign. In multiplayer, players can access the Hospital and Main Laboratory, where the objective is to burn all living organisms and fight a mutant arachnid that turns players into mutants”

Will the game be priced differently during and after Early Access?

“We plan to gradually raise the price as we ship new content and features”

How are you planning on involving the Community in your development process?

“We will maintain a strong presence on our Steam Group: LFR Games and the discussions forum always paying attention to active topics”
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Mature Content Description

The developers describe the content like this:

you will use a flamethrower to burn the decapitated semi-naked bodies

About This Game

*CAUTERIZE. CONTAIN. SURVIVE.*

COUNTY HOSPITAL: CAUTERY is a 4-player cooperative horror experiment with a brutal twist. Complete a multi-stage mission to eradicate a biological outbreak, but beware: success triggers a hidden protocol, turning one of you into an specimen that hunts the rest.

 **CORE EXPERIENCE**

▶ SINGLEPLAYER  or **STRATEGIC 4-PLAYER CO-OP**

Inmerse in a solo campaing mode or work as a team using flamethrowers to complete 8 interconnected objectives: photograph organisms, restore power, retrieve key items, activate systems, and cleanse the facility.

▶ **A FULL CAMPAIGN IN ONE MISSION**

A dense, 1-2 hour layered operation inside the infected County Hospital. This is not a short demo—it's a substantial cooperative raid with progression, puzzles, and a climactic boss fight.

▶ **THE TRAITOR PROTOCOL**

After the final boss falls, the real experiment begins. One random player is transformed into a giant spider with unique abilities, turning the game into a tense **PvP hunt**.

▶ **DYNAMIC SPECIMEN SHIFT**

If the spider is killed, it respawns as a human while an AI-controlled spider takes over, infecting new players upon contact. The threat never dies—it **evolves**.

▶ **ATMOSPHERIC HORROR**

Navigate decaying laboratories, claustrophobic tunnels, and bio-contaminated wards. A full original soundtrack and industrial sound design heighten the tension.

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### **KEY FEATURES**

• **4-Player Online Co-Op** – Steam invites

• **Deep Objective-Based Gameplay** – 8-stage mission with item retrieval, puzzles, and environmental interaction.

• **Asymmetric PvP Finale** – The hunted becomes the hunter in a sudden genre shift.

• **Specimen Rotation System** – Players can become the monster multiple times per match via AI infection.

• **Strategic Resource Management** – Recharge suits at the mobile station; conserve fuel, coordinate revives.

• **Original Soundtrack & SFX** – Custom-made audio for full immersion.

• **Stable, Polished Core** – Built on Unreal with Advanced Sessions; optimized for smooth multiplayer.

AI Generated Content Disclosure

The developers describe how their game uses AI Generated Content like this:

We use AI only to create some images and videos inside the game and store. All the source code is made by hand, no IA was used for the creation of this game

System Requirements

    Minimum:
    • Requires a 64-bit processor and operating system
    • OS: WINDOWS 10
    • Processor: i3 or similar
    • Memory: 4 GB RAM
    • Graphics: 4 GB
    • DirectX: Version 11
    • Storage: 50 GB available space
    Recommended:
    • Requires a 64-bit processor and operating system
    • OS: WINDOWS 10
    • Processor: i7 or similar
    • Memory: 8 GB RAM
    • Graphics: 8 GB or better
    • DirectX: Version 11
    • Storage: 100 GB available space
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