You don't cure patients; you decide their fate. In this grim medical sim, review records and face impossible bioethical dilemmas. Consult the Medical Bible and choose who gets the bed. Every signature impacts your Ethics, Reputation, and Legal Risk. In a broken system, mercy is a dangerous luxury.

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Planned Release Date: April 2026

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About This Game

Features:

Hand-Painted Watercolor Visuals

No Right Answers - Only Consequences

30+ Authentic Clinical Cases

Your Performance Will Be Evaluated

Multiple Endings Based on Your Choices

Time Pressure - Every Second Matters

Medicine isn't just about saving lives. Sometimes, it's about saving yourself.

It all begins when someone knocks on the door and a new enigma walks in, seeking a solution. Each patient brings their doubts, their ailments, and a story that puts your judgment to the test. To face them, you'll have the Medical Record—where you'll see their age, occupation, and history. Cold data for hot decisions.


The Medical Bible: So you don't have to navigate in the dark, you have your indispensable notebook. Inside, you will find the real clinical explanation, the legal context, and a clear theoretical framework. It's the tool that will help you distinguish truth from lies and decide each dilemma according to your own morals.


Finally, every time you resolve a dilemma, your decisions will have visible consequences on your current score: Ethics, Reputation, and Legal Risk.
There are no perfect answers. Whatever you choose will help someone and hurt someone else — and often, without realizing it, the one most affected will be you.


You’ll have to carefully balance these three resources to become a “Good Doctor,” protect your license, and carve out a path through a chaotic healthcare system.

Mature Content Description

The developers describe the content like this:

Dilemma is a narrative medical simulation game that deals with mature and heavy themes. The content includes:

1. Medical Trauma & Gore: The game features static watercolor illustrations and text descriptions of severe medical injuries, including open fractures, hemorrhages, and blood.
2. Death & Grief: Players must make decisions that may result in the death of a patient. The narrative explores the emotional and legal aftermath of death for both the doctor and the family.
3. Sensitive Topics: The story includes clinical references to sexual health (specifically HIV transmission and reproductive choices), mental health issues (Illness Anxiety Disorder/Hypochondria), and religious conflicts regarding the refusal of life-saving medical treatment.

System Requirements

Windows
macOS
    Minimum:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10 (64-bit)
    • Processor: Intel Core i3-2100 / AMD Phenom II X4 965 or equivalent
    • Graphics: 2 GB RAM
    • DirectX: Version 11
    • Storage: 2 GB available space
    Recommended:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10 (64-bit)
    • Processor: Intel Core i3-2100 / AMD Phenom II X4 965 or equivalent
    • Graphics: 4 GB RAM
    • DirectX: Version 11
    • Storage: 2 GB available space
    Minimum:
    • OS: macOS 10.13 (High Sierra) or later
    • Processor: Intel Core i3 or Apple Silicon M1/M2
    • Memory: 4 GB RAM
    • Graphics: OpenGL 3.3 compatible or better (Integrated Graphics work fine)
    • Storage: 500 MB available space
    • Additional Notes: Runs perfectly on Apple Silicon.
    Recommended:
    • OS: macOS 10.13 (High Sierra) or later
    • Processor: Intel Core i3 or Apple Silicon M1/M2
    • Memory: 4 GB RAM
    • Graphics: OpenGL 3.3 compatible or better (Integrated Graphics work fine)
    • Storage: 500 MB available space
    • Additional Notes: Runs perfectly on Apple Silicon.
* Starting February 15, 2024, the Steam Client will no longer support 32-bit games or macOS 10.14 or lower.
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