Triage is easy, until your own brain starts lying to you. Pick patients from a crowded ER, spend scarce questions, and call NOW, SOON or LATER before their aura fades. Every one of 498 cases hides a real cognitive bias trap, written by an emergency physician.

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Akan Datang ke Akses Awal

Pembangun permainan ini berhasrat untuk melancarkannya sebagai projek yang sedang berlangsung, dengan perkembangan dipengaruhi oleh maklum balas pemain.

Nota: Permainan dalam Akses Awal belum lengkap dan mungkin akan mengalami perubahan. Jika anda tidak berminat untuk bermain permainan ini dalam versi semasa, anda seharusnya menunggu untuk melihat jika permainan ini akan terus dibangunkan. Ketahui lebih lanjut

Kata-kata daripada pembangun:

Kenapa Akses Awal?

“Hot Seat Triage is built on a case bank in which every patient hides a specific cognitive bias trap. Two parts of that design can only be finished with players.

The first is the shift itself. Over the past months the game grew from single decisions into a live waiting room: tagged patients keep their own stay clock, some can be recalled for a second look, an accepted ambulance call compresses the time you have left. These systems are complete and stable, but their pacing, scoring and pressure curve need far more played hours than one developer working night shifts can produce alone.

The second is the case bank. The current 498 cases carry the loop, but the new flow puts more patients through a shift than the old one did, so the bank has to keep growing, guided by which patterns players report as worn out or unfair.

I am an emergency physician and I write every case myself. In Early Access, feedback does not travel through a support layer; it reaches the person who decides what the next case looks like.
”

Berapa lama permainan ini dijangka akan berada dalam Akses Awal?

“Around nine to twelve months.

Three items set that estimate: continued balancing of the waiting-room systems against real play data, growing the case bank from 498 toward roughly 600 cases, and building a simplified mode for players who do not work in clinical medicine. If those land earlier, 1.0 arrives earlier. If they do not, I will update this section on the store page rather than let a date quietly pass.
”

Apakah perbezaan yang dirancang antara versi penuh dan versi Akses Awal?

“The 1.0 version is planned to add:

A larger case bank: Roughly 600 hand written cases, up from 498, closing the gaps the current bank still has in the rarer triage and demographic cells.

A simplified, non clinical mode: Today the game speaks the language of a clinician. Players from other professions finish shifts and enjoy them, but they read more medicine than they need to. The planned mode keeps the bias mechanic and reduces the clinical vocabulary and the information load.

More languages: English and Turkish are complete today, interface and all cases. Spanish and Hindi are the current candidates for 1.0; each is confirmed only after a clinical wording review, not after a machine pass.

Verified macOS and Linux builds: Early Access launches on Windows. The other two builds exist and will be marked on the store page only once they are properly tested.

A balance pass driven by Early Access data: Shift pacing, scoring weights, career economy and the difficulty of the three arcade shifts.

Everything listed here is included for Early Access owners at no additional cost. There is no separate v1.0 purchase and no season pass.
”

Bagaimanakah keadaan semasa versi Akses Awal?

“The game is content complete for its core loop and stable in daily play. What you buy today:

- 498 hand written cases: Each built around a named cognitive bias trap, with distractor and flip information written per case.

- Three modes: Campaign, five shifts with escalating pressure; Arcade, three shift lengths (Easy, Medium, Hard) with five unlockable mutators; Daily Shift, one seeded run per day with a shareable report card.

- The waiting room: Patients keep their own life clock, tagged patients stay in the room and can deteriorate, some can be recalled for a second look, ambulance calls and night surges change the pace of a shift.

- A post run clinical notebook: Reviews each patient one page at a time: what the trap was, what you missed, what you never looked at.

- A career layer: Six ranks from Intern to Chief, experience points, and a Bias Profile that tracks your coverage of each bias family with a short clinical codex per family.

- Steam features: 20 achievements, 8 leaderboards with local, global and friends views, a live global rank for the daily shift, Steam Cloud saves, and offline queues that sync when you reconnect.

- Gamepad support: including a controller keyboard for name entry, alongside mouse and keyboard.

- Two full languages: English and Turkish, interface and case texts.

Current limits, stated plainly: Windows only for now; no simplified non clinical mode yet; no Steam Deck certification yet; balance is deliberately still moving.
”

Adakah harga permainan ini berbeza semasa dan selepas Akses Awal?

“Yes. Early Access is priced at 4.99 USD. The price is planned to rise at the 1.0 release, to a level in the range of 7.99 to 9.99 USD.

Everyone who buys during Early Access receives the finished 1.0 version at no further cost, at the lower price they paid. During Early Access there will be no permanent discounts; any discount will be an ordinary, time limited Steam sale.
”

Bagaimana anda merancang untuk melibatkan Komuniti dalam proses pembangunan anda?

“Steam Discussions is the main channel and I read all of it. Two threads stay pinned for the whole of Early Access: one for shifts that felt unfair, and one for cases you believe are clinically wrong. The second one matters most to me. Every case in this game is a claim about medicine, and a claim can be wrong.

Update posts go out roughly every two to four weeks, each one saying what changed, what came from a player report, and what I decided not to change and why. Early in Early Access I will add an in game case flag so that a disputed patient can be reported with its case number attached, without leaving the shift.
”
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Tarikh Keluaran Dirancang: Oktober 2026

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Tentang Permainan Ini

Hot Seat Triage is an arcade triage game about the cognitive traps of real emergency rooms. The waiting room is full, the information is thin, and every patient has a fading aura: their own clock to decompensation.

Pick a patient. Spend questions from a shift budget that is never quite enough. Then make the call: NOW, SOON or LATER.

Each of the 498 hand-written cases is built around one named cognitive bias: anchoring, availability, premature closure, presentation and stereotype bias. The heartburn that is not heartburn. The back pain that "just needs ibuprofen". Fall for it, and the Clinical Notebook shows you what the trap was, what you missed, and what you never asked.

Every case is written and clinically reviewed by a practicing emergency physician and medical educator, grounded in the clinical decision-making literature (Croskerry, Graber, Tversky & Kahneman). Every case is also a claim about medicine, and a claim can be wrong: any patient can be flagged from the notebook with its case number attached, and those reports go straight to the person who writes the cases.

Patients you send to SOON or LATER do not disappear. They stay in the room on their own clock, they can deteriorate, and some will need a second look. Radio calls bring ambulances: accept, and their notes turn into extra questions while the clock runs faster. Mutators such as Night Surge and Understaffed change the pace again.

  • Campaign: five residency shifts with rising pressure, then Rotation, a repeatable shift built from the traps that catch you most.

  • Arcade: Easy, Medium or Hard, with five unlockable mutators that raise the stakes and the score.

  • Daily Shift: one seeded shift per day, the same patients for everyone, one attempt, a live global rank and a shareable report card.

  • Bias Profile: see which of six bias families catch you, with MASTERED and FOCUS AREA markers and a short clinical codex for each: the heuristic, why it kills, how to counter it.

  • Career: earn XP in every mode and climb six ranks, from Intern to Chief of Emergency.

  • Leaderboards and achievements: 8 leaderboards with local, global and friends views, and 20 Steam achievements.

  • No medical degree required. You learn to read vital signs and red flags as you play, and How to Play shows every mechanic in short gameplay clips. The game does speak a clinician's language; a simplified, non-clinical mode is planned for 1.0.

  • A real test for professionals. Cases are designed to exploit expert shortcuts, pattern recognition and muscle memory.

The core loop is content complete and stable. Early Access is for balancing the waiting room against real play data, growing the case bank from 498 toward roughly 600 cases, building the simplified mode and adding languages. Everything added before and at 1.0 is free for Early Access owners. The full plan is in the Early Access section of this page.

  • English and Turkish: interface and every case text

  • Mouse, keyboard and full gamepad support

  • Steam Cloud saves; scores and achievements earned offline sync when you reconnect

  • Urgency is shown by the shape and intensity of the aura, not by colour alone

  • Windows at Early Access launch; macOS and Linux will be listed once properly tested

  • Optional, anonymous gameplay statistics, off unless you agree

Pendedahan Kandungan Dihasilkan AI

Pembangun menerangkan cara permainan mereka menggunakan Kandungan Dihasilkan AI seperti berikut:

Hot Seat Triage uses AI tools during development only; the game contains no live AI generation at runtime.

Code: The game's code was written with the assistance of Claude (Anthropic). All AI-assisted code was directed, reviewed and tested by the developer.

Art: The in-game background image was initially generated with Nano Banana 2, then manually edited and finalized by the developer. All other art and UI assets are human-made.

Text: Clinical case scenarios were drafted with AI assistance and then reviewed, corrected and medically approved by the developer, an emergency medicine physician.

Audio: The theme music and some sound effects were created by the developer using Suno.

All AI-assisted content was human-reviewed before inclusion.

Keperluan Sistem

    Minimum:
    • OS: Windows 10 64-bit
    • Pemproses: Dual-core 2.0 GHz (Intel/AMD, 2014 or later)
    • Memori: 4 GB RAM
    • Grafik: Intel HD 4000+
    • DirectX: Versi 11
    • Storan: 600 MB ruang tersedia
    Dicadangkan:
    • OS: Windows 10/11 64-bit
    • Memori: 8 GB RAM
    • Grafik: Intel HD 4000+
    • DirectX: Versi 11
    • Storan: 600 MB ruang tersedia
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