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Nursing Home Simulator
Design, build, and manage a nursing home in this 2D management sim. Hire dedicated staff, balance shift schedules, and prioritize resident needs. From answering blinking call lights to surviving the morning med pass, can you provide adequate care to your residents?

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Features
Single-player
Family Sharing
Steam is learning about this game 
Languages:
Interface Full Audio Subtitles
English ✔

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 would like to make this game available to the public now because I genuinely would like to hear people's opinions and have people's experience in this line of work help influence how the game is built. I have a very clear path for the development of this game, but I feel that this kind of project would be much better if built alongside a community.”

Approximately how long will this game be in Early Access?

“I hope this will be in "early access" for less than a year. We have a clear path to a 1.0 version, but will also leave things open-ended for additional content in the future.”

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

“A 1.0 version will feature a polished UI, professional audio, and a story narrative mode. The game will have features added in iteratively as I build them, so the actual gameplay will organically grow toward the 1.0 release. Specifically, we plan to add a fully functioning dietary/kitchen system, deep resident 'care plans', expanded staff needs, and highly accurate state law parallels and inspections that are documented and waiting to be added in.”

What is the current state of the Early Access version?

“The current version features a fully playable core management loop. Players can currently:
-Build and customize their facility using a grid-based construction system (walls, floors, and required zones).
-Purchase and place medical furniture and equipment.
-Hire 4 distinct staff classes (Nurses, CNAs, EVS, and Maintenance) and manage their 24/7 master shift schedules.
-Admit residents based on Medicare/Medicaid/Private Pay contracts.
-Manage a fully simulated supply chain, ordering boxes of supplies from delivery trucks and stocking closets.
-Oversee the daily routine of the facility, including patient vitals, medication passes, call lights, laundry, trash removal, and equipment repairs.”

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

“We plan to slightly raise the price as more major content and features are added leading up to the full 1.0 release. It is currently priced very low for early adopters.”

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

“The community can speak with me directly through our Discord server or in the Steam Community forums. I am incredibly excited to hear suggestions, real-world healthcare stories, and input from the community to help shape the game.”
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This game is not yet available on Steam

Planned Release Date: Oct 13, 2026

This game plans to unlock in approximately 6 days

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About This Game

Manage Care. Pass Meds. Maximize Profits.

Welcome to the grim and highly regulated world of corporate healthcare. Nursing Home Simulator is a top-down management tycoon game where every decision impacts the post-surgery recovery of your vulnerable residents... and your facility's bottom line. Can you balance compassionate skilled nursing with the terrifying realities of Medicare payouts, chronic understaffing, and the relentless chorus of unanswered call lights?

Core Gameplay

  • State-Compliant Construction: Design your facility from the ground up. Lay foundations, pave parking lots, paint specialized zones, and place furniture. But watch out—forget a mandatory bedside table or mess up hallway clearances, and State Inspectors will hit you with citations.

  • Advanced Patient Care: Your residents' biological needs are fully simulated. Manage scheduled med passes with rolling Med Carts, chart vitals, and answer call lights. Ignore them, and watch their condition crash until you're forced to call an ambulance and lose your daily grant money.

  • Dystopian Staffing Logistics: Hire Nurses, CNAs, Maintenance, and EVS staff. Juggle complex contracts and build a grueling 24/7 Master Schedule. Watch your staff physically commute to work, handle shift-change reports, and take mandated smoke breaks. Push them too hard, and they'll suffer from severe burnout and quit on the spot.

  • Sanitation & Facility Upkeep: A facility is a living thing, and it is constantly degrading. Beds and computers break down, requiring your Maintenance crew to fulfill work orders. Meanwhile, your EVS team must desperately battle accumulating dirt, load the dumpsters, and manage the endless cycle of washing and drying soiled linens before the rooms become unlivable biohazards.

  • Supply Chain Nightmares: Rehab requires supplies. Build Loading Zones to receive delivery trucks, physically unpack boxes into Storage, and distribute stock to your supply closets. Run out of bedpans on a Tuesday? Prepare to pay a 400% markup for overnight rush delivery.

  • Balance the Books: Review admissions from the local hospital and choose your residents based on their insurance—Medicare, Medicaid, or Private Pay. Scrap and sell depreciated furniture to scrape together extra cash, juggle the Friday payroll, and keep the lights on before the system collapses!

System Requirements

Windows
macOS
    Minimum:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10 (64-bit)
    • Processor: 2.0 GHz Dual Core Processor or better
    • Memory: 4 GB RAM
    • Graphics: Intel HD Graphics 4000 or equivalent (Must support OpenGL 3.3)
    • Storage: 500 MB available space
    • Additional Notes: Designed to run on most standard laptops. 1080p resolution recommended.
    Recommended:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10 or Windows 11 (64-bit)
    • Processor: 3.0 GHz Quad Core Processor or better
    • Memory: 8 GB RAM
    • Graphics: Dedicated GPU (NVIDIA GeForce GTX 1050 / AMD Radeon RX 560 or better)
    • Storage: 500 MB available space
    • Additional Notes: A stronger CPU is recommended for massive facilities with high staff and resident counts.
    Minimum:
    • OS: macOS 10.13 High Sierra
    • Processor: Intel Core i3 or Apple Silicon M1
    • Memory: 4 GB RAM
    • Graphics: OpenGL 3.3 compatible GPU (Intel HD 5000 or better)
    • Storage: 500 MB available space
    • Additional Notes: Requires a 64-bit processor and operating system.
    Recommended:
    • OS: macOS 12.0 Monterey or newer
    • Processor: Intel Core i5 or Apple Silicon M1/M2/M3
    • Memory: 8 GB RAM
    • Graphics: Dedicated GPU or Apple M-Series integrated graphics
    • Storage: 500 MB available space
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