Scrub in as the field surgeon of a city at war. Draw arrows from bone, close sabre cuts, cut soldiers out of their armour and saw off what cannot be saved, on humans, dwarves, elves, orcs, hornfolk and giants. Then face eight plagues a heretic choir has sung into your patients.

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About This Game

Kessendorf is dying, one patient at a time.

Plague smoulders in the Tanners' Rows, the Ostrau company is fighting at the city's gates, and the Hospice of Saint Ildra takes in everyone the city throws away. You are its newly sworn apothecary-surgeon, and the table is never empty.

Surgery the way it was done as a Sawdoctor.

Eight period instruments: lancet, tongs, leech-pipe, gut thread, Saint's salve, tincture, cautery brand and scrying lens, each with its own motion. Ease an arrow through the muscle that grips it, rock a head loose from the bone, close a sabre cut muscle first and skin second, soften boiling pitch before you lift it, wind a tourniquet before you look for the bleeding vessel, and seal a sucking chest wound as the patient breathes out. Every action is graded; clean chains raise your rank.

Every patient comes from a different culture with it's own 

Six races to learn. Humans, dwarves, elves, orcs, hornfolk and giants all come through the Hospice doors, and no two cut, bleed or heal alike. A dwarf's hide is thick and his blood dark and slow; the lancet must work patiently. An elf's skin is so thin the lamp glows through it: easy to open, quick to bleed, and unforgiving of a slip. An orc's leather hide turns a hasty blade, his near-black blood clots fast, and tinctures barely touch him. A giant bleeds out slowly and heals slower still. Know your patient before you cut.

A prayer that stops the clock or could send you to the pyre.

Draw the five-pointed sign to invoke the Litany of Stillness and slow time for a few precious seconds, once per operation. Careful, if The Inquisitor of the Ash Tribunal sees, he would condemn you for witchcraft.

Plagues that fight back.

A heretic coven, the Hollow Choir, sings to the Mother of Plagues, and each of its hymns takes root in a host as a disease pushed past anything nature allows: the Vigil Plague, the Answering Pox, the Red Roll, Saint Ildra's Fire and four more. Each one flares in time with its hymn and its bell. Learn the rhythm, then cut it out. Every host you save, or lose, leaves its mark on the city.

A grim story told in candle smoke and ink. 

Story chapters between operations, set to an orchestral and medieval score: guild politics, witch hunts, field hospitals, black humour, and the question of what a healer owes a city that burns its sick.

Feature bullets

  • Five chapters, over sixty operations, eight Malison Hours: a surgery-action campaign in a grimdark early-modern world

  • Injuries surgeons really faced: arrows, sabre cuts, crushing mace blows, boiling pitch, severed arteries, amputations

  • Eight period instruments with precise mouse-and-keyboard controls, controller and Steam Deck support

  • Graded, combo-driven operations with ranks to chase in every case, plus Guild Trials and Challenge operations

  • Assists and accessibility options: generous timers, simplified gestures, one-handed play, a Litany key, reduced flashing and gore settings

System Requirements

    Minimum:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10, 64-bit
    • Processor: Intel Core i3-6100 or AMD Ryzen 3 1200
    • Memory: 4 GB RAM
    • Graphics: Intel UHD 620 or AMD Radeon Vega 8 (OpenGL 3.3 / WebGL 2, 1 GB shared VRAM)
    • DirectX: Version 11
    • Storage: 2 GB available space
    • Sound Card: DirectX-compatible
    Recommended:
    • Requires a 64-bit processor and operating system
    • OS: Windows 10 / 11, 64-bit
    • Processor: Intel Core i5-8400 or AMD Ryzen 5 2600
    • Memory: 8 GB RAM
    • Graphics: NVIDIA GTX 1060 3 GB or AMD RX 580 4 GB
    • DirectX: Version 11
    • Network: Broadband Internet connection
    • Storage: 2 GB available space
    • Sound Card: DirectX-compatible
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