How to play
Choose a clinician career or a patient journey, then make the choices that shape your OVR, risk, skills, reputation, and ending.
Last updated: August 21, 2026
One tap, one consequence
Career choices happen immediately. After the result, continue when you are ready or let the game advance automatically.
Temptations and chance events
Between chapters, the game may offer a questionable shortcut or a statistical gamble. Your current stats and accumulated risk affect the odds.
Winning is not guaranteed
High OVR helps, but risky choices, burnout, and bad luck can interrupt a career early. Different specialties, institutions, departments, story arcs, and trophies produce different runs.
Ready for another medically questionable decision?
Start a career