In development · PC
The Medical Authority
A hospital management sim built on real medicine. Design the building, hire and grow your staff, and carry every patient from the triage desk to the day they go home.
About the game
Every patient has a story. You just have to find it.
Patients don't arrive with a label. They arrive with a complaint, a set of vital signs and a history, and your staff have to work out what's wrong, the way a real hospital does.
The Medical Authority uses real medical terminology throughout: real triage, real conditions, real tests and real treatments. Get it right and patients go home. Get it wrong and they come back sicker, and it costs you in fines and reputation.
Behind the wards is a business. Insurers, budgets, contracts and loans decide how far your hospital can grow, and how many sites you can run across the city.
Features
Built on how hospitals really work.
Real triage
Nurses score every arrival on the CTAS scale from what they find: vitals, pain, temperature, mechanism of injury. The sickest are seen first.
Diagnosis as detective work
Doctors examine, order tests and narrow down a differential. Missed diagnoses come back as return visits, and post-mortems find what was missed.
Build it your way
Paint rooms of any shape across many floors, from basements and car parks to rooftop landing pads, then furnish them item by item.
Staff are people
Hire, train and promote doctors, nurses and support staff. They have skills, traits, careers and bad days, and they get tired.
When things go wrong
Code blues, fires, power cuts, storms, outbreaks and mass casualty events. Your plans hold or they don't.
Run the business
Negotiate with insurers, fight claim denials, manage budgets and expand to new sites across a living city.
Screenshots
A first look, coming soon.
At a glance
The facts.
- Developer
- Black Harbor Studio
- Genre
- Hospital management sim
- Platform
- PC
- Status
- In development

