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.

Hospital management Simulation Building Single player
Steam page coming soon Get in touch →

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.

Triage

The sickest are seen first.

Every arrival in the emergency department is scored on the Canadian Triage and Acuity Scale from what the nurse finds.

CTAS 1Resuscitation
CTAS 2Emergent
CTAS 3Urgent
CTAS 4Less urgent
CTAS 5Non-urgent

Features

Built on how hospitals really work.

TRIAGE · AMBULANCE OFFLOAD

Real triage

Nurses score every arrival from vitals, pain, temperature and mechanism of injury. Ambulance crews wait on an offload clock until a nurse takes the handover.

DIFFERENTIAL · RETURN VISITS

Diagnosis as detective work

Doctors examine, order tests and narrow a differential. Missed diagnoses come back as return visits, and post-mortems find what was missed.

MULTI-FLOOR · ROOM KITS

Build it your way

Paint rooms across many floors, from basements and car parks to rooftop landing pads, then furnish them item by item or from room templates sized small to extra large.

SKILLS · TRAITS · SHIFTS

Staff are people

Hire, train and promote doctors, nurses and support staff. They have skills, traits, careers and bad days, and they get tired.

CODE BLUE · FIRE · OUTAGES

When things go wrong

Code blues, fires, power cuts, storms, outbreaks and mass casualty events. Your plans hold or they don't.

INSURERS · DENIALS · SITES

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