Optimize the clinic, the wrong way.
Not run a hospital to heal. Run one to drain insurance. You read each patient and pick the malpractice that pays most. Loved in Japan at 235 reviews, almost unseen in the West.
Published 2026-06-06
01First, the one feeling
- A patient walks in, and you do not read what cures them, you read what their wallet and insurance can be milked for.
- So you pick the treatment by profit, not by care, and the clinic ledger tilts with every cold choice.
- When a chain of malpractice lands and the money pours in past the line you should never cross, a chill runs down your spine.
02Who this is for (and who it is not)
For you
- You love management sims like Two Point Hospital but want a pitch-black, satirical twist
- You like reading each case and optimizing the most profitable route, turn by turn
- You want a Japanese doujin gem the West has not noticed, buried under 18 English reviews
Not for you
- You want a wholesome, build-a-pretty-hospital sim (this is gleefully unethical dark comedy)
- You need a big-budget, marketed release rather than a small doujin circle's work
03The roots of this taste
94% positiveonly 235 reviews — yet almost no one has found it
Oyabu Clinic Deathcare Corporation Buried gem
A pitch-black turn-based management sim from a Japanese doujin circle. You do not heal patients, you read their wallet and pick the malpractice that pays most, milking the health-insurance system. Very Positive in Japan at 235 reviews, but only 18 English reviews, so the West has not found it.
Give it your first passTwo Point Hospital The origin
The origin of the hospital-management taste: read each illness, assign the right treatment, and optimize the clinic to run at its best. This gem flips that good optimization into its dark mirror: you optimize for insurance money, not for the cure.
Give it your first pass04Make this gem shine
If it speaks to you, check it on Steam and give it your first pass. Your push is what makes a buried gem shine.
You gave it your pass. The gem just caught the light.
05Branched from the same root
Or take a different branch
- Read-and-build games another taste