Sanatorium - A Mental Asylum Simulator
Card-driven medical simulation where you treat patients as an impostor
Zeitglas · Published by Shoreline Games · Released Nov 6, 2025
- Reviews
- Mixed
- 57% of 213
- Recent reviews
- Not enough recent
- Players
- 1
- daily peak, Oct 28, 2026
- Steam Deck
- Verified
- Last update on Steam
- 2 months ago
- Aug 5, 2026
What is Sanatorium - A Mental Asylum Simulator?
This is a 2D point-and-click workplace simulation set in a psychiatric hospital in 1923. You play a journalist investigating a childhood friend's tip while posing as a doctor. Across four chapters, you examine patient files, run tests to reveal symptoms, and prescribe or withhold treatments using the era's limited medical knowledge.
For you if...
- +you enjoy patient puzzles built around incomplete information
- +you want branching stories with difficult ethical choices
Not for you if...
- −you want extensive exploration rather than a patient-management routine
- −you prefer medical simulations grounded in modern psychiatry
What players say
57% of 213 reviews are positive
Players praise the art style and the process of working out diagnoses and treatments. Recent complaints focus on persistent bugs, including ones that prevent story progression.
Screenshots and trailer
Sanatorium - A Mental Asylum Simulator system requirements
Minimum: GeForce GTX 750 Ti, 2 GB RAM, 2 GB of disk space.
As published by the developer.
Can my PC run Sanatorium - A Mental Asylum Simulator?
Tell us your graphics card once and every game page will answer this for you.
Set up my PC →Minimum
- OS
- Windows 7 (SP1+) and Windows 10
- Processor
- x86, x64 / Intel Core i3-8100 / AMD Ryzen 3 3100
- Graphics
- NVIDIA GeForce GTX 750 Ti / Radeon R7 360 / 2GB VRAM
- Memory
- 2 GB RAM
- Storage
- 2 GB available space
- DirectX
- Version 11
Does Sanatorium - A Mental Asylum Simulator have co-op or multiplayer?
No: single-player only, no multiplayer modes declared.
Does Sanatorium - A Mental Asylum Simulator run on Steam Deck?
Verified Yes, Verified by Valve: it works on Steam Deck out of the box.
- All functionality is accessible with the default controller configuration
- Shows Steam Deck controller icons
- In-game text is legible on Steam Deck
- Default graphics settings perform well on Steam Deck
PC version details
- DRM
- None declared on Steam
- Controller
- Keyboard and mouse
- Platforms
- Windows, macOS
- Achievements
- 30
- Steam features
- Cloud saves, Family Sharing
- Languages
- Text only: English, French, German, Spanish - Spain, Japanese, Korean, Portuguese - Brazil, Simplified Chinese, Italian, Russian.
Does Sanatorium - A Mental Asylum Simulator use AI-generated content?
No AI-generated content is disclosed on the game's Steam page.
Self-reported by the developer under Steam rules: it covers AI content that ships in the game, not tools used to make it. Steam page checked on Oct 27, 2026. How to filter AI games on Steam
Tags
- Medical Sim
- Puzzle
- Detective
- Card Game
- Point & Click
- 2D
- Noir
- Historical
- Alternate History
- Choices Matter
- Deckbuilding
- Multiple Endings
- Story Rich
- Simulation
- Atmospheric
- Mystery
Recent updates
- Jul 29, 2026 · Patch 1.3 - Checkpoints & Ward 4
- Jun 28, 2026 · Bugfixes 1.2.3
- May 20, 2026 · Bugfixes 1.2.2
- May 14, 2026 · Patch 1.2.1
- May 6, 2026 · Patch 1.2 - Improvements to Clinic Practice
2 DLC available.