PCGame

ANEURISM IV

Multiplayer city sandbox about working, maintaining order, or spreading Rot

Vellocet · Released Mar 11, 2025

ActionRPGSimulation

Reviews
Mostly Positive
75% of 6,303
Recent reviews
Mixed
43% of 80 in 30 days
Playing now
54
right now
Steam Deck
Playable
Last update
1 month ago
Aug 4, 2026

What is ANEURISM IV?

This first-person multiplayer sandbox takes place in a decaying city where you play a Spirit nearing a physical form. Choose a role, work for credits, craft and trade goods, or help contain or spread the Rot. There are no set objectives, and the city changes as players act.

For you if...

  • +you enjoy roleplay shaped by other players' choices
  • +you like open-ended sandboxes with competing factions
  • +you enjoy routine jobs alongside unpredictable social encounters

Not for you if...

  • you want clear objectives and a guided story
  • you dislike earning credits through repetitive jobs
  • you prefer multiplayer without player-versus-player conflict

What players say

75% of 6,303 reviews are positive · 43% of 80 in the last 30 days

Players praise the unscripted roleplay and unpredictable encounters around the city's jobs and factions. Recent reviewers complain about updates that restrict their options, fewer people on servers, and griefing that disrupts roleplay.

Screenshots and trailer

ANEURISM IV

ANEURISM IV system requirements

As published by the developer.

Minimum

OS
Windows 10
Processor
Intel Core i5-7400 CPU @ 3.00GHz
Graphics
NVIDIA GForce GTX 1050
Memory
8 GB RAM
Storage
2 GB available space
DirectX
Version 11

PC version details

DRM, required accounts, controller support and Steam features.

DRM
None declared on Steam
Controller
Keyboard and mouse
Platforms
Windows, macOS

Steam Deck: Playable

  • Default controller config not fully functional
  • Sometimes shows mouse, keyboard or non-Deck controller icons
  • Some text entry requires manually opening the on-screen keyboard
  • Some in-game text is small and may be hard to read
  • Default graphics settings perform well on Steam Deck

Multiplayer and co-op

Languages

Full audio: English. Text only: French, Czech, Russian, Portuguese - Brazil, Portuguese - Portugal.

Tags

Recent updates

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