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Big Bad Pharma

Big Bad Pharma

A cosy first-person pharmacy sim with a wicked streak. 12,792 items. One unbelievable mess. Stock the shelves, buy the upgrades, and climb a corporate ladder that probably shouldn't exist. Then try not to think too hard about what's at the top.

Released Aug 11, 2026 Developer Middlewood Studio Platforms Windows SimulationLife SimHidden ObjectImmersive SimMedical Sim
View on Steam ↗ $6.99 (US · as of 2026-09-26)

What players say

Steam review score and the most-helpful voices, which may include critical ones. Score via Steam as of 2026-09-26.

83.5%positive109 reviews
Recommended · 16 found this helpful

“Bear in mind I'm reviewing this on release day. For what I believe is a game from a one-woman show (she said she designed all the boxes herself, hence why they are minimally decorated) , I'm sure this will be a wonderful addition to the tidy-up category once some QOL updates…”

— a player, Steam review · 29 hrs played
Recommended · 6 found this helpful

“super fun game and AWESOME dev!! listens to all the feedback and releases patches asap, also replaced all the AI generated content which is great”

— a player, Steam review · 22 hrs played
Not recommended · 12 found this helpful

“Love sorting games. This ones a big issue. - There is no descriptor for the items on the ground like it was displayed in the preview on the steam page, I have no idea what I am picking up. - A lot of the items look the same so I am relying heavily on the green box to appear to…”

— a player, Steam review · 32 hrs played
Read more reviews ↗

Achievement stats

Global completion rates across all Steam players — a data view of how far people actually get. Source: Steam official stats · as of 2026-09-26.

21achievements
50.7%median completion
5.7%rarest: You did it Raw, Dawg
98.1% of players 94.5% of players 81.6% of players 80.9% of players 74.6% of players 69.2% of players 67.7% of players 64.2% of players 63.5% of players 60.3% of players 50.7% of players 48.2% of players 39.7% of players 36.2% of players 35.6% of players 33.9% of players 32.1% of players 30.7% of players 27.5% of players 23.5% of players 5.7% of players 98.1% 0% most earned rarest
Almost everyone has
98.1%Why did I come to work? — You started your shift
94.5%So you know what you're doing — Stock your first product shelf
81.6%What a sh!tty situation — Place a product in the digestive aisle
Rarest badges of honor
5.7%You did it Raw, Dawg — Complete a shift without using any abilities
23.5%F U BIG PHARMA — Congratulations... was it worth it?
27.5%At least you have a method to this madness — Place at least one of every item on a shelf

Latest official news

Developer announcements via the Steam news API — links go to the original posts. More across all games on the news hub.

Sep 21, 2026
V1.2.1 hotfix is live — shelf labels are back

🌱 Shelf labels are back. V1.2.0 broke the little labels on the shelf edges: they did not appear at all, and the "Shelf labels" switch in Settings did nothing, because it was switching something that w

Sep 21, 2026
Big Bad Pharma V1.2.0 patch notes

This is the big one I promised on the crash thread. V1.1.7 helped smaller machines get further; this patch is built around actually getting an 8 GB laptop with integrated graphics from the desktop to

Sep 13, 2026
Big Bad Pharma V1.1.6 patch notes

This one started with me sitting down and reading every thread on the discussions board in one go, then going through the game's code looking for the causes rather than the symptoms. Six separate thre

Aug 30, 2026
Big Bad Pharma V1.1.5 patch notes

A few of you sent in reports that turned out to be much more useful than you probably realised, one comment about an achievement that "never triggers" and one very patient write-up about being told yo

Aug 19, 2026
Big Bad Pharma V1.1.4 patch notes

🌱 No more 1/1 shelves. The two halves of the rule now live together properly. While a product still has unshelved stock, a fresh segment sizes itself to exactly what remains — that is V1.1.2's fix and

Screenshots

Official Steam store screenshots — click any shot to enlarge.

Facts & details

From the Steam store record, snapshot 2026-09-26.

GenresSimulation
Player tagsSimulation · Life Sim · Hidden Object · Immersive Sim · Medical Sim · 3D · First-Person · Organizing · Management · Relaxing · Singleplayer · Cozy (Steam store community voting)
FeaturesSingle-player · Steam Achievements · Custom Volume Controls · #category_playable_at_your_own_pace · Playable without Timed Input · Save Anytime · Steam Cloud · Family Sharing
LanguagesEnglish
Achievements21
Minimum system requirements (PC)

Minimum: OS: Windows 10 64-bit (Build 19041 or later) Processor: Intel Core i5-8400 / AMD Ryzen 5 2600 Memory: 8 GB RAM Graphics: NVIDIA GeForce GTX 1050 / AMD Radeon RX 560 (2GB VRAM) DirectX: Version 12 Storage: 2 GB available space Sound Card: DirectX 9.0c compatible Additional Notes: Requires 64-bit processor and operating system