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Sanatorium - A Mental Asylum Simulator
The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
What players say
Steam review score and the most-helpful voices, which may include critical ones. Score via Steam as of 2026-09-26.
“it is a very fun card deck game, and the developers are very active releasing quality of life updates often making me a gamer feel very seen”
— a player, Steam review · 11 hrs played“Close to being a good game, but has so many weird little issues that keep it from being real primo stuff. 1. Every night, you can go exploring around the hospital. Unfortunately, most of the time there's absolutely nothing to do or see. Just doesn't seem very padded out, more of…”
— a player, Steam review · 14 hrs played“I wanted to give this game a positive review as the game itself is fun and different and has a lot of positives but I simply cannot because it is unplayable with the bugs. I started playing this game a few months ago and it would eventually get to a point where the game will not…”
— a player, Steam review · 21 hrs playedAchievement 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.
Latest official news
Developer announcements via the Steam news API — links go to the original posts. More across all games on the news hub.
Patch 1.3 - Checkpoints & Ward 4
Dear Doctors, Since you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements. Changes Added a
Bugfixes 1.2.3
Fixed a level transition issue that could remove cards which should carry over into the next ward. Restored previously discovered records that may have disappeared because of this issue. Fixed a first
Bugfixes 1.2.2
Fixed an issue where NPC dialogue events could fail after a dynamically selected dialogue had already been played. Added an extra safeguard to ensure the Ward 4 ending triggers correctly. Improved rel
Patch 1.2.1
Fixed the credits video not playing on some platforms. Adjusted the tutorial window position on Day 1’s Phrenology Chart so it no longer covers the hint diary page on Steam Deck.
Patch 1.2 - Improvements to Clinic Practice
Dear Doctors, Since you took up your position, the Sanatorium has made several improvements based on your feedback. Thanks to your participation in clinic governance, we have already implemented multi
Screenshots
Official Steam store screenshots — click any shot to enlarge.
Facts & details
From the Steam store record, snapshot 2026-09-26.
| Genres | Adventure, Indie, Simulation |
| Player tags | Medical Sim · Puzzle · Detective · Card Game · Point & Click · 2D · Noir · Historical · Alternate History · Choices Matter · Deckbuilding · Multiple Endings (Steam store community voting) |
| Features | Single-player · Steam Achievements · Custom Volume Controls · Mouse Only Option · Playable without Timed Input · Stereo Sound · Steam Cloud · Family Sharing |
| Languages | English, French, German, Spanish - Spain, Japanese, Korean, Portuguese - Brazil, Simplified Chinese, Italian, Russian |
| Achievements | 30 |
| Official site | http://www.sanatoriumgame.com |
Minimum system requirements (PC)
Minimum: OS *: Windows 7 (SP1+) and Windows 10 Processor: x86, x64 / Intel Core i3-8100 / AMD Ryzen 3 3100 Memory: 2 GB RAM Graphics: NVIDIA GeForce GTX 750 Ti / Radeon R7 360 / 2GB VRAM DirectX: Version 11 Storage: 2 GB available space