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Build & Design
Construct floors, walls, rooms, doors, windows, utilities, furniture, ambulance access, and specialized clinical spaces.
Discuss the system →
REAL GAMEPLAY
Cedar Grove • Day 1
Work in progress • Captured August 19, 2026
DEEP HOSPITAL MANAGEMENT SIMULATION
Build the hospital.
Shape the institution.
Design, operate, and expand a modern hospital campus. Coordinate patient care, staffing, surgery, critical care, specialties, teaching, research, finance, and long-term growth.
100 × 100buildable campus600+build assets
COMMUNITY MILESTONE / ENTRY NOT OPEN YET
Ten alpha keys.
One community goal.
VitalCore Hospital is in active alpha testing. When the community reaches both 1,000 Discord members and 1,000 TikTok followers, we will open a free giveaway for ten alpha access keys.
No purchase necessary. Following or joining does not create an entry. Eligibility, entry dates, winner selection, and complete official rules will be published when entry opens.
THE VISION
More than a hospital tycoon.
VitalCore Hospital is a healthcare institution simulator. Start with a single hospital campus, build every department, manage real operational pressure, and develop the organization into an advanced teaching and research center.
The Early Access focus is one city, one hospital campus, and a deep hospital-management loop. Multi-facility networks and a living city simulation are reserved for future expansion.
CEDAR GROVE / DOCTOR OFFICESREAL GAMEPLAY
Authentic in-game capture • Work in progress
CURRENT GAME SYSTEMS
A connected hospital simulation.
Every system creates pressure somewhere else. Build with intent, read the operation, and make the institution work as one living whole.
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Clinical Operations
Track patient flow, queues, staffing pressure, capacity blockers, emergency activity, inpatient care, and throughput.
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Surgery & Critical Care
Coordinate perioperative readiness, theatre scheduling, surgical execution, handoff, ICU requests, and step-down planning.
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Departments & Specialties
Develop diagnostic, treatment, ward, surgery, ICU, specialty, administrative, and support service lines.
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Hospital Economy
Monitor payroll, operating pressure, billing, reimbursement, affordability, inventory, quality, reputation, and growth.
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Teaching & Research
Build academic capacity, project learner cohorts and rotations, evaluate accreditation, and develop research.
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Longitudinal Care
Support returning patients, chronic conditions, medications, referrals, recovery assessment, and longitudinal history.
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Reliable Construction
Use searchable catalogs, placement feedback, persistent tools, authoritative undo history, and save/load support.
BUILD MODE
Design every part of the campus.
Browse categorized rooms, structures, furniture, utilities, and access infrastructure through visual cards with thumbnails, search, costs, requirements, and diagnostics.
- Full 100 × 100 buildable hospital property
- Single, double, and composite door systems
- Room drawing and designation workflows
- Hundreds of catalogued furnishings and equipment assets
- Undo support across core construction actions
CEDAR GROVE / PATIENT FLOWREAL GAMEPLAY
AUTHENTIC GAMEPLAY
Inside alpha
0.7.44.
The latest walkthrough shows the alpha tester notice and F8 bug-reporting flow, five selectable Chicago sites, the guided opening chapter, and a detailed tour through inpatient, operating-room, laboratory, restroom, reception, and city environments. The 1440p reel and every image in this section were captured directly from the current work-in-progress build.
DEVELOPMENT PROGRESS / AUGUST 24, 2026
Stronger rooms.
More reliable building.
An internal alpha 0.7.72 playtest build was generated after a focused reliability pass on room designation, room rebuilding and validation, authored doors and props, and construction-menu placement behavior. The public 0.7.44 walkthrough remains the latest approved gameplay footage while the newer internal build is validated for closed-alpha distribution.
Hospital constructionComplete
Build UI & catalogsComplete
Operations BoardComplete
Surgery & ICUComplete
Finance & inventoryComplete
Specialty servicesComplete
Teaching & researchComplete
Cedar Grove starter scenarioImplemented
Patient intake & clinical flowImplemented
Alpha tester onboardingImplemented
In-game F8 bug reportingImplemented
Alpha stabilizationIn progress
5Selectable hospital sites
100 × 100Buildable campus
600+Catalogued build assets
<300Production-script line limit
EARLY ACCESS ROADMAP
Polish the hospital
before expanding the world.
Core Stabilization
Navigation verification, ceiling-light placement, construction regression testing, save management, and long-session reliability.
Player Experience
Main menu polish, save deletion, onboarding, starter scenarios, clearer feedback, and UI consistency.
Performance & Quality
Large-hospital profiling, long-session testing, visual acceptance, bug triage, and scope freeze.
Healthcare Network
Multiple facilities, patient transfers, shared specialists, EMS systems, air medical transport, and a deeper living-city ecosystem.
FAQ
About VitalCore Hospital.
What kind of game is VitalCore Hospital?
A deep hospital-management and healthcare-institution simulator combining construction, clinical operations, administration, academic medicine, research, and strategic growth.
What is the Early Access scope?
One city, one fully buildable hospital campus, and a deep single-hospital simulation. Multi-hospital and living-city systems are reserved for later development.
Are these real game screenshots?
Yes. Images labeled real gameplay were captured directly from the current low-poly VitalCore Hospital build. Development visuals, interface elements, balance, animation, and layouts may change.
Where will updates be posted?
VitalCore Hospital development updates are published weekly on this website, itch.io, and Discord. Authentic gameplay videos are posted on YouTube, with shorter clips and development posts on TikTok.
JOIN THE JOURNEY
Help shape VitalCore Hospital.
Follow development, share feedback, report issues, and watch VitalCore Hospital grow from a hospital simulator into a complete healthcare institution experience. Weekly updates will be shared on this website and in the VitalCore Hospital Discord community.