one dataset · paper, tables, graph, wiki
simgrammar the grammar of simulation

parts

10 mechanics, as Project Hospital does them

core · 3

space & construction

Building placement

The player lays foundations, walls, floor tiles, doors, and windows and places equipment for each department, or starts from prefabs.

biology & health

Diagnosis and treatment

Each patient has a hidden diagnosis; doctors order examinations, lab tests, and equipment procedures that each reveal symptoms, symptom frequencies are tuned so one exam rarely settles a case, and treatment, hospitalization, or surgery follows.

economy & finance

Staff hiring and rosters

The player hires and specializes doctors, nurses, lab staff, and janitors and manages their job satisfaction; the Hospital Services DLC adds staff training.

supporting · 7

agents & behavior

Agent skills

space & construction

Room recognition

progression & goals

Scenario objectives

A campaign and six challenge levels set goals; sandbox mode removes them.

logistics & networks

Service queues

economy & finance

Treasury and budget

control & automation

Unit commands

Doctor Mode (2019) lets the player choose exams, diagnoses, and treatments for individual doctors and their patients.

core loop

sign insurer contracts -> patients arrive with complaints -> doctors order examinations and lab tests -> revealed symptoms narrow the diagnosis -> treat, hospitalize, or operate -> insurers pay -> build departments and hire staff

design notes

Oxymoron Games reduced medicine to symptom rules: each diagnosis has symptoms with tuned occurrence frequencies, examinations reveal them, and a diagnosis becomes clear once enough are found; frequencies were set so a case is rarely obvious after the first exam. Patients reach the hospital through insurance company contracts, and the developers say the resulting economy came to resemble the American system. The free Doctor Mode update lets the player make individual doctors' exam and treatment choices, turning the facility sim into a diagnosis game.

appears in

the paper, 2 sections · 1 chapter
paper

5. The structure of the design space

linked in this section of the paper

paper
paper

Appendix A. Game catalog

linked in this section of the paper

paper
catalog

The catalog

listed with its year, developer, subgenre, and number of mechanics

book
ch 9

Chapter 9. Vacant lots

linked from the text

book

sources

3
Wikipedia contributors (2026). Project Hospital. Wikipedia
(2020-03-08). Project Hospital: a realistic take on hospital simulation. Journal of Geek Studies

provenance

runs in log/runs
2026-10-24
created2026-10-24-catalog-gfcatalog
2026-10-24
reviewed2026-10-24-review-fixesmaintenance