W2 GamesLevel 7/23Epic2026Prototype

Hospital on a Budget

AL-Arcade original

Four-player online co-op: clumsy physics hands give real first aid to ragdoll patients, wave after wave, until the clinic reaches Class S or goes bankrupt.

Hospital on a Budget: The design bible
The design bible
Hospital on a Budget: 36 systems in seven dependency layers
36 systems in seven dependency layers
Hospital on a Budget: The core loop
The core loop
Hospital on a Budget: The A, B, C assessment rule
The A, B, C assessment rule

The story

Players triage arriving patients in the real emergency order (airway, then breathing, then circulation), treat them with physics-driven hands and consumables, move them by stretcher or ambulance, and spend their earnings between waves to grow the clinic.

Hard parts cleared

  • Hybrid ragdoll sync: your own ragdoll is predicted locally at 30 Hz, other players are interpolated, and patients are fully server-authoritative.
  • Medicine as rules: treat circulation before clearing the airway and the patient dies, across 35 conditions with their own timers and equipment.
  • Editor tools that generate the scenes, prefabs and all 122 data assets.

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