
A dystopian simulator where your choices shape a decaying city. Join other players to protect the metropolis from ruin, hasten its downfall, or simply work in the factories. With no set goals or rules, every action has consequences in a world teetering on the brink.
Modeled estimate, not a reported figure. How we estimate →
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About
Enter ANEURISM IV, a sprawling metropolis where the proletariat works without question and the air is thick with decay. As a Spirit—a spectral entity on the verge of becoming flesh and bone—you stand at a crossroads. The city is yours to influence, disrupt, or simply observe. With no set goals or rules, how you engage with this world is entirely up to you.
From the hardworking Prole to the affluent Banker, each fate offers unique abilities, challenges, and ways to interact with the city and its inhabitants. Your choice defines your journey:
Align with the Cortex to stabilize and protect the city.
Join the Scumbags or Zealots to spread the Rot and sow chaos.
Remain Neutral and immerse yourself in daily life, working in factories or exploring the city.
An ever-present threat, the Rot visibly alters the city as it spreads. Roles like Liquidators and Scumbags are pivotal in either containing or exploiting this menace. If left unchecked, the Rot will consume everything, leading to the city's demise.
ANEURISM IV is a sandbox simulator first and foremost. The city reacts dynamically to player actions:
Take Down the City: Collaborate with others to bring about the city's downfall and witness its reset.
Protect the City: Work to maintain order and keep the Rot at bay.
Live Your Life: Engage in everyday activities or carve out a unique path—it's your choice.
Survival depends on your willingness to work. Earn credits by taking on various jobs—labour in factories, manage resources as a Prole, or manipulate finances as a Banker. These credits are your lifeline, allowing you to purchase necessities from shops, trade for valuable goods, or invest in property.
In ANEURISM IV, there are no rules dictating your actions. Every decision you make impacts the city and its inhabitants. Will you bring stability or chaos? The choice is yours.
Total Freedom: No imposed objectives. Play your way.
Dynamic Consequences: Every action influences the world around you.
Multiplayer Interaction: Invite friends to join your world—collaborate, compete, or coexist.
Survival Mechanics: Manage your nourishment and sanity in an oppressive, ever-changing environment.
Wait for rations
Craft goods
Rent property
Listen to the radio
Work in a factory
Do laundry
Earn credits
Pay taxes
Evade the Cortex for tax evasion
Go insane
Eat suspicious things
Genres
Stats
All-time low is the lowest price we've recorded for this game since we started tracking it.
Languages: English*, French, Czech, Russian, Portuguese - Brazil, Portuguese - Portugal*languages with full audio support
Engagement
Hours played at review time, across 90 reviews with recorded playtime.
Reviews
Themes across 90 recent reviews and how positive each mention is. A keyword signal, not full sentiment analysis.
positive critical· bar length = how often the theme comes up
Reviews
great game, but a horrid fanbase filled with team killers, griefers, ♥♥♥♥♥♥♥♥ and more
They ruined the game. They changed the gun recipes and restricted it to certain higher scum roles. (Higher than even a scumbag) All for the sake of making the dealer have a bigger role. But hey, at least the limitators that already were a team effort to kill by the scum are now buffed even more.
Fun game. Great world, factions, setting, the whole shabangbang. Only downside is lack of players... which could be solved with a PVE mode or something. Horde Mode would be lowk awesome. Waves of ai of either Scum or Cotrex. Resupply at the end of waves, buy weapons, could be an opportunity to expand on lore, introduce new weapons, BRING IN PLAYERS (keyword for the dying game) who just want to get straight into the action without the need to grind for a fate that they'll just die in 2 seconds later and restart the process because of a camper, etc, etc. I genuinely think it'd be a W game mode. Would it be hard? ♥♥♥♥ yeah, I won't deny it. Would it be a great way to revive the game? ♥♥♥♥ yeah
DEAD GAME 2 servers left >300ms
great game but banned me from the only 2 active servers (US servers) right now THAT I NEVER PLAYED and im still banned somehow.
I really wish that I could write a good review about this game, but alas, the community, lack of competency within the developer team, and plain toxicity present within this game has scared me away to rarely touching it as of July, 2026. I originally bought this game sometime in December of 2025, and found myself enjoying it initially. Primarily focusing on playing Scum or Prole, I met many interesting people, and even formed a gang in the mining locale so that we could pool together our credits equally and buy gear. I liked the combat, lack of major rule bodies, and way of life present across all of the factions. The economy also interested me greatly, as I found myself consistently owning businesses that made me rich on many servers before their rot events. However, this was the time that the initial enjoyment fell off, as the sheer monotony of gathering resources, then AMs (the life currency of the game), then dying, was only enjoyable for so long. I get that the whole point of the game is to be dystopian where your "life doesn't matter", but the sheer amount of times that I have been TKed and unfairly caught in the misfire of situations is almost baffling and has made the game unenjoyable for me as of recent. This brings me into my second qualm with this game: the lack of moderation and disgusting community. Understandably, when you promote a game that has "minimal moderation" and a "lack of rules", you're going to attract a very bad audience. The sheer toxicity of this game has made me feel ill at times, as the actions and words of many across a plethora of servers have given me a very bad taste in my mouth, whether it be the use of slurs by many people, or the consistent stealing and killings that plague all the servers, the game has been destroyed by its lack of consequences and moderation. You can still have moderation in games of these sorts, but at a minimum; this game seems to have just tossed moderation directly out of the window. As a whole, I unfortunately do not recommend this game to anyone who isn't ready for consistent griefing, toxicity, and incompetent ruling bodies.
This game can absolutely be a fun time, and the concept is great, but a combination of declining player numbers and SOME people in the community being incredibly annoying and rancid, makes for some of the most frustrating game experiences right along with the fun ones
The game is fun but it's pretty much ruined by griefers. People will just take your stuff with zero consequences, the only fun part is when you get to play as some high-action role like a cultist or a cop and that takes a long while grinding amnecytes in-game to play them, while at the same time people just take your things, no problem, trashing your hard work, giving you nothing in return, and get more amnecytes themselves. PLEASE add a limit to people who take other's things within a minute or two of another person dropping said item ( and of course, make sure anyone who's picking it up know that they'd be stealing ) and maybe add a toggleable 'dropped items are being donated' button in the inventory for those who want to drop bandages for their friends so that there's no 'stealing this item' timer
Devs don't care about the game. They have been screwing around for 6 months, not fixing things the playerbase begs them to fix, just adjusting values and rolling back old mechanics. Game is currently the least fun to play it has ever been. Servers are dead, Devs are braindead, do not give them your hard earned money!
Glory to the Cortex
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Trends
Modeled estimate over time, reconstructed from Steam's monthly review histogram.
Engagement
DAU/MAU are modeled from peak concurrent players (≈×8 and ×28) — Steam publishes no active-user counts, so treat these as rough estimates, not reported figures.
Audience
Estimated from the language of this game's reviews — a proxy for where players are, not official Steam demographics.
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