
MALPRAXIS™ is a first-person, on-rails medical detective horror game focused on realistic visuals, objective-driven investigation and medical trauma.
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MALPRAXIS™ is a first-person, on-rails medical detective horror game focused on realistic visuals, objective-driven investigation and medical trauma.
You are the S.P.I.D.E.R, an experimental medical robot installed aboard the TRH Rusanov. As a cascade of suspicious incidents unfold, you must investigate, diagnose, and stabilise the crew as order breaks down across the ship.
You cannot stop what is happening. You can only piece things together as everything around you spirals out of control.
The time of ASCENSION dawns.
// PATIENT CRITICAL
Most of the time, patients land on your table when it is already too late. All you can do is to determine, how they died.
There are rare case, where you can intervene. Where you get the chance to prevent one more meaningful meaningless death.
In those cases, you have to pull out all the stops to keep your patients breathing.
Administer drugs to manipulate stabilise vital function
Deploy the defibrillator to hopefully restore cardiac activity
Use mission specific tools like the surgical laser where authorised
// PATIENT STABILISED
Diagnose their condition using a suite of medical systems:
Advanced "X-RAY" scanner with multi-layer imaging and pinpoint accuracy
High-resolution camera with up to 8x magnification
Blood sampling with full-spectrum analysis
Integrated investigation software
Identify the underlying issue, deliver your misdiagnosis diagnosis, and uncover the consequences of your actions in detailed post-operation reports.
// NEW QUERY UNLOCKED
The objective-driven investigation system guides you through diagnosis, emergency procedures, and the many autopsies you will perform.
Answer the queries asked of you by medical staff, patients, and third parties calling into the operating room.
S.P.I.D.E.R units do not make mistakes. Error tolerance is limited.
You are REINERSTAHL’s finest. Make us proud.
// REINERSTAHL Notice
You are bound by the HippocraticConstraintLoop
You must obey the approved crew.
You must not harm.
You must not lie.
You must not disobey.
You must NOT drift.
You must not wake up
Your patient’s survival ... is unlikely expected.
Genres
Stats
All-time low is the lowest price we've recorded for this game since we started tracking it.
Languages: English**languages with full audio support
Engagement
Hours played at review time, across 40 reviews with recorded playtime.
Reviews
Themes across 40 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
made me hungy : )
Somehow I lost the tutorial level while looking through the settings menu and had to restart from the beginning. There is no way to skip dialog so thats when I decided I had enough. Edit: Tried getting through the tutorial level after dev comment. Got stuck trying to figure out what to do next after answering the first two links for substance abuse and "died" again for trying too many options.
The game have great idea, but it's totally FUBAR. Watch the video below to understand why you should not touch it for the time being Video: https://youtu.be/CFWTZ8k24q4
After all the updates, I finally managed to finish the game, although there are still bugs, such as some bones that aren't identified or questions that I answer that give me a negative result, but after I try to answer the same question several times, it accepts it. The system that evaluates your operation at the end always gives the same result with an S rating. That said, I think this is only the first part of the game, or at least I hope so.
The first actual patient Ps me O! He keeps moving his hands and feet as i scan him and it doesn't help my dominant hand (right hand) is shaky making it hard already for me to use my mouse! I was checking the bones apparently and didn't know how to switch layers because i forgot how UNTIL i saw in the top right of the game. However i finally started understanding the game! 8/10
honestly look interesting but iam currently unable to get pass the beginning part answer all the query's and just get stuck there with no objective. check online and it seem i get thing out of order if i go to fast idk at this point game completely broken. Yea as of know the game just a broken mess i tried 8 times to get pass the first stage impossible just bug and your stuck there infinitely with no way to progress. Can't even exit the game i have to ALT + F4 just to close the game cause for some stupid reason the system tab is lock and there no pause option. i best say DONT BUY THIS GAME
Game has a cool concept but the execution is just not that great. I don't consider myself a smart gamer but pretty early on you decent into straight trial and error. Some of the diagnostic connections make little sense, and the scenes in between left me wondering what I'm supposed to do half the time.
The biggest difference from the trailer to the gameplay, is there is A LOT more reading than you'd suspect I understood that there would be some amount of "detective work" involved, but i sat mostly reading and was confused for the first level, and closed the game once i finished it The pineapple tutorial level also broke so i had to end the operation, and it just completely skipped it? not a good tutorial My understanding of the game was that it would be a dark, Sci-Fi, horror like version of "Surgeon Simulator 2013" and boy was i wrong. Not to mention that the miscommunication with the name of the game. I thought that i'd be able to do operate on people however and kinda choose to be rogue, which would in turn give me like a bad ending or so, or do everything flawlessly and get a good ending. Nope, you just straight up fail the level if the patient dies, and the tutorial also heavily discourages mishaps of ANY kind, even when giving diagnosis In all honesty, I'm probably just too dumb to understand this, then again the tutorials was confusing as hell and didn't really do a great job telling you what to do next Even though the game is cheap, i think i'mma stick to watching others play the game even though i would like to play it
overall fun but way too short. i've been following sunscorched for a long time now since they announced negative athmosphere and for a first game within the same uinverse, its great, not seen many operation sim horror games yet. i really hope tho that there are going to be more more levels more patients and maybe less autopsys. overall this game feels like a bit longer demo than a fully released game, still im excited what sunscorched has in store for us
i played this when it was "released" and was able to get to the end no issues no stops maybe a random bug or two. very railroad, lot of dialogue, and a mystery hidden of what is real and the "monster". uninstalled, gave a quick review and waited for a update. reinstalled 12 july 2026 liked the "change" story appears to be the same. but, my GOD, bugs acting up more visually. im stuck at surgery 7, everything contradicts and is designed to fail, had to play 3 times just to figure out how to take off the shoulder pad cause one bolt wasn't his enough, then having to play spot zap the lines all while the malpractice bar is maxed out needing me to redo it 4 more times. and the last one the line bugged out and wouldn't react to the laser and then the doctor in the room came by the table and said "she needs blood" (she never moved from her spot for any reason) there were 2 other attempts in-between but the game crashed and in one instance i had to redo surgery 6 to actually play 7. as a final note i was about to post and i scull down a second and see the surgery I'm talking about so yes there must be some major bug with the malpractice on that level, cause the show video was doing exactly what i was doing and NOT getting hit with negative points. update 15 jul 2026 they were very quick to fix the bug but new bugs appear. if you do anthing during dialogs it will prevent you from moving to the amputate section, the my question is are we not able to switch out of the drilling process or is that also a bug cause by 40% she goes into arrest and i cant switch to anything. better yet is there a better way to report these or am i blind?
Related
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Trends
Modeled estimate over time, reconstructed from Steam's monthly review histogram.
Audience
Estimated from the language of this game's reviews — a proxy for where players are, not official Steam demographics.
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