
An educational visual training simulation that follows transgender and gender-diverse patients at a primary care clinic. Step into the role of a new provider as you prescribe and optimize hormone therapy, counsel patients around surgical affirmation, navigate care considerations for adolescents
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About

In this visual novel-style training simulation, you will build relationships with eight TGD patients across eighteen clinical encounters, for a total of 3+ hours of gameplay.

As a new provider, you will prescribe and optimize hormone therapy, counsel patients around surgical affirmation, navigate care considerations for TGD adolescents, and more! The decisions you make will affect the patient’s trust and stress levels in real time.

Receive training and mentorship from the clinic’s attending physician, Dr. G., and get debriefed on your performance after each encounter by the clinic’s director, Dr. Jay. You will be able to replay each encounter to your—and your patient’s—satisfaction!


Get a glimpse into your patients’ personal lives through beautifully illustrated graphic novel-style cutscenes between each visit.

Earn awards and unlock new amenities to make Rose Way Clinic a more LGBTQ+ inclusive clinic according to the Human Rights Campaign’s Healthcare Equality Index.

With your help, we can make Rose Way Clinic the new standard for gender-affirming care!
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Each of our 18 simulated case scenarios are informed by the lived experiences of our consulting LGBTQ+ patients, health providers, and reviewers and aligned with evidence-based practices. To bring these characters to life, our teams made an open casting call for TGD visual artists and voice actors, and hired identity-aligned creatives to portray these characters.
By the end of this training, it is our goal that players will be able to:
Demonstrate inclusive, patient-centered communication strategies that affirm the identities and experiences of transgender and gender-diverse individuals across the lifespan.
Apply knowledge of gender-affirming medical therapies — including testosterone and estradiol regimens — to support individualized transition goals while managing associated clinical considerations.
Identify ethical, legal, and institutional considerations in the care of transgender and gender-diverse patients, including confidentiality, consent, and documentation practices.
Describe the implications of gender-affirming care on reproductive health and fertility, and counsel patients on preservation options and long-term planning
We can’t wait to see you at the virtual Rose Way Clinic! This training fills a critical gap in medical education by providing accessible, low-cost training in gender-affirming communication and care. Let’s level up our care and make a positive impact on TGD health education! Although the course is geared toward faculty educators and clinical providers, you do not need clinical experience or expertise to engage with our patients.
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Languages: English**languages with full audio support
Reviews
While the US has catastrophic problems with healthcare compared to Europe, these idiots are releasing training programs about treatment of the LGBT community and calling it medicine. This is just ridiculous.
Stanford Medicine? What a joke. This training is the best anti-advertisement for Stanford University. Calling hormone treatment for LGBT people “therapy” is incorrect. It would be more accurate to call it body modification, very often harmful. The Hippocratic Oath, in case anyone forgot, says: “Do no harm.” All doctors and clinics around the world are supposed to follow that principle, and this training directly contradicts it. I also don’t understand the point of publishing something like this on Steam. There are other platforms for students and medical professionals, while Steam is a platform for gamers.
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Concurrent players on Steam, sampled daily since tracking started.
Gender Version of British Immigration Propaganda "Game": Pathways This VN is a “training simulator”, yet it is less engaging than the VR training systems used by law enforcement and less entertaining than Wendy's training videos from the 1980s and 1990s. At times it feels like it’s just about how to talk to mentally vulnerable people without making them feel dysphoria or suicidal. At the same time, it comes across as nonsensical and disrespectful toward some of the cultures represented by the characters involved. When you download the engine used for this product, it literally comes with a tutorial. The number of bugs and errors is unacceptable, no matter how you look at it. It’s as if it was created as a quick propaganda piece, and never play-tested. Most importantly, it normalizes taking advantage of mentally and emotionally fragile adolescents, essentially grooming. https://steamcommunity.com/sharedfiles/filedetails/?id=3740335522 Just remember: no one cares what you are or what you do unless you are hurting others -especially children- or attempting to push your beliefs or delusions onto others.
I couldn't use custom pronouns and the game crashes within 10 minutes. My name is too long for the 10 letter limit.
Pretty cute game
I'm ambivalent about trans individuals. As far as I'm concerned, they're a self-solving problem by virtue of volunteering to step out of the gene pool and I'm happy to give them a little Darwin Participation Award to see them out the door. I don't experience any dissonance enjoying the contributions of trans individuals in arts and tech and don't reflexively feel the need to make a conservative posture to announce my not-gays to the world. Laboring is what they're good for. This game is catering to my subdued fetish of trans accelerationism, gamifying it. I want to make them more at ease. Get them further along quicker, at less cost, less stress. Get them all the surgeries and all the hormone treatments to sterilise them faster before they get second thoughts. Optimise it, maximise it, air juggle them with all the gender affirming medical interventions they want, so ceaselessly that their gender euphoria never goes on cooldown. Make the process so streamlined and frictionless at every stage of the way that it'd make sense to install a slip-n-slide at the entrance of the clinic that goes straight to the doctor's office and back out again. A HRT lick on the ground, a bait station full of programming socks, and me in the tree stand above, rifle ready to shoot estradiol darts into anyone who wanders into my range. Imagine a Factorio for gender-affirming care as a sequel. Gaming could be so good and this one deserves special consideration and recognition for vanguarding the possibilities.
Just Crashes, the people that coded this game might be a genius
absolute bugged trash, cant even progress without error codes every 30sec.
Can't pickle.... Errors, no options for telling negative outcomes or risks. Speaking with a patient on an objective level is regarded as too harsh and not inclusive. They built in a slideshow, ask if you want to spread their "wokeness" and if you don't they threaten you have to watch it again (it's 5 minutes of textbox agony). I managed to get exactly 71 errors before being brought back to the title screen and after starting again... i got even more! Müsst ihr wissen.
This game is especially good If you want to know what to expect from a doctor visit discussing gender affirming care or are curious about hormone therapy. You play as a student doctor and gameplay consists of choosing dialogue during patient visits. Before each visit you can get advice from Dr. G who will give some examples of dialogue options. At the end of a visit you can see if you made all the key choices. The most difficult choices involve figuring out how to communicate your evaluation of how different treatments would work for the patients' health and habits based on their different personalities Seeing all their life stories and how they progress was fun. It's really cool that something like this is free.
Momentum
Pace estimated from the game's recent review growth (our daily snapshots) at its own sales-per-review ratio — a momentum signal, not booked sales.
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