63%Good matchDo No Harm
71%43071% positive reviews, Mostly Positive across 430 reviews·Lovecraftian · Medical Sim
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The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
“Sanatorium: A Mental Asylum Simulator Is One of the Most Unique Games I’ve Ever Seen” - VICE
It’s the roaring twenties, an age of technological progress and social upheaval. As the city around you expands, you feel left behind: a weary journalist burdened by debt and drifting purpose. Then, out of the blue, a cryptic message arrives from a childhood friend—perhaps the tip of a lifetime. It points to the infamous Castle Woods Sanatorium. A mystery waits there, and you can’t shake the urge to uncover it. It may be nothing more than a hunch, but it feels like a secret that could change everything. Even you. The decision is made: you pack your bags and set out for Castle Woods.

Test your wit and intuition. Every week, new patient files present new puzzles to be solved as you decide which tests to use to uncover symptoms and which treatments you prescribe to cure them. Decide whether you want to follow the rule book or try out experimental new treatments with unknown outcomes. Do you want to be kind or cruel? Business savvy or risk-taking?
Uncover dark secrets behind the squeaky-clean facade of Castle Woods' walls. Meet helpless patients, ruthless opportunists, and an array of other intriguing characters. Collect clues and piece together the shocking truth about the Sanatorium and your own past.



Evolve your treatment plan — upgrade treatments toward more humane practices, or double down on methods that protect your cover at any cost.


Join our Discord and follow us on our platforms to get updates, read our dev diary weekly, and become part of the community!
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The best games like Sanatorium – A Mental Asylum Simulator are Do No Harm, The Infectious Madness of Doctor Dekker, Pathologic 3, Rise of Insanity, and Beside Myself.
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