Amazing game. Would recommend. UNFORTUNATELY - this game runs into the same performance issues that all games of this genre run into once you reach the mid to late game. At ~100 patients / 100 staff, I'm down to about 25 FPS on a Ryzen 5900X + RTX 3090.

All games like this have this problem... prison architect, banished etc. Factorio is the only game I about that was designed from the ground-up to avoid this.

Amazing game. Would recommend. UNFORTUNATELY - this game runs into the same performance issues that all games of this genre run into once you reach the mid to late game. At ~100 patients / 100 staff, I'm down to about 25 FPS on a Ryzen 5900X + RTX 3090. All games like this have this problem... prison architect, banished etc. Factorio is the only game I about that was designed from the ground-up to avoid this.