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Sanatorium: A Mental Asylum Simulator

Sanatorium: A Mental Asylum Simulator

|Switzerland, United States|Adventure, Indie

6.0 /10

Okay

Niche

227 ratings
Where to get it
Trailers & screenshots
Why play it

Set in a fictionalized version of the 1920s where the lines between modern psychiatric treatment and pseudoscience are still muddy at best. Sanatorium is a 2D card-based workplace adventure where the player has to test, diagnose and treat patients. At its core, Sanatorium is a comment on the turbulent history of the practices and pseudoscience used to stigmatize mental illnesses.

Story and worldbuilding

It’s the roaring twenties. Cities are growing rapidly, their citizens mesmerized by the technological advancements. While everyone seems to get ahead, you feel left behind. Your career as a journalist feels fruitless, and your bills are piling up. Out of the blue, a puzzling message from your childhood friend appears in your inbox. The threads of the mystery emerge before you—and you begin to feel the urge to connect them. For now, it's just a hunch – and you know could untangle this secret if you just reached its core: the “Castle Woods” Sanatorium. You pack your bags and hit the road.

Game highlights
Rating momentum

Okay: 6.0/10 across 227 ratings. Decent score — check if the gameplay loop clicks for you.

Play style

Leans into Adventure, Indie, Simulator — a quick read on whether that fantasy matches what you usually enjoy.

Reviews

6 media reviews

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Oyungezer OnlineCan Özbaş · 23 Dec, 2025
2/10

Even though they wrote on the game's developer page that they consulted with these professors and received grants from this institute, it's truly surprising that they managed to make such an unsuccessful game. If you're curious about the period or psychiatry, instead of playing this game, you might as well check Wikipedia. Or just stare at a plain wall. Both are more entertaining.

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BioGamer GirlAlissa Worley · 4 Dec, 2025
6.5/10

An original, thematically bold indie that nails atmosphere and moral tension but is held back by a deliberately restrictive core loop and a handful of polish and UI issues.

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MinimapJo Hawley · 17 Nov, 2025
6/10

A flawed but fascinating experiment, Sanatorium is a place worth visiting—just don’t expect to check out without a few scars.

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Try Hard GuidesErik Hodges · 14 Nov, 2025
7/10

Sanatorium – A Mental Asylum Simulator provides a unique coat of paint over a deckbuilding-style puzzle loop. That coat of paint is about as deep as the theme goes; however, the game unfortunately lacks a lot of immersive features or mechanics beyond color-matching cards. If you know what you’re getting into, it’s not a bad game, but the promise feels like more than what the title actually delivers, which also feels a bit like it should still be in Early Access.

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DualShockersMaddie Fisher · 6 Nov, 2025
7.5/10

The oddball staff members at the asylum are full of charm, and the patients are just as endearing. It struggles with some unfortunate design choices and some unusual bugs in the menus, but is overall worth a bit of your time.

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AltCharDina Husejnagić · 6 Nov, 2025
6.5/10

I got hooked on Sanatorium's paperwork during the preview build and needed to see where this undercover journalist-turned-fraudulent-psychiatrist thing was headed. Twenty hours and a couple of Campaign restarts later, the bugs had other plans entirely.

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