---
source: marlvel.ai
type: app_intelligence_section
content_version: "v2"
section_slug: "sentiment"
section_label: "User Sentiment"
section_anchor: "#user-sentiment"
app_name: "Operate Now: Hospital"
bundle_id: "com.spilgames.OperateNow2"
parent_report: "https://marlvel.ai/api/llm/apps/games/com-spilgames-operatenow2"
canonical_url: "https://marlvel.ai/apps/com-spilgames-operatenow2#user-sentiment"
license: CC-BY-NC-4.0
citation: "Marlvel.ai — Operate Now: Hospital User Sentiment (section of intelligence report)"
---

## 🔴 User Sentiment (High Confidence: 92 of 99 reviews analyzed) {#user-sentiment}
- **Overall Rating:** 4.02/5
- **Platform Split:** iOS 4.5/5 (93.1K ratings) | Android 3.9/5 (513.4K ratings)
- **Overall Sentiment:** Upset
- **Note:** The 4.02/5 store rating reflects cumulative history, while the Upset sentiment reflects recent user reviews analyzed by our AI pipeline.

### Top Praises
- **Core surgery simulation mechanics provide a realistic and engaging experience for aspiring medical students**

### Top Complaints (Impact Areas)
- **Persistent connection errors prevent users from accessing the game despite having stable internet**
- **Aggressive advertisement frequency disrupts the flow of surgery procedures and gameplay sessions**

### Top Requests (What Users Want)
- **Cloud save functionality to prevent total progress loss when reinstalling the application**

<!-- /section:sentiment -->
<!-- section:swot -->