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Operate Now: Hospital vs its rivals

Side-by-side comparison against Operate Now: Hospital's closest competitors — identity, store metrics, ratings & sentiment, and strategic intel.

Operate Now: Hospital
This App
Central Hospital Stories
Nemesis
Hospital Empire Tycoon - Idle
Contender
Happy Clinic: Hospital Game
Contender
Surgeon Simulator
Peer
Pepi City: Hospital Life
Peer
EMERGENCY HQ: firefighter game
Peer
Dream Hospital
New Kid
Core Identity
DeveloperSPIL GAMESSUBARACodigamesNordcurrent UABInfogrames LLCPepi PlaySixteen Tons Entertainment GmbHCoco Play
CategoryGamesGamesGamesGamesGamesEducationGamesGames
PlatformAndroid, iOSiOS, AndroidiOS, AndroidAndroid, iOSiOS, AndroidAndroid, iOSiOS, AndroidiOS, Android
Store Metrics
Rating4.5 / 54.4 / 54.6 / 54.4 / 53.8 / 54.4 / 54.7 / 54.7 / 5
Ratings Count93,09825,9438,70126,8581,0624,40330,7376,308
PriceFreeFreeFreeFree$4.99FreeFreeFree
Release DateMay 4, 2017Apr 14, 2019Mar 9, 2022Jan 23, 2022Mar 13, 2014Feb 13, 2018Dec 27, 2017Nov 9, 2023
Last UpdatedMay 4, 2026Mar 10, 2026Apr 4, 2024Mar 25, 2026Mar 27, 2017Apr 15, 2026May 11, 2026May 12, 2026
Sentiment & Reviews
Sentimentterrible-negative---mixed-
Score25/100-35/100---35/100-
Praises
  • Core surgery simulation mechanics provide a realistic and engaging experience for aspiring medical students
-
  • Engaging Core Gameplay
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  • Diverse mission variety and unit types keep the core gameplay loop engaging for long-term players
-
Complaints
  • 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
-
  • Game-Breaking Bugs and Progress Loss
  • Lack of Updates and Abandonment
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  • Frequent application crashes during active missions prevent progress and cause loss of earned rewards
-
Requests
  • Cloud save functionality to prevent total progress loss when reinstalling the application
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  • Improved reward scaling and unit performance for high-level players to maintain progression motivation
-
Strategic Intel
Strengths
  • Realistic surgery simulation engine differentiates from sandbox-style competitors
  • Card-based staff exchange retention loop encourages daily engagement
  • Cloud-based progress synchronization protects long-term ad-revenue potential
-
  • Strong 'Empire Tycoon' brand recognition
  • High-quality 3D miniature aesthetic
  • Unique ER-based gameplay loop
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  • Tactical depth driven by multi-agency unit control
  • Multiplayer alliance network effects
-
Weaknesses
  • Persistent connection errors block initial loading for a large segment
  • Aggressive ad frequency forces app restarts and disrupts session flow
  • Research department bugs halt progression and trap staff members
-
  • Persistent progress-loss bugs
  • Stagnant content roadmap (no new levels)
  • Poor synchronization of IAP rewards
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  • Persistent mid-mission crashes on Android
  • Aggressive monetization gating late-game progression
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Pricingfreemiumfreemiumfreemiumfreemiumfreemiumfreefreemiumfreemium
MomentumMaintenanceIntense-IntenseSteadyIntenseActiveIntense
Update Cadence5 versions, ~137d avg5 versions-5 versions5 versions5 versions5 versions, 5 majors/6mo, ~17d avg5 versions

Compare Operate Now: Hospital head-to-head

Disclosure: Independent intel to help mobile builders succeed.

AI-powered analysis with editorial review, built from publicly available sources. Marlvel.ai is not affiliated with, endorsed by, or sponsored by Operate Now: Hospital, its developer, the app publisher, Apple, or Google Play. All trademarks, logos, and screenshots referenced remain the property of their respective owners.

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