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How many copies did Vital Signs: Emergency Department sell?

Estimated copies sold
≈ 2k–3k
$3k–$7k after Steam's cut $5k–$11k before Steam's cut
from 75 reviews (Mixed)

Copies are estimated from the public review count, adjusted for release year, and cross-checked against SteamSpy's own estimate.

Did the prediction match what actually happened?

We hid Vital Signs: Emergency Department and predicted how it would do from its 8 similar games. Every figure here, including Vital Signs: Emergency Department's, is estimated from Steam reviews.

Copies, estimated from reviews

typical (middle half) 51k–242k
best case 375k (Project Hospital)
Games like Vital Signs: Emergency Department

A typical game among these

≈ 51k–242k copies

≈ $373k–$2.3M after Steam's cut

from ~5k reviews

Only the top fifth of 2019's Steam releases earned $34k or more before Steam's cut, so plan for that or less.

5 of the 8 similar games are hits.

Best case: Project Hospital at ≈ 286k–464k copies, ≈ $2.0M–$5.3M after Steam's cut.

What their first month looked like
The games that made it here had under 3k reviews in their first month.
The genre you'd be entering
These games
The similar games share Medical Sim (7 of 8) and Simulation (7 of 8).
The winners
Winners here lead with Medical Sim + City Builder, priced around $25.
When they shipped
The similar games span 2016 to 2023, and none of them shipped in the last two years.
How these numbers were worked out

A hit here: 1,000+ reviews, roughly $150k+ before Steam's cut (a standard indie benchmark).

Copies come from each game's reviews times a sales-per-review rate that falls with release age, from about 31 for the most recent game here to about 52 for the oldest, then widened into a range; revenue rides on that estimate times price. Source: GameDiscoverCo (2020) and VG Insights (2021).

Similar games

Heart's Medicine - Time to Heal
2016
Est. copies
≈ 37k–60k
SteamSpy 20k–50k
Est. revenue
$202k–$544k after Steam's cut $368k–$836k before Steam's cut
$19.99
884 reviews
Very Positive
CasualMedical Sim
Dental Madness: Cavity Mania
2020
Est. copies
≈ 149–242
too small to compare
SteamSpy under 20k
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Free
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6 reviews
6 user reviews
SimulationMedical Sim
Let's School
2023
Est. copies
≈ 185k–301k
1.6x vs typical
SteamSpy 200k–500k
Est. revenue
$1.0M–$2.7M after Steam's cut $1.9M–$4.2M before Steam's cut
$19.99
7k reviews
Very Positive
Let's School Homeroom
2023
Est. copies
≈ 25k–40k
SteamSpy 100k–200k
Est. revenue
Free
Free
1k reviews
Very Positive
CasualSimulation
Accident
2021
Est. copies
≈ 44k–71k
SteamSpy 100k–200k
Est. revenue
$181k–$486k after Steam's cut $328k–$747k before Steam's cut
$14.99
2k reviews
Mostly Positive
SimulationCasual
Project Hospital
2018
Est. copies
≈ 286k–464k
2.1x vs typical
SteamSpy 200k–500k
Est. revenue
$2.0M–$5.3M after Steam's cut $3.6M–$8.1M before Steam's cut
$24.99
9k reviews
Very Positive
Medical SimCity Builder
112 Operator
2020
Est. copies
≈ 183k–297k
1.6x vs typical
SteamSpy 100k–200k
Est. revenue
$1.3M–$3.4M after Steam's cut $2.3M–$5.2M before Steam's cut
$24.99
7k reviews
Very Positive
SimulationRealistic
Meticulous
2023
Est. copies
≈ 347–564
too small to compare
SteamSpy under 20k
Est. revenue
$3k–$8k after Steam's cut $5k–$12k before Steam's cut
$29.99
14 reviews
Positive
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