Store data
- UK price
- Free
- US price
- Free
- Positive reviews
- 50%
- Total reviews
- 2
- Release date
- 23 September 2026
SteamWatch’s first observed day and week; tracking can begin after release. Top Sellers is Steam’s revenue ranking, not a sales estimate.
1 player-data day recorded in this window.
7 player-data days recorded in this window.
24-hour and 7-day views use hourly peaks from ten-minute samples. Longer views use retained daily peaks. Up to 24 recent event markers are shown per layer.
| Month | Peak | Gain | % gain | Average | Avg % gain |
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| Last 30 days | 2 | 0 | 0.0% | 0 | -42.3% |
| October 2026 | 2 | 0 | 0.0% | 0 | -60.4% |
| September 2026 | 2 | — | — | 0 | — |
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Recent views use Steam's daily review activity. Longer views use weekly totals, retained by SteamWatch.
A game about keeping alive a patient who is slipping away.
HemoSim puts you behind a monitor. On the other side is a patient in shock: the pulse climbs, the pressure drops, urine output stops. You have drugs, fluids, a defibrillator and very little time. Every lever you pull changes the whole system, and almost never only in the direction you wanted.
Three ways to lose a patient
Hypertensive heart failure: the heart won't pump and pulmonary pressure rises.
Hemorrhage: volume drains away and compensatory tachycardia eventually gives out.
Septic shock: resistance collapses and capillary leak empties the system from inside.
Ten variables, all coupled
Pulse, mean arterial pressure, central venous pressure, cardiac output, blood volume, systemic vascular resistance, pulmonary capillary pressure, pulmonary artery pressure, stroke work and urine output. They all move at once, and none of them moves alone.
A drug cabinet with immediate effect
Dopamine, dobutamine, epinephrine, nitroglycerin, furosemide, saline, propranolol, amiodarone, transfusion, antibiotics, the defibrillator and BIPAP ventilatory support. Turning up a vasopressor fixes the pressure and breaks something else. That's the game.
Cockpit Mode
Swap the monitor for a cockpit of analog instruments: gauges, an annunciator panel with warning lights, and a tabbed multifunction display. Workups — blood gas, blood count, echocardiogram, lactate, Swan-Ganz catheter — are requested and take a few seconds to come back. As in real life, you can't read what you haven't measured. The Swan-Ganz unlocks three gauges that stay dark until then. Switch interfaces mid-run without losing the patient.
Free Mode and Exam Mode
In Free Mode you pick the condition or leave it to chance, and score on difficulty and speed: up to +7 if the patient pulls through, −10 if not. Exam Mode chains ten cases back to back and grades you on the average. It is harder than it looks.
Disclaimer
HemoSim is a video game. It is not a teaching or instructional tool and must not be used to make clinical decisions of any kind. The formulas are deliberately simplified, and doses, timings and patient responses were tuned to make the game work as a game, not to resemble reality.
Free software. Pablo Kessler.
HemoSim is an entertainment video game. It is not a medical device, a teaching or instructional tool, or a source of clinical information. The author accepts no responsibility for any use of it beyond entertainment.
This is a fairly comprehensive update, with improvements to both the pathophysiological simulation and the user interface. Improved pathophysiological simulation Improved user interface Exam mode has been renamed Competition mode New in-game instructions that explain what every button does, in all 5 languages HemoSim is a game. It is inspired by real pathophysiology but simplified to make it playable; it is not a teaching tool. Free, with no ads, no in-app purchases and no data collection. Thanks for playing!
Read full update on Steam ↗1 positive · 0 negative.
This is a fairly comprehensive update, with improvements to both the pathophysiological simulation and the user interface. Improved pathophysiological simulation Improved user interface Exam mode has been renamed Comp…
0 positive · 1 negative.
2 concurrent players — the highest daily peak recorded at that point.
Release date supplied by the Steam store.