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59% positive of 210 · Mixed · Live from Steam
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The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
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What changed on Steam for this game since we started following it: prices and sales, builds, name, release date and review score.
Review score: 59% on 2026-11-01 → 59% today (210 reviews)
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2 items on Steam, newest first.


Works great on Steam Deck. Results from Valve's own testing.
Every build released on Steam for this game since we started tracking it, with the developer's patch notes. Updated within minutes of each new build.
Dear Doctors,Since you took up your position, the Sanatorium has continued to improve its procedures. This update focuses on stability, progression, and quality-of-life improvements.ChangesAdded a Restart Ward button to the pause menu.Rebalanced the appearance…
Fixed a level transition issue that could remove cards which should carry over into the next ward.Restored previously discovered records that may have disappeared because of this issue.Fixed a first-startup resolution issue that could set the game to an unsupp…
Fixed an issue where NPC dialogue events could fail after a dynamically selected dialogue had already been played. Added an extra safeguard to ensure the Ward 4 ending triggers correctly. Improved reliability when releasing witnesses. Added clearer blinking pr…
Fixed the credits video not playing on some platforms.Adjusted the tutorial window position on Day 1’s Phrenology Chart so it no longer covers the hint diary page on Steam Deck.
Dear Doctors,Since you took up your position, the Sanatorium has made several improvements based on your feedback. Thanks to your participation in clinic governance, we have already implemented multiple improvements to the clinic’s work environment:Patient Ove…
Dear Doctors, The Board has approved a small procedure update focused on **Steam Deck** support. These changes improve screen layout, controls, and readability on the Deck, with a few fixes that help everyone. We remain grateful for your continued service and …
Enter Castle Woods with the Developers of "Sanatorium - A Mental Asylum Simulator". Join us for our release live-stream!We'll play a little, talk about the game, its development, and anything else that interests you. Watch us play, ask questions, give feedback…
Welcome back to the Sanatorium Blog! Today, we wanted to talk about the era this game is set in and the narrative behind the game. The 1920sThe original idea was to investigate professional mimicry and decision-making as central game mechanics for an academic …
The countdown to Sanatorium has officially begun! As we get closer to launch, we wanted to provide some background on the game.We started Sanatorium for our graduation project during our time studying game design. We have no professional background in this fie…
https://store.steampowered.com/app/2059090/Sanatorium__A_Mental_Asylum_Simulator/ That's right folks, mark your calendars because on November 6th you'll be able to get your hands on Sanatorium. You'll play the part of a Doctor during the 1920s when you'll get …
During a great Sunday Live-Stream, our Lead Artist will live-create artworks for Sanatorium - A Mental Asylum Simulator. Watch the process and ask questions! Let's celebrate Art-Deco and beautiful vector art!
On Monday, we celebrate the first public demo of Sanatorium - A Mental Asylum Simulator. Join our live Q&A / Dev Steam. We'll show the newest Demo of Sanatorium - A Mental Asylum Simulator and answer your questions live!
We are thrilled to announce that Sanatorium – A Mental Asylum Simulator will be part of Simfest – the Steam festival celebrating all things related to simulation games. From today through the 24th of July, 10am PDT 2023, you will be able to experience some of …