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Galacticare review: a silly space sim in the Bullfrog tradition, with a great sense of humourTreatment is simple. Go play game. Funny.

Treatment is simple. Go play game. Funny.

Image credit:Rock Paper Shotgun/Cult Games

Image credit:Rock Paper Shotgun/Cult Games

A doctor treating a patient in Galacticare by shooting a flamethrower at them

Wackyspacestation management simStartopiaand wacky hosptial sim Theme Hospital are two of my favourite older games, so I was very pleased with the concept ofGalacticare, which is a wacky space station hospitalmanagementsim. And you know what? It’s great! From early reveals and previews I thought it might veer into beingtoowacky, but it nails its tone, has some really striking levels, and bugs in earlier builds have been squashed (much as you can manually splat small parasites that make their way into your hospital). I can see this becoming a go-to comfort game for me.

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I’m getting ahead of myself here, though, which is not really something you’d want from a medical practitioner. InGalacticareyou’re the hospital director of the titular medical company, tasked with running hospitals as private contractors for various alien businesses. You plop down rooms to satisfy various health and wellness needs, balance your spending against your income, and try not to kill too many people. “I private health contractor?” I hear you cry. “Why that could never result in poor outcomes for patients!”. Well luckily this is a video game, and in Galacticare terrible risk to life and limb is all just a part of getting treated, because in the grand tradition of Theme Hospital et al., the machines and illnesses are all on a sliding scale of terrifying.

This feature is something Galacticare absolutely nails. The Bone Lab, for example, is a huge machine that’s part dog, part American Football helmet, which mulches up broken bones and 3D prints new ones right into the patient. Projectile Medicine requires a long room because it houses a machine that shoots medical amunition at patients. Also in pleasing puns is the Parasitology treatment room, where the treatment machine is a bio-mechanical hybrid octopus doctor, or doctopus, to remove parasites. Patients will turn up having space terrors, with tentacles wriggling out of their heads, covered in green slime, or looking like they’re made of lava. They’re all wonderfully animated, and it’s fun to sit and watch a new treatment machine for a bit when you first unlock it, or follow around a new type of alien patient to see what it looks like when they sit down all weird and alien-y.

Image credit:Rock Paper Shotgun/Cult Games

a zoomed out view of a hospital in Galacticare, with a giant plant in the background

Image credit:Rock Paper Shotgun/Cult Games

An info screen about one of the alien species in Galacticare

A treatment room in Galacticare where a psychic space clam reads the patient’s mind

These kinds of considerations are a nice wrinkle that comes up when you’re planning your hospital. If there’s a level with no Kuober Baly, vs. one that is going to be a lot of them, the layouts will end up being quite different. You can also make good use of teleport pads, and think about where you’re putting down your reception desks. You end up actually thinking like a town planner much more than you did in Theme Hospital or even Two Point Hospital. And that’s not even adding in the traits of your doctors, which can include good traits like not needing to take as many breaks, or proper bad ones like embezzling or hurting patients on purpose.

Galacticare does make itself very easy to parse, despite all these variables, and it’s pretty easy to see when a room has a big queue, or check on why you’re not dinging that fourth star on your hospital rating (it’s probably seating or vending machine coverage, those are biggies). Still, even with all the things that could be going on, if you thrown down at least two reception desks and two diagnosis rooms early on, you’re not going to run into many problems for a while. It’s a shame to press fastforward on Galacticare, because you miss so many of the nice animations, but it’s something you’ll end up doing loads.

Image credit:Rock Paper Shotgun/Cult Games

Consultant Twiggy Pop working in Galacticare

It does do well with the levels, though. Each story level has a great hook that plays with the space setting. One early one sees you treating acts at a sort of intergalactic Fyre Fest, and then you enter a giant (and I mean giant) vegetable-growing competition, while later on you start a hospital in a prison where every patient and doctor is a clone of an evil scientist. Many of these have some huge, evolving backdrop, as the festival moon explodes or your huge marrow grows bigger and bigger, floating in space next to your hospital, and they’re engaging and variously delightful, while offering different challenges. One is set in a train station, for example, and is very narrow.