Sulcus Games
Coming soon to Steam · Windows Out now on Steam · Windows

A medical idle game where one outpatient clinic becomes a hospital that runs itself.

Eight departments, seventy patient cases, and an endgame that stops the game and asks you what kind of hospital you actually want to be.

Wishlist on Steam Buy on Steam — $7.99 Watch the trailer

$7.99 · Windows · No DLC, no microtransactions, no online requirement

The game

Idle, but with something to decide

You start with one outpatient clinic and a waiting room. You treat patients by hand, then hire staff who treat them for you, then research the protocols that make those staff faster, until the clinic you were clicking through runs without you and you're looking at an intensive care unit instead.

That much the genre already does well. What Code Blue Idle adds is a reason to stop optimising and think: seven scripted scenarios, one per prestige tier, that gate your progress and can't be brute-forced with a bigger number.

8
Departments
70
Patient cases
47
Upgrades
7
Prestige tiers
30
Live events

Endgame scenarios

At the top of every prestige tier the game stops. It hands you a preparation budget and a hospital crisis that is already developing, then walks you through three decision phases and grades what you chose: Excellence, Pass, or Fail.

They aren't boss fights and there's no way to out-number them. Getting Excellence unlocks a named consultant who stays with you through every future run — the only thing in the game that compounds across prestiges.

Seven tiers, seven scenarios, each written for the hospital you have by the time you reach it.

What's in it
Progression

A research tree and seven skills

Clinical Medicine, Diagnosis, Procedures, Surgery, Critical Care, Pharmacology, Administration. Every case you treat levels the skills it uses, and case mastery pays out over the long run.

Prestige

Eight hospital specialisations

Each prestige lets you rebuild as something different — a Level I trauma center, an academic research hospital, a children's hospital — which changes what your next run is good at.

Idle

It runs while you don't

Offline progress with a summary when you return, daily goals that scale with your hospital, and events that can be left alone or answered.

Theme

Medically literate

Department logic, triage, and case progression are built to ring true to anyone who's worked in a hospital — accurate enough to feel real without turning into a quiz.

Screens
The Departments screen showing the Intensive Care Unit selected, with live stats for passive rate, complication risk, payout multiplier and staff count. A sidebar on the left tracks seven skill levels; a panel on the right lists hireable staff and an active event called Specialist Referral Wave.
Departments — the ICU, mid-run
The core treatment loop early in a run. A Chest Pain Workup case is selected, showing estimated payout, treatment time, complication risk and experience rewards, with a large Treat Patient button. A red heart-rate trace runs down the right side beside daily goals.
The core loop — treating a case by hand
The research tree with 13,861 research points available and 8 of 31 nodes complete. Nodes are grouped under Workflow Optimization and Diagnostics; completed ones are outlined in green, the next affordable one is highlighted, and later tiers are locked.
Research — 31 nodes deep
The Prestige screen. A progress bar reads Path to Fully Autonomous Hospital, zero of seven. Panels list the requirement for the next prestige, what resets and what carries over, a specialization to choose for the next run, and six permanent prestige bonuses that can be upgraded with prestige points.
Prestige — choosing the next run
Who made it

One person, nights and weekends

Sulcus Games is a one-person studio. I'm a practicing physician, and I built this in the hours around a hospital job because I wanted a medical idle game that respected the medical side and couldn't find one.

That's also the honest caveat: patches arrive when they arrive, and I answer everything, sometimes a couple of days late. If you bounce off the game I'd genuinely like to know where — that's the feedback that shapes what comes next.

A sulcus is the groove between two folds of the cerebral cortex. It seemed like the right name.