Ambulance Life: A Paramedic Simulator

When it gets good

Share of positive reviews by how many hours the reviewer had played when writing the review.

before it gets good opening up fully opened up

Based on all 1,370 Steam reviews in every language. Median playtime in a sample of 295 reviews: 5.7h for positive, 4.4h for negative. Almost every game is rated lower in the first 2–3 hours: that window includes refunds and quick first impressions. What matters is how deep the dip is and how fast the game recovers.

Where players quit

Share of players who started the game and reached each story milestone. 100% is the most common achievement (86% of owners), so people who bought the game and never launched it don't count.

Story milestones aren't labeled yet; all achievements are listed below.

All achievements (31)

• Safely Delivered Successfully transport a patient to a hospital 100%
• Ready for Action Complete your first shift 98%
• EMT Complete three shifts on classic mode 64%
• Family Time? Denied! Spent more than 20 minutes in Shift Overtime 42%
• Not today! Save 3 patients in a regular shift 40%
• Freeway Lifesaver Successfully finish the catastrophic event "Freeway Catastrophe" 37%
• Not a Bulldozer Trigger Game Over from Collision 33%
• Detective You gathered all available information before treating a patient 33%
• Time Loop Play the same catastrophic shift again 9.1%
• Siren Symphony Duo Unlock a second vehicle 7.6%
• Are we there yet? Drive 100 miles 6.2%
• Tracker Find all patients during a catastrophic shift 5.8%
• Sightseer Finish a shift in every city district 4.7%
• Old Town Roads Move the stretcher over 2 miles 4.4%
• First Impressions Play at least 1 hour in each city district 4.1%
• Workout Travel 10 miles on foot 3.6%
• Fully Armed Unlock all tools 3.6%
• A Game of Tags Triage 100 patients 3.6%
• Express Care Finish Field Treatment in less than 5 minutes 3.3%
• True Paramedic Complete three shifts on simulation mode 3.0%
• The Mall Hero Successfully finish the catastrophic event "The Mall is on Fire" 2.9%
• I've seen everything Complete all callouts at least once 2.4%
• Overwhelming Unlock all callouts 2.1%
• Not a Rookie anymore Complete all callouts with the highest rank 1.5%
• Medicus Totalus Unlock everything! 1.0%
• Mummified Fully bandage a patient 0.9%
• Full First Aid Course Total Playtime reached 50 hours 0.9%
• Chemical Aid Guardian Successfully finish the catastrophic event "Acidic Poison Accident" 0.8%
• Bookworm Opened every handbook page 0.5%
• Disaster Veteran Play a Cat. Event 10 times 0.3%
• Master of Disaster Complete all Cat. Events with the highest rank 0.3%