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Screenshots

  • Hospital Shift Manager: ER Sim screenshot 1
  • Hospital Shift Manager: ER Sim screenshot 2
  • Hospital Shift Manager: ER Sim screenshot 3
  • Hospital Shift Manager: ER Sim screenshot 4
  • Hospital Shift Manager: ER Sim screenshot 5
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  • Hospital Shift Manager: ER Sim screenshot 7
  • Hospital Shift Manager: ER Sim screenshot 8

About Hospital Shift Manager: ER Sim

Your hospital. Your shift. Your call. πŸ₯

Watch a tiny clinic grow into a world-class hospital, floor by floor. Patients rush through the doors, nurses dash between beds, an ambulance pulls up outside and it's all happening live on your screen.

Hospital Shift Manager is a hospital management game where every shift is a race against the clock. Drag patients into the right room, keep your doctors and nurses from burning out, and make the big calls when an emergency hits.

πŸ₯ SEE YOUR HOSPITAL COME ALIVE
Every room is on screen: the ER, operating room, ICU, pediatric ward, radiology, lab, pharmacy and even a cafeteria. Staff walk the floor, patients fill the beds, and a receptionist greets every new arrival. Drag a patient straight onto a room to admit them or tap if you're in a hurry.

πŸ— BUILD IT BIGGER
Spend your shift earnings on upgrades and watch the builders get to work. New beds appear, rooms unlock and your building grows. Climb from Small Clinic to world-class center and earn a rooftop garden, a helipad and your own helicopter.

🚨 HIGH-STAKES EMERGENCIES
Multi-car accidents, power outages, infection outbreaks, VIP patients, fire alarms. Each emergency takes over the screen with a real choice: pay to play it safe, or flip a coin and gamble your money and reputation on a lucky break.

πŸƒ HIRE YOUR DREAM TEAM
New hires come as face-down cards. Flip them to reveal nurses, ER doctors and surgeons in Bronze, Silver and rare Gold. Every staff member has their own character card, an overall rating and stats you can train to climb the tiers.

⏱ PICK YOUR SHIFT
Choose a 5-minute Quick shift, a 10-minute Standard shift or a 20-minute Intense shift where patients arrive sicker, faster and less patient. Great for a coffee break or a full ER marathon.

πŸš‘ TRIAGE AGAINST THE CLOCK
Every patient has a severity from routine check-ups to code-red surgeries and a patience meter that keeps ticking down. Admit the right patient to the right bed at the right time, or watch them walk out with your rating.

πŸ† REWARDS AFTER EVERY SHIFT
When the shift ends, earn up to three stars, count your profit, patients treated and best combo, and watch your reputation bar fill toward the next rank-up. Daily challenges and new goals keep every session fresh.

πŸ’Š RUN A TIGHT SHIP
Keep blood bags, medicine and cleaning supplies stocked, rest your staff before stress causes mistakes, and track income, expenses and success rate shift by shift.

WHY YOU'LL LOVE IT
βœ“ A living hospital you can watch grow with every upgrade
βœ“ Drag-and-drop patients onto a busy hospital floor
βœ“ Emergency gambles that make every shift a story
βœ“ Card-reveal hiring with Bronze, Silver and Gold staff
βœ“ Quick sessions: a full shift in 5, 10 or 20 minutes
βœ“ Real progression: ranks, upgrades, staff training and reputation
βœ“ Plays fully offline, no internet needed

Think you can handle the night shift? Scrub in, open the doors and build the hospital of your dreams. 🩺

What’s new

Version 1.2.0 Β· Updated October 13, 2026

The biggest update yet! πŸ₯ β€’ Your hospital is now a living building: watch staff and patients move on a live floor β€’ Drag patients straight onto a room to admit them β€’ Upgrades now build on screen, with a rooftop and helipad as you rank up β€’ Emergencies are full-screen with coin-flip gambles β€’ Hire staff by flipping cards: Bronze, Silver and Gold β€’ New end-of-shift reward screen β€’ Fresh new look, font and app icon

Play today's Inkspill puzzle

Spread your ink until the whole board is one color, within the move limit. A free daily puzzle from Fiplay, same board for everyone. It plays right here, no download.

More Inkspill and other daily puzzles on Fiplay β†’

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