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About

You’re the new orderly at a crumbling asylum in Madhouse. Your job is to manage patients with unpredictable moods, assign them tasks, and keep the facility running while unlocking deeper, more chaotic floors. The game blends simulation with role-playing as you balance resources, track patient needs, and respond to escalating incidents. Simple mechanics early on give way to complex decisions as the hospital expands and your influence over inmates grows. Madhouse leans into its darkly comedic tone with quirky character interactions and a focus on systemic management. Community reviews on Steam highlight its addictive progression and the satisfaction of navigating patient relationships, though some note the learning curve can feel steep. With a 72% Metacritic score and 85% positive user ratings, it’s a niche title that thrives on its blend of absurdity and strategy. The real draw is watching how small choices ripple into larger chaos, or order, as the asylum’s secrets unfold.

Game Modes

Single player

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