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Watch trailer on Steam ↗Don't Get Fired!! ~Hospital Reception Simulator~
SaiKa工房 · Published by SaiKa
Content notice: This game contains depictions of gambling using in-game currency only. The casino features baccarat and poker played against a dealer, and the game also includes stock and foreign exchange (FX) trading. No real money is used or wagered at any point, there is no purchase of in-game currency, and no winnings can be exchanged for real-world money or items. The game also portrays financial hardship as a consequence of the player's choices: the player character can accumulate credit card debt, become unable to pay it back, and reach endings depicting bankruptcy, unemployment, poverty, and compulsive gambling. These are presented as cautionary outcomes of risky decisions. The game contains no sexual content, no nudity, and no violence or gore. It does not depict drug or alcohol use, self-harm, or sexual assault.
45 achievements
Last updated 28 Sept 2026
Don't get fired! A tough hospital reception sim. Read each patient's symptoms, send them to the right department, and juggle the front desk and shop to win your demanding boss's trust. Between shifts, invest in stocks and FX—or go all-in at the casino. Every choice shapes your ending.
£4.59
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Price history
Indie, Simulation, Casual · 2026 · More under £5 games
Take on the role of a hospital receptionist in Don't Get Fired!! ~Hospital Reception Simulator~, where you must manage patient care, desk duties, and personal investments. Each decision affects your career outcome.
About this game
Can You Avoid Getting Fired?
The stage: a busy hospital reception desk. Your mission is just one thing—don't get fired.
Every patient you handle, every decision you make, and every single yen you earn will decide your survival.
This is an unusual survival experience: hospital reception sim × asset management × high-stakes gambling.
■ Reception Work
Process the patients streaming in one after another, as fast as you can. Identify the type of insurance card (employee insurance, national insurance, elderly insurance, or paper certificates) and handle check-in and payment correctly. Accurate, speedy service raises patient satisfaction and lowers your risk of getting fired.—Mistakes, or keeping patients waiting too long, put your job in danger.
■ Improvement Proposal Shop
Use the Contribution Points (CP) and salary you earn from work to make the hospital better.
・Facility upgrades like extra waiting-room chairs, a ticket dispenser, and barrier-free access
・Introducing DX (digital) equipment—though some of it only pretends to work...
・Boosting the hospital's reputation with flyers, social media, and TV commercials
・Earning "Titles" that make your job easier when equipped
What you invest in, and how you work—your choices decide your survival rate.
■ Grow Your Assets
Between shifts, it's your chance to build wealth.
・Stocks: Read company fundamentals (earnings and news) and trade shares
・Forex: Take on exchange rates that shift in real time
・Casino: Go for a fortune with Baccarat and dealer-versus-player Poker
High risk, high reward. Whether you multiply it or burn it all is up to you.
■ Multiple Endings
Your performance decides your fate. Survive to the final day and reach one of several special endings.—But miss a single day of work, and it's instant game over.
■ Replayability
Aim for a high score and take on Hard Mode. Collect a wealth of achievements—how long can you survive?
Serve, earn, and survive.—Can you avoid getting fired?
System Requirements
Will my PC run this? →Minimum
- Requires a 64-bit processor and operating system
- OS: Windows 10 (64-bit)
- Processor: Intel Core i3 / AMD equivalent
- Memory: 4096 MB RAM
- Graphics: DirectX 11 compatible / Integrated GPU (Intel HD Graphics 4000+)
- DirectX: Version 11
- Storage: 1024 MB available space
- Sound Card: DirectX compatible
Recommended
- Requires a 64-bit processor and operating system
- OS: Windows 11 (64-bit)
- Processor: Intel Core i5 / AMD equivalent
- Memory: 8192 MB RAM
- Graphics: Dedicated GPU or Intel Iris Xe+
- DirectX: Version 12
- Storage: 1024 MB available space
- Sound Card: DirectX compatible
