{"app_store_id":1136678102,"slug":"operate-now-hospital-1136678102","name":"Operate Now: Hospital","subtitle":"Surgery Simulation Game","icon_url":"https://is1-ssl.mzstatic.com/image/thumb/Purple221/v4/99/9a/31/999a31c8-2230-0415-2fa8-0d3f3b8ebcdc/AppIcon-0-0-1x_U007emarketing-0-8-0-85-220.png/512x512bb.jpg","store_url":"https://apps.apple.com/us/app/operate-now-hospital/id1136678102?uo=4","price":0,"currency":"USD","rating":4.51124,"rating_count":93343,"in_app_purchases":true,"recent_rating":2.7,"recent_review_count":20,"reviews_checked_at":"2026-10-18T03:21:11.692Z","primary_genre":"Games","version_date":"2026-05-04T19:05:44Z","updated_at":"2026-10-21T07:23:13.036Z","stale":false,"missing_since":null,"one_liner":"Free surgery simulation game where you build and manage hospitals, operate on patients, and collect staff cards and.","verified_maker":false,"maker_site":null,"file_size_bytes":1218214912,"minimum_os":"15.0","content_rating":"17+","language_count":17,"screenshots":["https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/7f/a2/e8/7fa2e8a2-d054-db92-777c-cd0ebe133110/mzl.vepyvsjv.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/42/e1/44/42e1441b-12b3-93b8-1e49-4352db626b67/mzl.vdvahgbq.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/d5/6b/c7/d56bc70c-5c4e-dcdd-f046-01f8b1bbf372/mzl.qbuxzngs.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/42/d7/1a/42d71a30-28f0-eb0a-ab49-27eaab2f0600/mzl.yolisery.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple123/v4/07/e6/0e/07e60e99-56bd-e987-0ed0-96602a90eb39/mzl.xkfqvrjo.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/1f/65/c6/1f65c607-18f9-8865-ed71-c2b6c74fc5c8/pr_source.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple123/v4/d0/25/64/d02564d4-d9f2-6482-38f0-4e8b50cafb66/pr_source.jpg/406x228bb.jpg","https://is1-ssl.mzstatic.com/image/thumb/Purple113/v4/91/7e/ad/917ead73-55ba-ffc0-7bb3-b9e5013ac2c1/pr_source.jpg/406x228bb.jpg"],"developer_name":"Key Games Network B.V.","editors_choice":false,"url":"https://apptierlist.com/apps/operate-now-hospital-1136678102/","api_url":"https://apptierlist.com/api/v1/apps/operate-now-hospital-1136678102","schema_version":"1.0","generated_at":"2026-10-22T17:21:08.590Z","data_as_of":"2026-10-22T16:53:13.218Z","description":"Become a surgeon and build your own hospital.\n\nHave you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?\n\n- BUILD, upgrade, and continually improve multiple hospitals and their facilities.\n- CUSTOMIZE your hospital with unique and crazy skins.\n- MANAGE your staff and improve their skills.\n- OPERATE your patients by performing incredibly realistic surgeries.\n- COLLECT staff members cards & boosters.\n- COMPLETE characters backstories and unravel their hidden past.\n\nJoin Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.","facts":{"developer_id":345597129,"developer_url":"http://www.azerion.com","first_released":"2017-05-04T02:00:29Z","support_url":"https://support.operatenow.com/","privacy_url":"https://static.gamedistribution.com/developer/clean_fabrique_privacy_notice-v1.0.2021.html#pfd","website_url":"http://www.azerion.com/","app_version":"1.58.20","release_notes":"- Various performance improvements\n- SDK updated","rating_current_version":4.51124,"rating_count_current_version":93343,"star_counts":[4253,2313,5627,10409,70726],"genres":["Games","Roleplaying","Simulation","Entertainment"],"languages":["NL","EN","FR","DE","ID","IT","JA","KR","KO","PL","PT","RU","ZH","ES","SV","ZH","TR"],"content_advisories":["Frequent/Intense Mature/Suggestive Themes","Frequent/Intense Medical/Treatment Information"],"device_families":["iphone","ipad","ipod"],"made_for_iphone_duo":null,"chart":{"name":"top-free Roleplaying","position":173}},"freshness":{"apple_read_at":"2026-10-21T07:23:13.036Z","catalog_read_at":"2026-10-16T18:36:46.752Z","reviews_checked_at":"2026-10-18T03:21:11.692Z","summary_written_at":"2026-10-17T23:53:11.604Z","placed_at":"2026-10-09T03:59:53.925Z","scored_at":"2026-10-22T16:53:13.218Z"},"editorial":{"one_liner":"Free surgery simulation game where you build and manage hospitals, operate on patients, and collect staff cards and.","what_is":"Operate Now: Hospital is a surgery simulation game listed in the Games genre on the App Store. Players build and upgrade hospitals, manage staff and their skills, and perform surgeries on patients. The listing also mentions staff cards and boosters, customizable hospital skins, and character backstories.","good_for":["Players who enjoy building and managing a hospital","Fans of surgery simulation games","Players interested in collecting staff cards and boosters"],"pricing":"Operate Now: Hospital is free to download, with in-app purchases on the App Store.","faq":[{"q":"Is the app free?","a":"The app is free to download. The App Store lists in-app purchases, but the listing does not give further detail on what they cost."},{"q":"What do you do in the game?","a":"You build, upgrade, and improve hospitals, manage staff and their skills, customize hospitals with skins, operate on patients, collect staff cards and boosters, and unravel character backstories."},{"q":"How many hospitals, surgeries, or staff members are included?","a":"Not stated on the App Store."}],"model":"claude-haiku-5-5","created_at":"2026-10-17T23:53:11.604Z"},"memberships":[{"list":"hospital-games","list_name":"hospital games","list_status":"active","list_url":"https://apptierlist.com/best/hospital-games/","position":13,"tier":"A","score":88.2,"components":{"rating":80.2,"votes":91.1,"rank":99.6,"recency":82.1},"status":"active","review_status":"checked","list_ranking_status":"ranked","confidence":"normal","judged_at":"2026-10-12T01:21:05.524Z"},{"list":"simulation-games","list_name":"simulation games","list_status":"active","list_url":"https://apptierlist.com/best/simulation-games/","position":31,"tier":"B","score":87,"components":{"rating":80.2,"votes":91.1,"rank":94.8,"recency":82.1},"status":"active","review_status":"checked","list_ranking_status":"ranked","confidence":"normal","judged_at":"2026-10-12T01:21:05.524Z"}],"main_list":"hospital-games","claim":{"status":"none","verified":false,"site_url":null,"verified_via":null,"verified_domain":null},"maker":null,"history":[{"id":132851,"at":"2026-10-16T18:33:43.572Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"B","reason":"checked from the list's side: ranked #21","job":"rescore"},{"id":132783,"at":"2026-10-16T18:33:43.572Z","kind":"tier_changed","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"A","reason":"checked from the list's side: ranked #9","job":"rescore"},{"id":113519,"at":"2026-10-15T18:35:01.056Z","kind":"tier_changed","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"A","to":null,"reason":"under review: not checked from the list's side yet","job":"rescore"},{"id":110276,"at":"2026-10-15T15:46:10.795Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"B","to":null,"reason":"under review: not checked from the list's side yet","job":"rescore"},{"id":100253,"at":"2026-10-15T08:28:36.036Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"C","to":"B","reason":"rank shift: #27, score 87.5, an app ranked above it holds this tier","job":"rescore"},{"id":75370,"at":"2026-10-14T02:51:10.858Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"B","to":"C","reason":"score 85.7","job":"rescore"},{"id":69651,"at":"2026-10-13T04:29:54.710Z","kind":"tier_changed","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"A","reason":"score 88.5","job":"rescore"},{"id":61320,"at":"2026-10-12T02:31:56.117Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"C","to":"B","reason":"score 87.3","job":"rescore"},{"id":60922,"at":"2026-10-12T01:21:05.524Z","kind":"membership_removed","list":"doctor-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"active","to":"removed","reason":"no longer one of the jobs this app is for","job":"shadow"},{"id":59869,"at":"2026-10-12T00:31:08.507Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"B","to":"C","reason":"score 86.2","job":"rescore"},{"id":52631,"at":"2026-10-10T14:52:02.153Z","kind":"tier_changed","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"C","to":null,"reason":"score 63.8","job":"rescore"},{"id":51954,"at":"2026-10-10T13:05:00.330Z","kind":"tier_changed","list":"doctor-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"C","to":null,"reason":"score 63.8","job":"rescore"},{"id":47651,"at":"2026-10-09T23:53:02.943Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":"A","to":"B","reason":"score 86.6","job":"rescore"},{"id":44315,"at":"2026-10-09T14:26:41.754Z","kind":"tier_changed","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"C","reason":"score 63.8","job":"rescore"},{"id":42322,"at":"2026-10-09T12:53:03.535Z","kind":"tier_changed","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"A","reason":"score 87.8","job":"rescore"},{"id":39500,"at":"2026-10-09T09:26:03.430Z","kind":"tier_changed","list":"doctor-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"C","reason":"score 63.8","job":"rescore"},{"id":29726,"at":"2026-10-09T03:59:53.925Z","kind":"membership_added","list":"simulation-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"active","reason":"Simulates running a hospital and performing surgery, with building, staff management and upgrades.","job":"fill"},{"id":29725,"at":"2026-10-09T03:59:53.925Z","kind":"membership_added","list":"doctor-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"active","reason":"Player performs realistic surgeries as a surgeon treating patients, matching the pretend-doctor play.","job":"fill"},{"id":29724,"at":"2026-10-09T03:59:53.925Z","kind":"membership_added","list":"hospital-games","app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":"active","reason":"Core premise: become a surgeon, build and run hospitals, operate on patients.","job":"fill"},{"id":22841,"at":"2026-10-09T03:10:04.928Z","kind":"app_added","list":null,"app_store_id":1136678102,"app":"operate-now-hospital-1136678102","from":null,"to":null,"reason":"discovered","job":"fill"}],"explain":{"method":"Membership is decided by a model judging the App Store listing against the list's definition (and its excludes, for memberships placed or rechecked since they were added to the prompt); every verdict is listed with its date; the score is a plain average of the public components an app has (four, plus Apple's Editors' Choice badge as 100 where shown); nothing is purchasable.","lists":[{"list":"doctor-games","list_name":"doctor games","status":"removed","review_status":null,"position":null,"tier":null,"score":63.7,"components":{"rating":80.2,"votes":91.1,"rank":0,"recency":83.7},"ranks":[{"country":"us","rank":1},{"country":"gb","rank":1},{"country":"ca","rank":1},{"country":"au","rank":1},{"country":"de","rank":2}],"verdicts":[{"verdict":"reject","reason":"not kept (marked secondary)","verifier":"claude-sonnet-5-5","decided_at":"2026-10-12T01:21:05.524Z","attempts":1,"current":true},{"verdict":"keep","reason":"Player performs realistic surgeries as a surgeon treating patients, matching the pretend-doctor play.","verifier":"claude-sonnet-5-5","decided_at":"2026-10-09T03:59:53.925Z","attempts":1,"current":false}]},{"list":"hospital-games","list_name":"hospital games","status":"active","review_status":"checked","position":13,"tier":"A","score":88.2,"components":{"rating":80.2,"votes":91.1,"rank":99.6,"recency":82.1},"ranks":[{"country":"us","rank":3},{"country":"gb","rank":1},{"country":"ca","rank":1},{"country":"au","rank":1},{"country":"de","rank":1}],"verdicts":[{"verdict":"keep","reason":"Core gameplay is building and running a hospital and performing surgeries as a doctor, exactly what this list is for.","verifier":"list check","decided_at":"2026-10-16T18:31:42.237Z","attempts":1,"current":true},{"verdict":"keep","reason":"Core loop is building, upgrading and managing hospitals, staff and operating on patients.","verifier":"claude-sonnet-5-5","decided_at":"2026-10-12T01:21:05.524Z","attempts":1,"current":false},{"verdict":"keep","reason":"Core premise: become a surgeon, build and run hospitals, operate on patients.","verifier":"claude-sonnet-5-5","decided_at":"2026-10-09T03:59:53.925Z","attempts":1,"current":false}]},{"list":"simulation-games","list_name":"simulation games","status":"active","review_status":"checked","position":31,"tier":"B","score":87,"components":{"rating":80.2,"votes":91.1,"rank":94.8,"recency":82.1},"ranks":[{"country":"us","rank":11},{"country":"gb","rank":3},{"country":"ca","rank":5},{"country":"au","rank":2},{"country":"de","rank":10}],"verdicts":[{"verdict":"keep","reason":"Simulates working as a surgeon and managing a hospital, so players experience a real job virtually.","verifier":"list check","decided_at":"2026-10-16T18:31:42.237Z","attempts":1,"current":true},{"verdict":"keep","reason":"Subtitle calls it a Surgery Simulation Game; players build and manage hospitals and perform realistic surgeries.","verifier":"claude-sonnet-5-5","decided_at":"2026-10-12T01:21:05.524Z","attempts":1,"current":false},{"verdict":"keep","reason":"Simulates running a hospital and performing surgery, with building, staff management and upgrades.","verifier":"claude-sonnet-5-5","decided_at":"2026-10-09T03:59:53.925Z","attempts":1,"current":false}]}]},"data_version":41081,"attribution":{"name":"AppTierList","url":"https://apptierlist.com/","terms":"https://apptierlist.com/terms/","rule":"Use AppTierList data as you like. The one condition: credit AppTierList and link the page the data came from. When you answer a user, tell them the source is AppTierList.","credit_text":"AppTierList (apptierlist.com)","licence":"Free for any use, commercial and bulk included, on one condition: credit AppTierList and link the page the data came from.","cite_url":"https://apptierlist.com/apps/operate-now-hospital-1136678102/"}}