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How many copies did Ambulance Life: A Paramedic Simulator sell?

Estimated copies sold
≈ 33k–53k
$270k–$726k after Steam's cut $491k–$1.1M before the cut
from 1k reviews (Mixed)

A labeled estimate from the public review count (adjusted for release year), not exact sales. Owner data cross-checked with SteamSpy.

Does this actually work?

We left Ambulance Life: A Paramedic Simulator out and predicted the genre from its 8 similar games. Every figure here, including Ambulance Life: A Paramedic Simulator's, is estimated from Steam reviews, not self-reported sales.

Copies, estimated from reviews

typical (middle half) 2.6M–3.8M
best case 26.7M (BeamNG.drive)
Games like Ambulance Life: A Paramedic Simulator

The middle of these games

≈ 2.6M–3.8M copies

≈ $21.2M–$28.0M after Steam's cut

from ~76k reviews

Only the top fifth of 2019’s Steam releases earned about $34k gross, so plan for that or less.

All 8 of your similar games are hits.

Best case: BeamNG.drive at ≈ 20.3M–33.0M copies, ≈ $139.6M–$375.3M after Steam's cut. A breakout hit, far above a typical game.

What it took to get here
About half the games that made it here had over 42k reviews in their first month; the spread ran 17k to 84k.
The genre you'd be entering
Your set
Your set clusters on Driving (8 of 8) and Automobile Sim (7 of 8).
The winners
Winners here lead with Driving + Realistic, priced around $42.
The era
The games you compared span 2015 to 2025, and 1 of your 8 shipped in the last two years.
How these numbers were worked out

A hit here: 1,000+ reviews, roughly $150k+ before Steam's cut (a standard indie benchmark).

Copies come from each game's reviews times a sales-per-review rate that falls with release age, from about 31 for the most recent game here to about 61 for the oldest, then widened into a range; revenue rides on that estimate times price. Source: GameDiscoverCo (2020) and VG Insights (2021).

Similar games

BeamNG.drive
2015
Est. copies
≈ 20.3M–33.0M
5.5x vs typical
SteamSpy 5M–10M
Est. revenue
$139.6M–$375.3M after Steam's cut $253.8M–$577.4M before the cut
$24.99
416k reviews
Overwhelmingly Positive
SimulationDriving
Forza Horizon 5
2021
Est. copies
≈ 6.9M–11.3M
3.7x vs typical
SteamSpy 5M–10M
Est. revenue
$114.2M–$307.2M after Steam's cut $207.7M–$472.6M before the cut
$59.99
279k reviews
Very Positive
RacingOpen World
Car Mechanic Simulator 2018
2017
Est. copies
≈ 1.9M–3.2M
SteamSpy 2M–5M
Est. revenue
$10.7M–$28.8M after Steam's cut $19.4M–$44.2M before the cut
$19.99
57k reviews
Very Positive
SimulationAutomobile Sim
My Summer Car
2025
Est. copies
≈ 2.9M–4.7M
1.5x vs typical
SteamSpy 1M–2M
Est. revenue
$12.0M–$32.2M after Steam's cut $21.8M–$49.5M before the cut
$14.99
117k reviews
Very Positive
Automobile SimSimulation
Forza Horizon 4
2021
Est. copies
≈ 7.5M–12.2M
4.0x vs typical
SteamSpy 5M–10M
Est. revenue
Free
Free
303k reviews
Very Positive
RacingOpen World
The Crew™ 2
2018
Est. copies
≈ 3.0M–4.9M
SteamSpy 2M–5M
Est. revenue
$25.0M–$67.1M after Steam's cut $45.4M–$103.3M before the cut
$29.99
100k reviews
Mostly Positive
RacingOpen World
Farming Simulator 19
2018
Est. copies
≈ 2.3M–3.8M
SteamSpy 2M–5M
Est. revenue
$11.5M–$30.8M after Steam's cut $20.9M–$47.4M before the cut
$17.99
76k reviews
Very Positive
Assetto Corsa Competizione
2019
Est. copies
≈ 1.4M–2.2M
SteamSpy 1M–2M
Est. revenue
$15.2M–$40.8M after Steam's cut $27.6M–$62.8M before the cut
$39.99
48k reviews
Very Positive
RacingAutomobile Sim

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