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How many copies did Big Pharma sell?

Estimated copies sold
≈ 95k–154k
$650k–$1.7M after Steam's cut $1.2M–$2.7M before the cut
from 2k reviews (Mostly Positive)

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 Big Pharma out and predicted the genre from its 8 similar games. Every figure here, including Big Pharma's, is estimated from Steam reviews, not self-reported sales.

Copies, estimated from reviews

typical (middle half) 33k–64k
best case 1.4M (Two Point Hospital)
Games like Big Pharma

The middle of these games

≈ 33k–64k copies

≈ $416k–$534k after Steam's cut

from ~1k reviews

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

7 of your 8 similar games are hits.

Best case: Two Point Hospital at ≈ 1.1M–1.7M copies, ≈ $8.8M–$23.6M 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 731 reviews in their first month; the spread ran 528 to 3k.
The genre you'd be entering
Your set
Your set clusters on Simulation (8 of 8) and Medical Sim (7 of 8).
The winners
Winners here lead with Simulation + Management, priced around $25.
The era
The games you compared span 2018 to 2025, and 2 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 38 for the oldest, then widened into a range; revenue rides on that estimate times price. Source: GameDiscoverCo (2020) and VG Insights (2021).

Similar games

Two Point Hospital
2018
Est. copies
≈ 1.1M–1.7M
26x vs typical
SteamSpy 1M–2M
Est. revenue
$8.8M–$23.6M after Steam's cut $15.9M–$36.2M before the cut
$29.99
35k reviews
Very Positive
Bio Inc. Redemption
2018
Est. copies
≈ 98k–158k
2.4x vs typical
SteamSpy 100k–200k
Est. revenue
$348k–$937k after Steam's cut $633k–$1.4M before the cut
$12.99
3k reviews
Very Positive
Medical SimOutbreak Sim
Weedcraft Inc
2019
Est. copies
≈ 49k–79k
SteamSpy 100k–200k
Est. revenue
$267k–$719k after Steam's cut $486k–$1.1M before the cut
$19.99
2k reviews
Mostly Positive
SimulationStrategy
Project Hospital
2018
Est. copies
≈ 283k–459k
7.0x vs typical
SteamSpy 200k–500k
Est. revenue
$1.9M–$5.2M after Steam's cut $3.5M–$8.0M before the cut
$24.99
9k reviews
Very Positive
Medical SimCity Builder
Let's School Homeroom
2023
Est. copies
≈ 25k–41k
SteamSpy 100k–200k
Est. revenue
Free
Free
1k reviews
Very Positive
CasualSimulation
Ambulance Life: A Paramedic Simulator
2025
Est. copies
≈ 33k–53k
SteamSpy 20k–50k
Est. revenue
$270k–$726k after Steam's cut $491k–$1.1M before the cut
$29.99
1k reviews
Mixed
SimulationDriving
Let's School
2023
Est. copies
≈ 184k–298k
5.6x vs typical
SteamSpy 200k–500k
Est. revenue
$1.0M–$2.7M after Steam's cut $1.8M–$4.2M before the cut
$19.99
7k reviews
Very Positive
Potion Tycoon
2024
Est. copies
≈ 18k–29k
SteamSpy 50k–100k
Est. revenue
$99k–$266k after Steam's cut $180k–$410k before the cut
$19.99
727 reviews
Mostly Positive

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