Ambulance Life: A Paramedic Simulator

Despite getting some enjoyment out of it, Ambulance Life: A Paramedic Simulator quickly became both monotonous and irritating thanks to the driving sequences. A disappointing simulator that just doesn’t live up to its potential.

53%Game Brain Score

gameplay, graphics

optimization, stability

53% User Score Based on 485 reviews

Critic Score 52%Based on 4 reviews

Platforms

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About

Ambulance Life: A Paramedic Simulator is a single player simulation game. It was developed by Aesir Interactive and was released on November 30, 2023. It received neutral reviews from both critics and players.

Ambulance Life: A Paramedic Simulator lets you step into the shoes of a paramedic navigating diverse urban districts to respond swiftly to emergencies. Drive to accident scenes, assess injuries, and provide life-saving first aid while adapting to unique situations. Your decisions and speed determine the outcomes in this realistic emergency medical simulation.

Genres & Tags

Simulation

Play Modes

Single-Player

Ambulance Life: A Paramedic Simulator screenshot

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53%

Audience ScoreBased on 485 reviews

gameplay21 positive mentions

optimization40 negative mentions

The game offers a unique and engaging experience, allowing players to step into the role of a paramedic and respond to various emergency situations.
The medical mechanics and treatment options are well thought out, providing a decent level of realism and educational value.
The graphics and city environment are visually appealing, contributing to an immersive gameplay experience.

The game suffers from significant performance issues, including lag and stuttering, even on high-end systems, making it frustrating to play.
Many players report repetitive missions and a lack of variety in callouts, leading to a monotonous gameplay experience.
Numerous bugs and glitches, such as character animations and AI behavior, detract from the overall enjoyment and immersion of the game.

optimization
141 mentions Positive Neutral Negative
13%
59%
28%
The game's optimization has been widely criticized, with many players reporting severe performance issues, including lag, stuttering, and crashes, even on high-end systems. While some users have experienced smoother gameplay after recent patches, the overall consensus is that the game remains poorly optimized and buggy, detracting significantly from the experience. Many reviewers express disappointment, suggesting that substantial improvements are needed before the game can be recommended.
- “Combined with a progression system that rewards good performance with new tools, ambulance upgrades, and access to new districts, the game gives players incentives to refine their skills while pushing through increasingly complex situations.”
- “As many have said, it has some serious potential if there is more depth added and bugs/performance/physics are fixed.”
- “With better performance, deeper gameplay mechanics, and more variety in patient interactions, this could become a fantastic paramedic simulator!”
- “The game is extremely unoptimized and full of bugs; it is not playable, but still the idea for it is good and I expect it to be optimized as soon as possible.”
- “Game was playable, but had quite a few performance issues when running it on medium graphics with a pretty good computer, way above minimum requirements.”
- “The moment I hit the 'start game' button, I was greeted with performance issues that could only be described as 'watching paint dry while someone explains the concept of pain.'”
gameplay
87 mentions Positive Neutral Negative
24%
63%
13%
The gameplay of the game is characterized by a shift-based structure that aims for authenticity, but it suffers from significant bugs, performance issues, and repetitive mechanics that detract from the overall experience. While some players appreciate the detailed medical procedures and varied scenarios, many express disappointment over the lack of realism in certain mechanics and the driving experience. Overall, the game shows potential for improvement, but it requires substantial updates and optimizations to enhance gameplay quality and player engagement.
- “The structure of shift-based gameplay, complete with downtime, call prioritization, and the pacing of real emergency work, strengthens the sense of authenticity the developers aimed for.”
- “The gameplay is dynamic and keeps you on your toes, with a great balance between realism and fun.”
- “The callouts are varied, the driving mechanics feel solid, and the overall pacing makes each shift feel rewarding.”
- “The main problems are poor performance, repetitive gameplay, and poorly explained game mechanics.”
- “Gameplay is quite buggy; I would like some more realism.”
- “The gameplay is very much repetitive; honestly, I just really did not enjoy this game.”
graphics
77 mentions Positive Neutral Negative
31%
56%
13%
The graphics of the game receive mixed reviews, with some players praising the detailed environments and impressive lighting effects, while others criticize the overall quality as low-tier and plagued by performance issues and graphical glitches. Many users report that despite having high-end PCs, they experience stuttering and frame rate drops, particularly on medium settings. Overall, while there are moments of visual appeal, the game's graphical performance appears to require significant improvement.
- “The city environment is sizable and varied, featuring residential blocks, highways, industrial areas, and coastal routes that give a sense of place even if the visuals sometimes fluctuate in quality.”
- “The graphics are quite good, with detailed environments, well-designed vehicles, and impressive lighting effects that enhance the overall atmosphere.”
- “I love the graphics on the ambulance; it's so nice!”
- “Graphics are low tier for a game that came out in 2025.”
- “The graphics in the game are awful and very buggy.”
- “Graphics are pretty bad even in max settings, which pretty much drops fps like crazy. Anti-aliasing sucks and doesn't really improve anything, plus there are a lot of visual glitches, especially with textures taking ages to load.”
stability
58 mentions Positive Neutral Negative
100%
The game's stability is a significant concern among players, with numerous reports of bugs, glitches, and AI issues that disrupt gameplay and immersion. Many users express frustration over the lack of optimization and the developers' focus on DLC rather than addressing these technical problems. While some players find the gameplay enjoyable despite the bugs, the overall consensus is that the game is currently too unstable for a satisfactory experience.
- “Technical issues are a recurring complaint from players: bugs during treatment interactions, AI traffic behaving unpredictably, pedestrians who ignore real-world logic, and navigation glitches can interrupt immersion.”
- “It's unfortunate that there are so many bugs and glitches, like the ambulance clipping through the road and random 'fatal error' crashes.”
- “Unbelievably buggy and the traffic is literally impossible to navigate sometimes.”
story
46 mentions Positive Neutral Negative
15%
65%
20%
The game's story aspect is largely criticized for its lack of depth and immersion, with many players noting that it feels repetitive and lacks a compelling narrative. While some enjoy the realistic simulation of paramedic work, they express disappointment in the limited variety of missions and the overall absence of a cohesive storyline. Overall, the game is seen as more of a gameplay experience than a story-driven one, with many players hoping for future updates to enhance mission diversity and fix existing bugs.
- “The game does have interesting systems in place, but sadly the game is not enjoyable to play so I didn't get to experience much after the first mission.”
- “It really does live up to the simulator genre, using no in-game hints and only relying on my actual real-world medical knowledge. I am frequently getting S ranks on all the missions and when I review the checklist afterwards, I am impressed by how thorough you can be on each call.”
- “Pros - love the storyline but needs major work overall.”
- “The game got pretty boring after some time purely due to the lack of differentiation between missions, hence the low playtime.”
- “Repetitive missions too, and the AI is glitchy.”
- “The missions can feel repetitive since you mostly follow the same routine for every patient, depending on the situation.”
humor
7 mentions Positive Neutral Negative
100%
The humor in the game is widely praised for its cleverness and polish, with players enjoying absurd interactions with NPCs and amusing dialogue, such as police officers providing unhelpful responses. However, some players noted that while the game has funny moments, it can also fall flat due to technical issues that disrupt the experience. Overall, the comedic elements contribute positively to the game's charm, despite occasional inconsistencies.
- “But this game is very funny, nice, well made, and polished as needed.”
- “Side note or just a funny thing: I always ask the police for details on what happened, and they always fail to give me any information at all. One even said, 'I don't know, I just got here.'”
- “Asking NPCs is absurd and hilarious – in one case, I had to ask about a woman in a fire, and every single NPC gave the exact same answer.”
replayability
7 mentions Positive Neutral Negative
43%
14%
43%
Overall, the game's replayability is seen as a strong point, with potential for streaming and enjoyment from NPC interactions. However, some players express concerns about the lack of depth and content, suggesting that without future updates or mods, the replay value may diminish significantly.
- “I recommend it, at least for the replayability of the game.”
- “It’s got streaming potential for sure because those NPCs really do their best to make you game over, so the replay value is there.”
- “Infinitely replayable.”
- “I will play the game, but I won't be buying more content until the base game actually gets developed into a more playable and in-depth game.”
- “I will keep an eye on the game for now and leave this feedback as positive. In the coming weeks, if no mods are coming, then this game has no replayability, and at that point, I will change this review to a negative.”
- “Replayability is lacking.”
grinding
7 mentions Positive Neutral Negative
14%
86%
Players find the grinding in the game excessively tedious and repetitive, requiring them to perform the same actions repeatedly, which diminishes enjoyment over time. Many reviewers express that the lack of variety and randomness makes the grinding feel like a chore, leading to a quick loss of interest.
- “You'll need a second life for grinding.”
- “Like holy moly, this game requires a lot of grinding.”
- “The gameplay is repetitive; the player is required to perform every action, which quickly became tedious.”
- “They really need to focus on some randomness; otherwise, this game will get filed away with all the other grindy games no one really plays after the first 2 hours.”
atmosphere
4 mentions Positive Neutral Negative
50%
25%
25%
The game's atmosphere is initially engaging, featuring detailed environments and impressive graphics that enhance immersion; however, its limited variety and reliance on irrelevant minigames detract from the overall experience. While some moments evoke a strong sense of place, technical issues like bugs and glitches undermine the intended atmosphere, leaving players wanting a more robust and challenging simulation.
- “The graphics are quite good, with detailed environments, well-designed vehicles, and impressive lighting effects that enhance the overall atmosphere.”
- “We have moments of unreal's matrix demo, mixed with some pretty atmospheric city environmental elements.”
- “As a game about emergency medical care, it's not delivering on the proper atmosphere nor does it focus enough on challenging your wit and decision-making, but is rather a lazily designed collection of irrelevant minigames.”
monetization
3 mentions Positive Neutral Negative
100%
100%
The monetization strategy of the game has been criticized as a blatant cash grab, with users expressing frustration over its perceived exploitation. Despite its price of £34.99, the in-game purchases have left a negative impression on players, overshadowing the overall experience.
- “The monetization model is fair and doesn't feel intrusive, allowing players to enjoy the game without feeling pressured to spend extra.”
- “I appreciate that the in-game purchases are purely cosmetic and do not affect gameplay, making it a more enjoyable experience.”
- “The pricing for additional content is reasonable, and I feel like I'm getting good value for my money.”
- “A quick cash grab.”
- “What a stupid cash grab.”
- “(Rating: PEGI 16 - Violence, In-Game Purchases, Horror. Release Date: 06/02/2025. Price: £34.99. Review on the Xbox Series X. Also available on PC (Steam) and PlayStation 5. Full disclosure: this review is based on a copy of the game provided by the publisher/developer.)”
music
3 mentions Positive Neutral Negative
100%
The game lacks a musical score, resulting in a silent driving experience that some players find unengaging.
- “The game doesn't have any music, so you're just driving in silence.”
- “The music is completely forgettable and adds nothing to the experience.”
- “There are moments where the music just doesn't fit the atmosphere of the game.”
emotional
1 mentions Positive Neutral Negative
100%
The game effectively captures the emotional weight of being a paramedic, showcasing the challenges and high-stakes situations they face in a realistic simulation. Players appreciate the developers' efforts to convey the emotional depth of this profession.
- “The developers have attempted to create a simulation that respects the real-world work of paramedics and highlights both its challenges and emotional stakes.”

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52%Critics’ scoreBased on 4 critic reviews

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6h Median play time

9h Average play time

5-6h Spent by most gamers

*Based on 7 analyzed playthroughs

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Frequently Asked Questions

Ambulance Life: A Paramedic Simulator is a simulation game.

Ambulance Life: A Paramedic Simulator is available on Xbox Series X|S, PC, Windows and Xbox.

On average players spend around 9 hours playing Ambulance Life: A Paramedic Simulator.

Ambulance Life: A Paramedic Simulator was released on November 30, 2023.

Ambulance Life: A Paramedic Simulator was developed by Aesir Interactive.

Ambulance Life: A Paramedic Simulator has received neutral reviews from both players and critics. Most players liked this game for its gameplay but disliked it for its optimization.

Ambulance Life: A Paramedic Simulator is a single player game.

Similar games include Police Simulator: Patrol Officers, Flashing Lights - Police Fire EMS, Firefighting Simulator, Notruf 112 | Emergency Call 112, Taxi Life: A City Driving Simulator and others.

Ambulance Life: A Paramedic Simulator

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