Haywire Hospital is a single-player strategy, simulation, auto-battler, casual, business/city-building, and management game in which players act as the Chief Administrator of a quirky hospital, managing staff, expanding facilities, and treating bizarre patients. In this game, players discover and treat a variety of eccentric patients like Selfie Sally and Buck-and-Wing, while collecting hidden story fragments called the Archives and competing against rivals such as Hospital Royale across the galaxy. It stands out with its humorous and stylized theme, featuring a lighthearted approach to hospital management, and incorporates advanced gameplay elements like auto-battling, resource management, and social interactions, including flirting with staff, all within a free-to-play model supported by in-app purchases and ads.

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