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Game guide
Charisma Hospital: Medical Simulator — Starting out as a nurse
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About
OverviewCharisma Hospital is a hospital roleplay game where you start as a nurse and work your way up to Hospital Director. This guide covers how to build your medical career, handle emergencies, and unlock new content as you progress.
What is on this page
Contents
01
Starting out as a nurse
StepIn short
Caring for patients is the foundation of everything in this game.
You begin every session as a nurse. Your main job is caring for NPC patients, each of whom can show up with different conditions. Doing this consistently is how your medical skill grows, and that skill is what gates every promotion ahead of you.
- Each patient can have a different condition.
- Your medical skill rises as you complete care tasks.
02 Live and upcoming events
Events
いま開催中・開催予定のイベントです。期間が決まっているので先に確認しておきましょう。
03
How the career ladder works
Summary
In short
Every promotion comes from raising your medical skill level, and the top of the ladder is Hospital Director.
Your career moves through several positions, each unlocking new duties and changing what you earn. You start at the bottom and climb by hitting the skill level required for the next rank.
- Starting position Nurse
- Progression method raise your medical skill level through patient care
- Each promotion opens new duties and changes your pay
- Final goal Hospital Director
Glossary
Glossary- Medical skill
- A level that rises as you care for patients and determines when you can earn a promotion.
- Promotion
- Moving up to a higher position in the hospital once your medical skill hits the required level.
- Emergency
- A situation where a patient needs urgent treatment and multiple staff members must work together.
- Hospital Director
- The top career position in the game, reached by progressing through all earlier ranks.
Common questions
FAQHow do I get promoted from nurse?
Care for patients to raise your medical skill level. Once it reaches the level required for the next position, the promotion becomes available to you.
Can I play with friends?
Yes. The game includes cooperative play, and it matters most during emergencies, where several staff members treat a patient together.
Updated Oct 7, 2026
Game updates can change what is on this page. If you spot something, get in touch and let us know.
Game updates can change what is on this page. If you spot something, get in touch and let us know.
