Release Date: November 6, 2025
Genres/Tags: Puzzle, Detective, 2D, Card game
Developer: Zeitglas
Publisher: Shoreline Games
Platform: PC [Repack]
Engine: Unity
Steam User Rating: 65% of user reviews are positive (based on 127 reviews)
Interface Language: English, Russian, French, German, Spanish - Spain, Japanese, Korean, Portuguese - Brazil, Simplified Chinese, Italian
Audio Language: none
Crack: built-in (TENOKE)
Minimum requirements:
Operating System: Windows 7 (SP1+) and Windows 10 x64
Processor: Intel Core i3-8100 / AMD Ryzen 3 3100
RAM: 2 GB
Video Card: NVIDIA GeForce GTX 750 Ti, 2 GB / Radeon R7 360, 2 GB
DirectX: Version 11
HDD Space: 2.9 GB

Description: It's the roaring twenties, an age of technological progress and social upheaval. As the city around you expands, you feel left behind: a weary journalist burdened by debt and drifting purpose. Then, out of the blue, a cryptic message arrives from a childhood friend - perhaps the tip of a lifetime. It points to the infamous Castle Woods Sanatorium. A mystery waits there, and you can't shake the urge to uncover it. It may be nothing more than a hunch, but it feels like a secret that could change everything. Even you. The decision is made: you pack your bags and set out for Castle Woods.
Test your wit and intuition. Every week, new patient files present new puzzles to be solved as you decide which tests to use to uncover symptoms and which treatments you prescribe to cure them. Decide whether you want to follow the rule book or try out experimental new treatments with unknown outcomes. Do you want to be kind or cruel? Business savvy or risk-taking?
Uncover dark secrets behind the squeaky-clean facade of Castle Woods' walls. Meet helpless patients, ruthless opportunists, and an array of other intriguing characters. Collect clues and piece together the shocking truth about the Sanatorium and your own past.

Game Features
Card-driven workplace sim - step into the role of a doctor in 1923, where every action is bound by the outdated tools and beliefs of the era.
Diagnose, "treat," or withhold - decide whether to follow harsh, archaic methods or act with compassion, knowing both choices carry consequences.
Every patient is a puzzle - files unfold as layered card sets, with symptoms hidden, revealed, and misinterpreted through limited knowledge.
A full campaign across 4 chapters - uncover the secrets of Castle Woods and the lives caught within its walls.
Branching paths, multiple endings - your decisions shape not only patients' outcomes, but your own fate as an impostor.
Over 100 cards to chart - symptoms, illnesses, tests, and treatments drawn from the unsettled history of psychiatry.
Evolve your treatment plan - upgrade treatments toward more humane practices, or double down on methods that protect your cover at any cost.

Repack Features
Based on Sanatorium.A.Mental.Asylum.Simulator-TENOKE ISO release: tenoke-sanatorium.a.mental.asylum.simulator.iso (3,167,512,576 bytes)
Game version: v0.99
100% Lossless & MD5 Perfect: all files are identical to originals after installation
Bonus OST in WAV format nullified, NOTHING re-encoded. Bonus OST in MP3 format is included by default
Significantly smaller archive size (compressed from 2.9 GB to 526 MB)
Installation takes 1-2 minutes (depending on your system)
After-install integrity check so you could make sure that everything installed properly
HDD space after installation: 2.9 GB
Language can be changed in game settings
Repack uses XTool library by Razor12911
At least 2 GB of free RAM (inc. virtual) required for installing this repack
Repack by FitGirl