Enter the Operating Room in MALPRAXIS
Sunscorched Studios, the team behind the cult hit RATSHAKER, has announced MALPRAXIS, a first-person surgical horror game coming to PC via Steam and the Epic Games Store in early 2026. Set aboard the deep space vessel TRH Rusanov, the game places players inside a clinical nightmare where survival depends on precision, judgment, and restraint.
In the game, players take on the role of the Surgical Procedure Intervention Diagnostic Emergency Response unit, known as S.P.I.D.E.R. It is an autonomous medical system powered by a Biological Central Processing Unit. Across a series of semi-procedurally assembled shifts, players examine patients, diagnose conditions, perform complex surgical procedures, and conduct forensic autopsies as the situation aboard the ship steadily deteriorates. Each decision carries weight, and even small errors can have lasting consequences.
Your objective is rigid and uncompromising, which includes treating patients and keeping your crew alive. Every outcome is documented. When failure exceeds acceptable limits, the system terminates the trial and restarts it, wiping its memory. Death, however, remains permanent. Crew members who die during a shift stay dead, and those losses carry forward into future shifts, reshaping the course of each trial.
A single trial unfolds across successive shifts and continues until the system reaches failure thresholds or declares the evaluation complete. This ongoing loop defines the player’s reality aboard the Rusanov.
MALPRAXIS is a feature-length standalone title that represents years of experimentation with medical gameplay, long-term consequences, and psychological pressure. The developers explored the core ideas in an earlier free demo, later rebuilt and expanded into a substantially different experience. The game depicts graphic and distressing content and does not aim to serve as a realistic or educational medical simulation.