Plague M.D.
Released Nov 2020
Plague M.D. is a medieval medicine simulator. Become a quack doctor stuck in a backwater village in the 16th century.
75% positive · 160 reviews
Not yet
Released, but still in active development
Medium confidence
Active Development
Not yet
Released, but still in active development
Medium confidence
Active Development
Where to buy
Steam $4.79 $5.99 −20%
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Evaluation
Plague M.D. launched on November 10, 2020 as a medieval medicine simulator. After early bug fixes and localization updates in 2020–2021, the developer returned in 2024 with two substantial updates. On September 22, 2024, CosCom Art Group shipped a major global overhaul — migrating the game to a new engine, adding new endings, locations, an inventory system, minigames, achievements, and a reworked plague sequence. This was followed on November 1, 2024 by a "Small Autumn Update" introducing a layered village event system with branching narrative continuations.
The November 1, 2024 post explicitly describes this update as "the beginning of something bigger — the first attempt to expand the game's world," stating it will "eventually allow the CosCom team not only to add more levels to chosen village events but also to unlock new locations and mechanics for players." The September 2024 update similarly closes with a promise of "new unique projects in the future, which will come very soon."
These two major updates in quick succession, combined with the developer's forward-looking statements about new locations and mechanics, indicate the game is in an active phase of ongoing content development. The most recent developer communication is from November 1, 2024 — approximately 11 months before today's date of October 8, 2026. Given that the two 2024 updates were separated by just over a month, and the prior gap before that was roughly three years (2021 to 2024), there is no clearly established regular cadence to use as a yardstick. The developer's most recent statement explicitly flags more content is coming, and no completion announcement has been made. The silence since November 1, 2024 is approaching a concerning length, but falls just short of the 6-month threshold that would warrant a development-uncertain signal given the forward-looking promise was made alongside a shipped update — and the developer's track record shows they can go quiet for extended periods before returning with significant updates. No completion has been declared.
Evidence
Small Autumn Update introduces a layered village event system, explicitly framed as 'the beginning of something bigger' with promises of new locations and mechanics for players in the future.
Major global update ships new endings, locations, inventory system, minigames, achievements, and reworked plague. Developer closes with a promise of 'new unique projects in the future, which will come very soon.'
Media
Details
Developer
Publisher
CosCom Art Group
Achievements
21
Platform
Windows, Linux
Controller
—
Steam Deck
Not rated
Players
Single-player
About this game
Plague M.D. is a medieval medicine simulator.
Become a quack doctor stuck in a backwater village in the 16th century. Your task is to diagnose and cure the patient using the available tools, ingredients, recipes and books. This is a difficult game against time, misdiagnosis and procrastination can lead you to the stake, and every choice has consequences.
Well, what can you do? At first, your methods are scarce - drain blood, amputate a rotten finger. But over time, you become increasingly sophisticated, learning therapeutic treatments and surgical skills. Eventually, you face the horror of black death and put on a plague doctor mask.
All events of the game take place in a fictional universe. Please do not use the healthcare skills acquired in the game on real people - it is dangerous and can cause harm to life and health.
Always contact a specialist!
Become a quack doctor stuck in a backwater village in the 16th century. Your task is to diagnose and cure the patient using the available tools, ingredients, recipes and books. This is a difficult game against time, misdiagnosis and procrastination can lead you to the stake, and every choice has consequences.
Well, what can you do? At first, your methods are scarce - drain blood, amputate a rotten finger. But over time, you become increasingly sophisticated, learning therapeutic treatments and surgical skills. Eventually, you face the horror of black death and put on a plague doctor mask.
- The visual style of the game is pleasing to the eye. Each model is lovingly hand-drawn on paper.
- Real diseases and authentic treatments. The bloodletting? Leeches? Yes, please. And don't forget a blow to the head instead of anesthesia.
- Lovable characters. Our favorite is the parish priest in a deep depression. It is recommended to treat it with St. John's wort.
All events of the game take place in a fictional universe. Please do not use the healthcare skills acquired in the game on real people - it is dangerous and can cause harm to life and health.
Always contact a specialist!
Are these done yet?
Last evaluated Oct 8, 2026
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