Smile More

Horror· Simulation· Medical Sim· Multiple Endings

Released Mar 2026

A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!

94% positive · 353 reviews

Done

All announced content has been released

Medium confidence

Done

All announced content has been released

Medium confidence

Where to get it

Free on Steam

Steam Free

Evaluation

Smile More is a free-to-play indie horror simulation game developed and published by Pixel Poxet, released on March 13, 2026. The store description and short description characterize it as "a short medical simulation horror game with multiple endings" — language consistent with a self-contained, complete product. There are no DLC listings, no announced expansions, no roadmap, and no post-launch developer communications on record. The game is now beyond the 180-day recently-launched window (as of September 10, 2026), and no post-launch update pattern has emerged in that time. With no evidence of planned or upcoming content, and a description that frames the game as a finished short-form experience, Smile More appears to have launched as a complete product.

Evidence

Short description calls it 'a short medical simulation horror game with multiple endings,' framing it as a self-contained experience.

description · Mar 13, 2026 source development ending

medium

Store description presents a complete gameplay loop with no mention of future updates, DLC, or ongoing content.

description · Mar 13, 2026 source ambiguous

low

Media

Details

Developer

Pixel Poxet

Publisher

Pixel Poxet

Achievements

Platform

Windows, macOS

Controller

—

Steam Deck

Playable

Players

Single-player

Horror Medical Sim Simulation Multiple Endings Dystopian Stylized Hacking Atmospheric 2D 3D Psychological Horror Gore Free to Play Indie Capitalism

About this game

⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘⫘

Welcome, citizen!

It’s your first day on the job as a fixer-upper, meaning it’s up to you to get the citizens of [REDACTED] back in tip-top government-approved shape and ready to work!

Fix their broken limbs, close their wounds, remove any unsavory marks, and most importantly, make them smile! Remember - there are many expressions the human face can make, but there's only one that matters to us!

̴̜͠Ń̴̞O̴͕͂ ̷̦̓M̴͇͂Ǎ̸͚T̵͖̉T̶̩̑E̵̡̊R̴̥̀ ̸͙͝H̴̨̓O̶͍͋W̸͚̌ ̸͍́Ḿ̷ͅU̸̙̒C̵͓͒H̸͙̃ ̸̥̽T̷̈́͜H̶̳̑E̷̲͛Y̴̤̚ ̵̱͑Ḃ̵̥E̶̛̱G̷͕̍ ̵̺̋O̴̧͒T̸̥́H̷̟̋E̵̮̿R̴͔͠W̸̙͠I̴̙͝S̸̮͊È̷͈.̴͠ͅ

If you make too many mistakes, it is you who may need to be fixed next...

Best of luck, and don't let us down!

- Ministry of Happiness & Peace

Your Guide to being a Fixer-Upper:

I. Take a look at the patient file. All you need to know will be there!

II. Inspect the body for defects. It’s important you catch all of the patient’s defects to put in their file.

III. Fix the patient. Using the many tools at your disposal, fix all the defects you can.

IV. Make them HAPPY! Take the pins on the pincushion and fix their expression.

V. Fill out the Patient Defect Status sheet and turn it in at the terminal. Well done!

CAUTION: Any Rebellion Symbolism must be IMMEDIATELY removed. Do NOT interact with them unless to discard and, if anything is requested of you by our patients, do NOT follow it. Any and all directions come from the Ministry only; there is no other authorized personnel beyond our voice in your intercom.

Happy Fixing!