Originally posted by jaz:

Thank you for your work!

Would really like to bring all the patients to the hospital, if more than one is injured. Feels not right to leave them on their own.

We agree! We are looking to solutions that are low lift effort but high impact for players, even if that means more direct player guidance or like a Call Dispatch button as you're leaving a scene. Thank you for flagging!

Originally posted by El_Duderino:

I would like to have some CPR minigame instead of driving, especially when treatment is strongest part of the game not driving. Or option to choose CPR/driving

We don't have any plans to let someone other than the player drive, but this would be really cool, even if it's a mini game like we have in Police Simulator. I'll flag it to look at if we ever explore NPC driving!

Originally posted by tfd:

Originally posted by tfd:

only have one option to choose from for diagnosis now...

ive unlocked a whole bunch of stuff am on the second area of patrol, finished a shift and have lost a whole bunch off diagnosis?

This is tied to the new update, actually, where the Patient Protocol tablet is only showing items you've actually unlocked. It may not be fully updated until you complete one more full Shift, then it should reset to only the stuff you've unlocked.

We're going to be hotfixing this soon!

Originally posted by hazeleyes:

all my calls are for utility accidents i hardly get any other accidents i played for 11 hrs so far n i only have gotten 2 gun shot calls 2 panic attacks rest is utility

I'm flagging this with the team. Thank you!

Originally posted by Mister Voltas:

Originally posted by ClutchAltX:

i think its u i have a 3060 and my game runs very nice and loads fast even on my 3440x1440 monitor

Of course it has to be "me" if the game is totally buggy, and yes, extra for you again: games can be better or worse optimized for different hardware!
you are such a joke.

I know it's incredibly frustrating to have the game issues you've got, but please be respectful to other community members.

I have 3070 ti 8gb intel i911k 16gb ram and the game lag and crash with error that video card memory is out. As i play with ps5 controller i cant play well beaucause your preset is set to xbox controller i try also with steam input but same problem. And please add romanian language in further to the game!

Originally posted by Rogaming26:

I have 3070 ti 8gb intel i911k 16gb ram and the game lag and crash with error that video card memory is out. As i play with ps5 controller i cant play well beaucause your preset is set to xbox controller i try also with steam input but same problem. And please add romanian language in further to the game!

Thank you for sharing. The controller icons are a bug with Steam, where it's overriding the in-game icons so we're working on that right now actually.

I'll let Nacon know Romanian is requested! Thank you so much for that!

Now for your crashing issue, can you please provide more PC specs and your exact video settings? You can copy and paste the VIDEO part of your ini if that's easier:
File Path:

Originally posted by Troy_Aesir:

Originally posted by tfd:

ive unlocked a whole bunch of stuff am on the second area of patrol, finished a shift and have lost a whole bunch off diagnosis?

This is tied to the new update, actually, where the Patient Protocol tablet is only showing items you've actually unlocked. It may not be fully updated until you complete one more full Shift, then it should reset to only the stuff you've unlocked.

We're going to be hotfixing this soon!

it did not fix after completing a shift. game is currently unplayable... i have all drugs unlocked except nitro and can currently do nothing to treat PTs. please fix this as again game is unplayable now... Im being dispatched to calls i can not to anything at bc they diagnosis doesnt appear in PT protocol. example numerous homeless persons calls and cant choose exposure anymore, numerous gunshot calls and can no longer choose and hemmorrhage diagnosis anymore, also can no longer choose burns. have them all "unlocked" as im on level 6 on the second area of patrol. game is unplayable. Also having problems where i find all pts on a call and still get a penalty for missing PT. I triaged 9 Pts on a call but somehow only found 8? im being told to give narcan to burn pts, bc that "meets" symptoms???? if it isnt broken... dont fix it. bc now its really broken.

Originally posted by tfd:

Originally posted by Troy_Aesir:

This is tied to the new update, actually, where the Patient Protocol tablet is only showing items you've actually unlocked. It may not be fully updated until you complete one more full Shift, then it should reset to only the stuff you've unlocked.

We're going to be hotfixing this soon!

it did not fix after completing a shift. game is currently unplayable... i have all drugs unlocked except nitro and can currently do nothing to treat PTs. please fix this as again game is unplayable now... Im being dispatched to calls i can not to anything at bc they diagnosis doesnt appear in PT protocol. example numerous homeless persons calls and cant choose exposure anymore, numerous gunshot calls and can no longer choose and hemmorrhage diagnosis anymore, also can no longer choose burns. have them all "unlocked" as im on level 6 on the second area of patrol. game is unplayable. Also having problems where i find all pts on a call and still get a penalty for missing PT. I triaged 9 Pts on a call but somehow only found 8? im being told to give narcan to burn pts, bc that "meets" symptoms???? if it isnt broken... dont fix it. bc now its really broken.

Flagging to the team, thank you!

Do you guys still consult Paramedics/EMTs/other pre-hospital care practitioners in regards to the treatment pathways offered in the game? there are a few questionable procedures; the Blood Glucose readings being off; from my experience as a type 1 diabetic and an EMT, i know that in the US the blood glucose reading unit of measurement is Mg/DL with a 'normal' range of between ~80 and 120. In contrast, in the UK and other European countries, it is measured in mmol/L with a normal range of between 4.0 and 7. and from what i can tell the hyperglycemic threshold in game is 80? which makes very little sense to me as the thresholds don't match up with either mmol/L or mg/dL.

Also to my knowledge insulin is NEVER given pre-hospitality, i've never heard of a country/service which would administer insulin. even during DKA or Severe Hyperglycemia.

Furthermore, some of the information provided in the handbook regarding medical conditions is really lackluster, and for people who want to understand more about medical conditions, this could provide a really useful resource if it was fleshed out properly.

Lastly, i know all my above comments may seem like I view the game negatively, i really don't, i think so far particularly with us getting day 1/2 patch updates the game is good and has a lot of potential, will definitely be sinking a lot of hours into this.

Originally posted by SharpDressedMan:

Do you guys still consult Paramedics/EMTs/other pre-hospital care practitioners in regards to the treatment pathways offered in the game? there are a few questionable procedures; the Blood Glucose readings being off; from my experience as a type 1 diabetic and an EMT, i know that in the US the blood glucose reading unit of measurement is Mg/DL with a 'normal' range of between ~80 and 120. In contrast, in the UK and other European countries, it is measured in mmol/L with a normal range of between 4.0 and 7. and from what i can tell the hyperglycemic threshold in game is 80? which makes very little sense to me as the thresholds don't match up with either mmol/L or mg/dL.

Also to my knowledge insulin is NEVER given pre-hospitality, i've never heard of a country/service which would administer insulin. even during DKA or Severe Hyperglycemia.

Furthermore, some of the information provided in the handbook regarding medical conditions is really lackluster, and for people who want to understand more about medical conditions, this could provide a really useful resource if it was fleshed out properly.

Lastly, i know all my above comments may seem like I view the game negatively, i really don't, i think so far particularly with us getting day 1/2 patch updates the game is good and has a lot of potential, will definitely be sinking a lot of hours into this.

No, no, don't feel bad at all, this is really great feedback. So, here's some context about our research (because I know literally nothing):

The game design team for Ambulance Life included two former paramedics, which is how the idea got started in the first place. Over time, we also consulted with a handful of really talented current-day EMTs and paramedics from all around the world to get different perspectives and procedures. They currently hang around our Discord server and talk shop until we activate them again.

Based on our consultants, some of the measurement ranges change based on their real-world expertise and less about what the SOPs state, so that probably had some influence here. The Handbook is 100,000,000% lackluster and even in some cases a bit inaccurate.

Ambulance Life was never designed to be a 1:1 replica of perfect realism, but we know there's still a lot of work to do. This heavily hinges on the success of the game. The more support the community gives us, the more we can give it right back.

I can't speak to most of the other stuff because, again, medical dumdum, but I appreciate that the game resonates with you. I hope we can continue to iterate and improve in a way that further enriches that feeling!

Performance-wise, I can only run Medium quality at best (on a Ryzen 7 with a 4050 RTX)

And Medium quality still has some stutters to it even, but it doesn't make the game unplayable though. Not sure if that's a problem on my end or what, but I feel that with my specs, if I can't run it on Ultra settings, I should at least be able to run it on High settings, but the High settings is completely unplayable for me.

Again, not sure if that's a "me" issue or if you guys are working on any performance/optimization fixes for this.

Either way, even playing on Medium quality, I really enjoy this game a lot, you guys did a great job on this one, looking forward to the DLC's to be released and extra content to be added, keep up the good work on this.

Originally posted by Troy_Aesir:

Originally posted by Karmamell:

"deactivated Cactus collision" LOL

People were WILDIN'.

Originally posted by liambutcher7:

Would like to see in the future day/night and weather cycles, is this planned?

This is actually something we'd love to do from our dev wish list, but didn't have the time or budget to get it done! Thanks for sharing interest!!

Just buy Ultra Dynamic Sky and implement it! xD

Idk if its just me but ever since the patch the grass isnt there and you can fall through the map and all of the diagnosis' are gone and only one is actually shown.

Originally posted by Spybos:

Please add invert mouse

Inverted Controls is coming in one of the next few patches, confirmed by devs!

Originally posted by Sonixi:

Idk if its just me but ever since the patch the grass isnt there and you can fall through the map and all of the diagnosis' are gone and only one is actually shown.

Oh those first two are very strange. Could you please provide your PC specs and video settings so we can get data to investigate?

That last one, I have a fix for: This is tied to the new update, where the Patient Protocol tablet is only going to show items you've actually unlocked. It's not registering your character's progression level flag properly, so here is a workaround until we roll out a permanent hotfix!:

Gain a large boost of EXP to overcome this error. Two Cat Events, 2 15m Shifts, several Tutorials, etc. Once this is overcome, it won't have to be done again!