Repetitive. The most common calls will drive you crazy.

Oh wait, that's if you're lucky enough to be able to brute-force UE5 (I'm lucky to be able to.)

They won't let you toggle off your partner's quippy witty driving dialogue or 'do you need a map' when the game sends you 4k yards to the next call.

The last time the 'team' posted any known issues was February, in their Discord.

I have one known issue: on every call, my patients are freezing, and I can turn the themostat up to 97.0F. This clearly needs to be higher, especially for exposure calls. It's not, I get out to drive and my partner immediately starts yelling about how the patient's temperature is dropping. Stop it.

The community manager loves to talk about how 'money fixes everything' on Discord, but money doesn't fix your bad decision to use UE5. That Matrix demo sure was cool back when though, wasn't it? The new Oblivion remaster runs better than this.

There's already a $15 beach related (I think) DLC that I can't play because I haven't ground out enough 'points' even through my almost 32 hours of playtime. Seems not great? When you put out DLC it should be accessible to everyone, shouldn't it? Oh I forgot to mention this is linear, and my experience has gone like this:

Start a new game, pretty cool, looks nice, hard to drive around. Help out like 50 anxiety attack patients that are in the middle of a divorce (oh no) and cart them to the hospital so you can unlock a new callout, which works fine until the 3rd district, when you start unlocking the interesting calls, and you're 'guaranteed' to sometimes get one of those in your next shift. Then probably never again. I unlocked cardiovascular and stroke callouts hours ago and I haven't seen one since the first one. Still picking up anxious divorcees and people that set their house on fire with candles for aromatherapy.

Sometimes when you get a fun call, it's actually tense and interesting, and you can pull up to the hospital entrance and while the cutscene starts your partner will scream about how the patient's heart rate has massively spiked, and they're dead before the results screen can pop up. It seems to be almost random when this happens. It doesn't matter how well you handled anything, because it's cookie cutter treatment for each condition and the RNG dice in the background decide if they'll live. That's not great. Maybe it's realistic but it makes you wonder why you're playing a game like this.

Shoutout to all of the 'real' paramedics they 'consulted' while slapping this game together.

Releasing a paid DLC while the base game is still in an alpha state is unnecessary and no one needs it.
I actually had hopes that the game would turn out well, but unfortunately, I was disappointed.

I bought this game thinking the realistic life saving simulation would be fun. But no, this isn't that. This game is clunky at best. Driving feels unresponsive and the acceleration of the vehicle is just annoying, since you have to break down a lot, to an almost complete stand still.

When you then get to the jobs, well.. It was interesting at first. But after the first 3 jobs, it gets repetitive and well.

I personally think it's a shame that simulation games has just become a new type of game genre.
There's no simulation in it anymore, it's just a game.
I will refund this game, because I know, I won't be playing this enough, for it to be worth the price.
The driving in it, is just too tedious.

If driving gets fixed and becomes more smooth, and the simulation part of the game, becomes more realistic, I could reconsider. Until then, it's a hard pass.