As a franchisee of Endswell Medical, you are tasked with creating and managing a successful medical institution, generating ever higher profits for the corporate headquarters.

Establish:

•  Establish a local subsidiary of Endswell Medical Corporation. With numerous locations to establish your franchise, each biome offers unique resources that make the experience unprecedented while presenting different challenges.

Explore:

• You will need to build and expand your offices and research facilities. Hire and manage your team effectively to maximize efficiency. To satisfy the corporate headquarters, you will need to ensure that you are delivering increasingly higher profits. Legitimate business will only take you so far. If you truly want to stand out, you will need to push the boundaries of science and medicine. Set aside ethics and research illegal bacteria and viruses to help develop cutting-edge treatments and biological weapons.
• Take control of your operation and ensure that business is running smoothly. Control levels of suspicion by ensuring your team is loyal, bribing or intimidating politicians and local authorities, keeping the police off your trail, and staying one step ahead of rivals.
• Pushing the boundaries can be dangerous. Ensure that hazardous activities are under control by providing your team with proper PPE and safety protocols. Keep external interference at bay and, if necessary, ensure your director is ready to keep the mistakes "in-house".

Take what you can:

• Losing control is a matter of when, not if... When the time comes, be ready. Gather any trustworthy team members, money, and research results you can carry and head to the extraction point before it's too late. Anything obtained will be useful for your next franchise...
• Remember, all's well that ends well...

Highlights

• Resource Management - Manage patients, cash flow, risks, and maintenance. Keep your operations running smoothly without... incidents.
• Building - Rent new spaces and expand your medical facilities, even underground. Use the space for a range of activities, whether legal or illegal.
• Team management - Hire the right team for the job. The team is ranked by skill/cultural fit/vigor, which determine effectiveness, and you get what you pay for in return.
• Research - Develop new drugs and treatments to help serve your community while secretly researching illegal viruses and biological weapons.
• Roguelike gameplay - When everything goes wrong, grab as much money and research results as possible to help start your new and improved franchise in another city.
• Directors - Take control of different Directors to help command your facility. Each comes with their specific characteristics, special abilities, and equipment.