Never leaving the hospital, and having only two storeys to navigate, and only treating patients on the ground floor can give you a feeling of cabin fever. When all you have to do is treat patients with the progress dial and occasionally talk to a fellow staff member, it just feels a little too much like work. Unlike The Sims, there are no objects to buy or structures to build to your liking. There's no additional set of clothes, no social gatherings, and no salary to spend anything on. Within these limitations, ER does well enough. But then again, the focus of the game becomes too narrow for anyone who doesn't love the show.