About the Game
Developed by the creators of the groundbreaking Police Simulator: Patrol Officers, Ambulance Life: A Paramedic Simulator is the first simulation game in which you experience every aspect of a paramedic’s life. Your objective? Quickly reach the accident site at the wheel of your ambulance. Your mission? Take care of the injured and apply first aid. Each accident is different. It's up to you to adapt and make the right choices while being fast and efficient.
You have devoted yourself to saving the lives of the people on the West Coast of the United States. The city is comprised of 3 diverse Districts containing a variety of environments, including historic quarters, the business districts and industrial zones. Each neighborhood is different and can be the site of everyday accidents or major events. The citizens of San Pelícano have daily habits and activities, any of which can lead to new types of incidents.
As soon as dispatch calls the alarm, you must race to your ambulance, turn on your siren, and race to the site of the accident as quickly as possible. It will take all your driving skills to navigate the crowded streets and find the best route. Time is of the essence!
Once you reach the site of the accident, you must carefully analyze the situation to precisely determine the right treatment for each patient. Speak with them to learn about the circumstances of the accident and perform various necessary checks using the many instruments you have available and determine your initial diagnosis. Patients may react poorly to your methods if they have allergies, and some pre-existing conditions may complicate the treatment of otherwise simple issues. Most severe cases will then need to be moved into the ambulance and transported to the nearest hospital as quickly as possible. As you build your reputation, you will be assigned to new districts which have thrilling new situations and unlock new tools will be available in your ambulance.
Catastrophic events may occur during your shifts and you must rise to the occasion. During these extraordinary situations, the number of victims increase exponentially. Methodically examine your patients and triage their care according to the severity of their injuries. You will be confronted by moral dilemmas which will directly impact your patients' chances of survival. You will be responsible for difficult decisions—Try as you might, there will be times you can’t save everyone. Can you handle the pressure?
- Explore 3 unique districts and intervene at the scene of the accidents, sometimes major catastrophes, that can occur there
- Drive ambulances with specific driving styles
- Adapt the way you drive in heavy and realistic street traffic
- 36 different complaints, from simple daily cuts to 3rd degree burns caused by an exploding petrol station
- 17 medical instruments at your disposal, including a stethoscope and oxygen mask
- Procedures that are realistic and recorded in a manual
- 2 game modes: Simulation mode for experienced paramedics or classic mode to guide you through your first shifts
Screenshots
11 images
Version Information
Steam Patch Notes
Official update history
On the site: Build 17849280
Up to date
Hello, Medics! Patch 1.4 is now live!
Check out the details below!
{STEAM_CLAN_IMAGE}/44771459/0d5b0b89477ddb419c3de85046b153d1b3316a19.png
⚠️ We Need Your Help!
We are always listening closely to community feedback, but as we make any significant changes, there may be still players who have unique cases that need special care.
If even after installing all patches you are still experiencing crashes, freezes, and black screens, we need your help to find direct solutions for your problems.
Please follow this link to get us your specific details so we can investigate solutions for your case here:
https://my.nacongaming.com/en-US/support/game/ambulance
🛠️ Patch Notes:
🦠 Bugs & Technical Improvements
The Swift Aid Siren’s brightness has been fixed
- Fixed floating blood puddles
- Fixed floating props in callouts
- Fixed camera transition at vehicle start
- Fixed holes in buildings
- Fixed additional bus spawning in car crash callout
- Fixed flickering skid marks
- Fixed broken ventilation material in mall
- Fixed clipping patient in Catastrophic Event 02 (The Burning Mall)
- Fixed Muscle cramping Animation
- Fixed the Partner’s suddenly disappearing hair
- Fixed a bug where District unlocks would appear multiple times in the shift selection screen
- The ambulance will no longer spawn on the roofs of cars when loading the last checkpoint
- The “Panic Attack Training Callout“ will now correctly prompt you to use Lorazepam instead of Ketamine
- You partner will no longer ask you to apply Glucose if the patient is suffering from Cardiac Arrest
- Fixed "soft-blocking" dropdown input when using the back action
- Fixed locked diagnosis entries when loading into an old save game shift
- Fixed a bug where multiple dispatcher voices would be played simultaneously
🧪 Quality of Life Improvements
- Added additional Tooltips to the Scoring screen to provide more context on why a certain score was achieved
- Increased the range of the siren’s effect on traffic to prevent cars from moving into the rescue lane
- Pedestrians will now put in more effort to avoid the ambulance
- You will now receive a prompt to reset your ambulance if it gets stuck on terrain
- Lowered the chance that a callout spawns far away in the distance
- Any patients that are not selected for treatment will now receive a marker indicating that another ambulance will pick them up afterwards
- The “End Shift” prompt will now appear much faster after ending your final callout
- Added jolts: Crashing into obstacles while transporting patients can now cause several different Injuries
- Added additional useful hints to the loading screen
- Made acceleration adaptive trigger much lighter
- Added CPR handling for heart alarm display
- Minor performance improvements
- Updated recommendation for “third degree burns” to “burn dressings”
- Added variable size for the transport event HUD
- Significantly reduced the freakiness of our cables
- Bleeding patients will now have growing blood patches on their clothes
- Significant improvements to cutscene quality and ensured that the cutscene will play at a stable FPS
- Implemented shift result background images
- Fixed the missing District highlighting in the map screen
- Improved our physical blood simulation
- Brightened the dark corner within the “Bleeding” tutorial
- Added near distance fade for gates in the District 2 hospital
- Added a volume slider for the siren
- The partner will only snap at you if you actually hurt the patient while driving
📆 What’s Next?
We are setting our sights on the Bayside Expansion release on April 22nd, so please stay tuned here and our official Discord for all the latest news and updates.
Thank you for sharing your feedback and experiences with us as we continue to address community concerns. Thank you for helping us continue shape Ambulance Life into the best version of itself it can be! ❤️
🌍 Join the Community
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Discord Twitch Website
Hello, Medics! Patch 1.3 is now live!
Check out the details below!
{STEAM_CLAN_IMAGE}/44771459/0d5b0b89477ddb419c3de85046b153d1b3316a19.png
📡 Live Stream Event
Aesir Interactive will be live on Twitch and YouTube to play Ambulance Life while discussing the recent patches, community feedback, and the future of the project!
We will start the stream live in Munich, Germany on Thursday, March 6th from 08:00 PST / 17:00 CET so mark those calendars!
⚠️ We Need Your Help!
We are listening extremely closely to community feedback, but as we make sweeping changes, there may be still players who have unique cases that need special care.
If even after installing the last three technical patches, you are still experiencing crashes, freezes, and black screens, we need specific files from your computer to find direct solutions for your problems.
Please follow the instructions from this link to get us your specific files so we can investigate solutions for your case here:
https://steamcommunity.com/app/1926520/discussions/2/595140258825306737/
🛠️ Patch Notes:
🦠 Bugs & Technical Improvements
- Multiple Crash Fixes.
- Significantly reduced the likelihood of our NPC Cars bouncing around randomly.
- Cars will no longer crash into Callout Scenes.
- Fixed a bug where the driving camera snaps back after a manual reset.
- Fixed several Instances where patient’s arms would clip into their sides.
- Fixed Several Visual Issues with our Callout Assets.
- Fixed Several Visual Issues with our World Assets.
- Fixed Several Issues where patient’s arms would be twisted.
- Fixed a Bug where you could get stuck on the First Shift.
- Fixed several markings on the highway which were pointing in the wrong direction.
- Fixed flickering UI.
- Removed several invisible Barriers.
- Fixed a Bug in the Introductory Shift where the Partner refused to exit the Ambulance.
- Removed Hospital Markers that are in locked districts.
- Reduced the odds of the stretcher getting stuck on the Ambulance Door.
- Fixed the Parking Assist Sounds.
- The patient Protocol Body Temperate will now always correctly be in the unit that the player has selected.
- Deactivated another Cactus collision. (lol)
- Fixed a wrong icon being shown upon unlocking the glucometer.
- Fixed build ID showing twice in the splash screen.
- Fixed a flaw in the parking validation and adjusted the colliders on the ambulances.
- Fixed white placeholder Icons.
- Fixed flickering Skid Marks.
- Fixed Anamnesis Camera Positions in Catastrophic Event 01 (The Freeway Catastrophe).
- Fixed several floating Assets.
- Fixed floating stretcher in Cutscenes.
- Fixed the Lighting in the Customization Scene.
- Fixed further Glass Visuals in Catastrophic Event 02 (The Burning Mall).
- Fixed Railings Visuals in Catastrophic Event 02 (The Burning Mall).
- Improved performance on Lower Graphics Settings.
- Added an automatic HDD/SSD detection.
- More PSO Caching: Reduced the amount of lag spikes, especially on High and Ultra Settings. This will cause the initial loading screen after downloading the patch for the first time to be a bit longer.
- Significantly Improved overall Visuals through due to the activation of Ambient Occlusion and Global Illumination (Also for Consoles):
{STEAM_CLAN_IMAGE}/44771459/0dfc7cf49794de7ceb23037a9c7e2c66663a6dce.pngBEFORE UPDATE (High Graphics settings)
{STEAM_CLAN_IMAGE}/44771459/96f0e907b436eab0d573c6406c2ea3904c3cc437.pngAFTER UPDATE (High Graphics settings)
- Enabled traffic density setting on consoles.
- Enabled video settings tab on consoles to be able to tune the following Settings:
- Brightness/Gamma
- HDR settings
- UI scaling
- Color Blind settings
- Toggle Motion Blur
- Toggle Bloom
- Toggle Lens Flare
- Toggle Depth of Field
- Brightness/Gamma
- Updated Lighting to not have overly blueish tone in shadowed areas.
- Improved Main Menu Layout and UI.
- Selected Tools will no longer remain in your hand and clip through the screen when opening the patient Protocol.
- Disabled NVidia Frame Generation by default to prevent UI artifacts and screen tearing. These can be re-enabled for a performance Boost!
- Enabled text wrapping in several handbook elements.
🧪 Quality of Life Improvements
- Removed duplicate Evidence from the Handbook
- Added some additional Feedback for when Patients went into Ventricular Fibrillation:
{STEAM_CLAN_IMAGE}/44771459/8e2451e19f5934407da009a87474ba9d68a5ab7f.png - Simulation Mode will now additionally deactivate the following guidance Features:
- The patient Protocol will no longer directly tell you which clues point to which Diagnosis Options by providing red/green ratings.
- The Recommended Treatment steps after selecting a Diagnosis will no longer be shown in the Treatment HUD.
- Players will no longer be able to load the Last Checkpoint after going Game Over.
- The patient Protocol will no longer directly tell you which clues point to which Diagnosis Options by providing red/green ratings.
- Balanced the Callout Director to more evenly distribute our different callouts.
- Reduced maximum waiting time for next callout from 50s to 30s.
- Switching patient from a police officer to a homeless person in training callout 03.
- Added an automatic Discovery for very close patients.
- Catastrophic Events will now Trigger even when approached from the wrong side.
- Increased the Odds of Preexisting Conditions to appear on patients.
- Increased the maximum Output of the Thermostat to 98°F/37°C.
- Patients will now change their skin color a bit more slowly when their body temperature changes.
- Slightly reduced patient’s base blood sugar consumption.
- Added an Option to Invert X and Invert Y Axis.
- Added Advanced Tooltips to our Tools which briefly summarize their effect:
{STEAM_CLAN_IMAGE}/44771459/de23515575e62fcf3c20bfd1cf86128f0cca6ac9.png - Added a Reset to Default Button to our menus.
- Added additional Player Guidance Recommendations to the Callout Overview UI.
- We will now Highlight Life Saving measures if appropriate Evidence has been discovered.
🚧 Known Issues
- Scoring Screen may not be initialized properly after a Tutorial Mission.
- Switching between different menus in the Customization Settings may temporarily remove hair from characters.
📆 What’s Next?
We are evaluating our next steps as we gear up another major patch this month and the Bayside Expansion release next month, so please stay tuned here and our official Discord for all the latest news and updates.
Thank you for sharing your feedback and experiences with us as we continue to pushing for these sweeping updates to address your concerns. Thank you for helping us continue shape Ambulance Life into the best version of itself it can be! ❤️
🌍 Join the Community
Facebook Instagram TikTok Twitter
Discord Twitch Website
Hello, Medics! As promised, Hotfix 1.2.2 is now live!
Check out the details below!
{STEAM_CLAN_IMAGE}/44771459/0d5b0b89477ddb419c3de85046b153d1b3316a19.png
📡 Live Stream Event
Aesir Interactive will be live on Twitch and YouTube to play Ambulance Life while discussing the recent patches, community feedback, and the future of the project!
We will start the stream live in Munich, Germany on Tuesday, February 25th from 09:00 PST / 18:00 CET so mark those calendars!
⚠️ We Need Your Help!
We are listening extremely closely to community feedback, but as we make sweeping changes, there may be still players who have unique cases that need special care.
If even after installing the last three technical patches, you are still experiencing crashes, freezes, and black screens, we need specific files from your computer to find direct solutions for your problems.
Please follow the instructions from this link to get us your specific files so we can investigate solutions for your case here:
https://steamcommunity.com/app/1926520/discussions/2/595140258825306737/
🛠️ Patch Notes:
🦠 Bugs & Technical Improvements
- Improved PSO Precaching: We fixed an issue where players would experience severe Lag when starting the game for the First time. After downloading the patch, the first loading screen is expected to be prolonged for that one initial time.
- Multiple Crash Fixes.
- Added a failsafe for save game corruption that can occur if the game crashes while autosaving.
- Fixed a Bug where the post-callout summary screen would have “UNSELECTED” as the recommended Diagnosis Option.
- Fixed a bug that prevented players from entering the ambulance side door during the Treatment Phase.
- Fixed faulty Settings for Foliage and View Distance.
- Removed some invisible collisions.
- Fixed some NPCs getting stuck on callout props.
- Fixed Glass Visuals in Catastrophic Event 02 (The Burning Mall).
- Fixed Fire Visuals in Catastrophic Event 02 (The Burning Mall).
- Consoles Only: Fixed a bug that caused the wheels of NPVs to stop turning.
🧪 Quality of Life Improvements
- We improved the Patient Protocol to show which Diagnoses are not unlocked yet. You will unlock more of these diagnoses by naturally progressing through the game and leveling up.
{STEAM_CLAN_IMAGE}/44771459/c5224f0d9b9ad85efdf445e5aedbb891fb70393f.png - Callout Director: We significantly reduced the likelihood of the same callout triggering multiple times in a row and also increased the chances of callouts spawning in your shift’s starting district. (It is still possible for Callouts to spawn in neighboring Districts). Additionally, if a new Callout type has been unlocked, then this Callout type is always guaranteed to spawn in the next shift.
- Increased the speed of new Unlocks during earlier Levels.
- The Game will now be paused when you open the Handbook.
- Changed the Layout of the Waterfront HQ base to make it less likely to be boxed in by traffic when a new shift starts.
- Reduced the number of Delivery Trucks in the City.
- Added a “Reset to Default” Button to the Settings menu.
- Added an info Box to Game Over Screens informing players that they can change the Game Over settings.
- Made the Partner less chatty during Treatment.
- Difficulty for Catastrophic events has been adjusted for slightly easier S-Scores.
📆 What’s Next?
We look forward to delivering the next phase of major updates in the coming weeks, so please stay tuned here and our official Discord for all the latest news and updates.
Thank you for sharing your feedback and experiences with us as we continue to pushing for these sweeping updates to address your concerns. Thank you for helping us continue shape Ambulance Life into the best version of itself it can be! ❤️
🌍 Join the Community
Facebook Instagram TikTok Twitter
Discord Twitch Website
{STEAM_CLAN_IMAGE}/44771459/0d5b0b89477ddb419c3de85046b153d1b3316a19.png
Helloooooooo Medics!
A quick hotfix is live!🚑
We've fixed some crashes, visual bugs, and a gameplay blocker to improve your experience. Check out the details below:
The devs is actively working on various improvements, with our main focus on performance enhancements and bug fixes.
Here is a look at what’s coming in the coming weeks:
Facebook Instagram TikTok Twitter
Discord Twitch Website
View on Steam
Helloooooooo Medics!
A quick hotfix is live!🚑
We've fixed some crashes, visual bugs, and a gameplay blocker to improve your experience. Check out the details below:
- Fixed a crash that occasionally occurred in the main menu on all platforms if the player presses "CONTINUE" too quickly.
- Fixed a visual issue where the wheels of our ambulance would stop turning.
- Fixed a gameplay blocker during the first shift where players could get stuck in the ambulance.
What’s next ?
The devs is actively working on various improvements, with our main focus on performance enhancements and bug fixes.
Here is a look at what’s coming in the coming weeks:
- Today, we released our first hotfix addressing key issues
- Next week, we will be releasing another hotfix fixing even more issues. (We’ll share more details in due time)
- The week of February 24th , probably mid-week, we plan to release our first more important patch to improve optimization and our Callout Director, fixing the issues around the Callout distribution during Shifts and preventing having the two same Callouts in the same Shift.
- Starting in March, we’ll probably deploy a new hotfix quickly after the release of February’s patch and will focus on a new major update planned for the middle of the month, fixing more bugs and addressing some of the feedback of the community.
🌍 Join the Community
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Discord Twitch Website
{STEAM_CLAN_IMAGE}/44771459/45af8a219eb0fc0f55cd8069bc501c82ef162159.png
Hello Paramedics,
We're pushing a new hotfix to resolve more issues in the demo we launched yesterday. Thank you for your patience and support!
---
Thank you all for your feedback and bugs report, it help us a lot to improve the demo. Please reach us on our Discord or the Steam forums.
https://store.steampowered.com/app/1926520/Ambulance_Life_A_Paramedic_Simulator/
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Discord Twitch Website
View on Steam
Hello Paramedics,
We're pushing a new hotfix to resolve more issues in the demo we launched yesterday. Thank you for your patience and support!
---
Hotfix 2024-12-20
Bug fixes:
- Resolved blood flow efficiency on patients not initializing correctly.
- Fixed the issue of no patients being present during certain callouts.
Gameplay Adjustments:
- Reduced overall traffic density across all settings.
- Default pedestrian and traffic density changed to Medium.
Graphics & Performance Improvements:
- Default game user graphics settings are now set to Medium.
- Updated graphics presets to enhance performance.
- Hardware ray tracing is no longer active by default.
- Adjusted resolution scale options to 66, 71, 87, and 100.
- Added a system requirements popup for user convenience.
Other Improvements:
- Enhanced Nav Mesh performance for smoother gameplay.
- Fixed errors and reduced the long wait time at the end of the introductory shift.
Thank you all for your feedback and bugs report, it help us a lot to improve the demo. Please reach us on our Discord or the Steam forums.
https://store.steampowered.com/app/1926520/Ambulance_Life_A_Paramedic_Simulator/
🌍 Join the Community
Facebook Instagram TikTok Twitter
Discord Twitch Website
Current Release
17849280
Uploaded Dec 30, 2025
System Requirements
OS
Windows 10
CPU
Intel Core i7-8700K or AMD Ryzen 7 1800X
RAM
16 GB RAM
GPU
NVIDIA GeForce GTX 980, 4 GB or AMD Radeon RX 590, 8 GB or Intel Arc A380, 6 GB
How to Install
1
Download all files
2
Extract the .RAR file to a folder (use WinRAR or 7-Zip)
3
Mount the ISO file (double-click or right-click → Mount)
4
Run setup.exe
5
Launch the game from desktop shortcut or Start Menu
Troubleshooting tips
• Run Redist/_CommonRedist installers if game won't start
• Add folder to Windows Defender exclusions
• Run as administrator
Download
Direct link available
Size
54.1 GB
Build
17849280
Password: cracked-games.org or 123
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View AllDownload Ambulance Life: A Paramedic Simulator for PC with a direct link or via torrent. Get the full version of Ambulance Life: A Paramedic Simulator for free. Ambulance Life: A Paramedic Simulator is a Simulation released by Aesir Interactive.