Care. Investigate. Survive.

Play as a night nurse in a secluded asylum. Every night is a choice: find your missing brother, secretly gather evidence of forbidden experiments or keep your patients alive before they come back to haunt Sefton’s wards.

When night falls, the day staff leave. You are alone with the patients.

But you did not come to Sefton just to work. You took the night shift to get inside. Your brother vanished there and every shift is a chance to look for him.

Yet every minute spent investigating is a minute stolen from your patients.

And at Sefton, patients you fail to save do not always stay dead. Every loss haunts the hospital and makes it even more dangerous.

You have the fate of many lives in your hands. The only question is: who will you save?!

Your patients? Your brother? Or shut the asylum down and put an end to its horrors?

Every night brings a new wave of emergencies.

Examine your patients, assess their condition and choose the right treatment to stabilize them before they deteriorate.

Every treatment takes time. One mistake, One hesitation or the wrong treatment can make a crisis worse.

With time running out and supplies running low, you must decide who to treat. Keep in mind one thing:

You will not be able to save everyone.

Use your shifts to explore the forbidden west wing and uncover what happened to your brother.

Piece together the truth through the evidence you find. But the deeper you dig, the more dangerous Sefton becomes. You must choose what to carry out and what to leave behind.

All night long, presences stalk the forbidden corridors. They react to unusual sounds, spot careless movement and hunt anything they spot.

You have no weapon. Hide, keep out of sight or try to shake your pursuers.

But running makes noise, patients in crisis draw attention and every detour costs you precious time before dawn.

Key Features

• Impossible choices: Every shift is a trade-off between care, investigation and survival.
• Distinct blend: A blend of job sim, exploration and first-person horror set inside a secluded asylum.
• Medical pressure: Stabilize patients under time pressure with limited resources and no way to save everyone.
• Dark mystery: Investigate your brother's disappearance and uncover the horrors hidden within Sefton.
• Psychological horror: Face a growing sense of dread shaped by supernatural threats and deeper unknown forces.

Sefton Asylum is coming to PC (Steam) in Summer 2026 at $11.99.