Recent reviews by Jizzman, Conqueror of Estanu

Stayed up to 5am playing 2player. Had fun.

Looks pretty but the arcade nature is just too much and I hate it.

Okay I played Operations. I like the game now.

Get drunk with your friends IRL and then shoot burglars in the face, run them over with your car, or suffocate from smoke inhalation, together!

Pros:
Good aesthetics
Runs well
Pre-made buildings with built-in logic

Cons:
Extremely time consuming
Villagers cannot perform back-up tasks (if there's no wood to chop, I assist with building now)
Completely useless things, for example the Raven altar is only 10 seconds of flight AND you have to land your birdform otherwise you take fall damage. Completely useless
You have to dedicate hours to get things up and running
Takes forever to get housing going because of material costs
Your chef routinely burns food

Is it worth it? To me? Not anymore. Wish I never bought it.

Love this game man. It just hits right.

The game is virtually abandonware at this point. I liked the game. But it's lacking very basic realistic things for the hospital setting.

1) Majority of hospital campuses are not single floor buildings everywhere. Main building is usually 3-9 floors tall, and their campus buildings are 1-4 floors. The quantity of buildings is accurate, but the overall scope, not so much.

2) The ability to send customers home en masse or prevent new patients (unless certain criticality in illness as filter) is realllllly necessary. Once your hospital gets a certain reputation level the hospital just gets overwhelmed with patients and you have to do Patient-Culling as described by other guides. This will have to be performed regularly as either your Diagnostic wing or your General Practitioner wing is not yet large enough to accommodate the size of the incoming patient pool.
This is a reflection of real life when Private Practices are so busy and see so many patients, they no longer accept new patients and they'll advise you to go somewhere else instead.

These two things seem like very reasonable and easy Enhancements.

3) Where this becomes a thumbs down is THE BUG. There is a bug in the game that appears to happen once you have done a hospital for several years that will completely paralyze your run. Eventually the NPC's abruptly can no longer find pathing to anything and they all just freeze up. This inevitably spreads to more & more NPC's until your hospital is completely frozen and you cannot bail yourself out of it. Doesn't matter how many hospital sections you buy, how many rooms you sell, or anything.
This bug was detected by players more than a year ago and it still has not been addressed. I completed every hospital to 3 stars (only 1 DLC (Big Foot)) except for one hospital where the bug crippled my hospital before I could get to year 7.

3/10
Was fun while it lasted. Became more of a chore than fun in the late game of most hospitals.

There's a gratuitous amount of players that drop into missions with the sole purpose of teamkilling and sabotaging missions, in a PvE game. I'm simply tired of having my hands tied while players do things without retaliation.
Teamkilling degenerates should be beheaded and it should be encouraged.
Inshallah.

Normies: "How pro 2nd Amendment are you exactly?"
Palworld: Hold my beer
*hands out AK's & Belt-fed fifty cal's to a bunch of Pengus & Kitties*

It honestly just sucks. The game looks like ass even on the highest settings. The economy system changes makes for a high skill/knowledge required start when playing on vanilla map/settings. In order for it to be good, yet again, you have to get nothing but mods, which is essentially an entirely different game and experience as it's overwhelmingly different.

All of the community plays on modded maps with modded settings, including their most prominent social media influencers. This should tell you everything that you need to know about the game.

Of all games that I've hate-played I actually regret this purchase the most.

One of the best game experiences ever.