So I spent most of last night on it it's bloody brilliant. Very impressed with it so far, it's basically theme hospital but with the quality-of-life stuff you expect in a modern game (the ability to drag and move a room for instance is a huge plus), and the graphics are wonderful - fantastic animations including wafting a fart. Only negative is that the diseases seem a little less imaginative than in the past, and many seem to just involve going to the pharmacy or the ward where you don't get much visual difference between conditions, but that may just be the early game. Obviously you've got the light-headedness, Pan-demics and the Freddie Mercury wannabes who stand out but some conditions are described wonderfully but don't present much in-game. Perhaps due to time and budget constraints, or perhaps as I said just early game stuff. All in all I fucking love it.