Ambulance Life: A Paramedic Simulator news & patch notes

Hello, Medics! Patch 1.4 is now live!

Check out the details below!

⚠️ We Need Your Help!

🛠️ Patch Notes:

🦠 Bugs & Technical Improvements

• 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?

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Hello, Medics! Patch 1.3 is now live!

Check out the details below!

📡 Live Stream Event

⚠️ We Need Your Help!

🛠️ 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.png

  BEFORE UPDATE (High Graphics settings)

  {STEAM_CLAN_IMAGE}/44771459/96f0e907b436eab0d573c6406c2ea3904c3cc437.png

  AFTER 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
• 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.
• 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?

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• 🆕Exclusive announcements
• 🎮New gameplay footage
• 🛠️Developer insights and behind-the-scenes content
• 🚑💨 We've got some new stuff to show for Ambulance Life!

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Hello, Medics! As promised, Hotfix 1.2.2 is now live!

Check out the details below!

📡 Live Stream Event

⚠️ We Need Your Help!

🛠️ 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?

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• 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 ?

TL;DR

• Performance & Stability - Updated XeSS & DLSS settings, enabled ray tracing with Lumen, and optimized game performance.
• Gameplay Adjustments - Added and updated gunshot callouts, deactivated cactus collision, and adjusted pedestrian/traffic density across all quality settings.
• Medical System Tweaks - Replaced Epinephrine with Saline in shock treatment, added penalties for untreated patients, and improved diagnosis progression.
• New Features - Introduced an auto-benchmark button to adjust the graphics settings to your PC performance and a Triage Tag Guidance Widget.
• UI & Accessibility - Improved handbook readability, UI scaling, and sound feedback when interacting with menus.
• AI & Dialogue - Reduced repetitive partner dialogue, improved patient conversations, and fixed lip sync issues.
• Visual Enhancements - Lighting improvements, optimized smoke effects, prettier fountain water, and fixed floating objects.
• Bug Fixes - Fixed disappearing bite marks, misplaced NPCs, incorrect animations, and patient repositioning issues.
• Collision & Environment Fixes - Adjusted collisions for trees, traffic lights, wooden planks, and vehicles to prevent glitches.
• Crash Fixes - Addressed crashes related to callouts, menu interactions, and world assets to improve game stability.

🛠️Patch Notes

Gameplay Improvements:

• Added additional gunshot callout in D2
• Added new gunshot callout in D3
• Updated gunshot callout D2
• Deactivated cactus collision
• Decreased pedestrian density for all quality settings: Low 0.5->0.2, Medium 0.75->0.45, High 1.0->0.7, Ultra 1.3->1.0
• Decreased traffic density for all quality settings: Low 0.5->0.25, Medium 0.75->0.5, High 1.0->0.75, Ultra 1.3->1.0
• Prevented the bitemarks from magically disappearing when the snake venom is treated.
• Replaced Epi with Saline in the Shock treatment
• The Patient protocol doesn't spoil the callout type any more
• Added an auto benchmark button to adjust the graphics settings your PC performance
• Reduced the rate at which your partner tells you to hurry up
• Opened up the level in tutorial area
• Added Triage Tag Guidance Widget
• Filtering out duplicate evidences in handbook pages
• Removed collision from wooden planks used on path ways on the beach to fix collision issues with the stretcher on it
• Diagnosis entries now match player progress
• Added Penalties if the patient is admitted untreated
• Added rewards and penalty for life saving measures

Miscellaneous Enhancements:

• Disabled saving (except autosaves) during introductory callout
• Enabled text wrapping on handbook elements
• Made fog invisible if map is open
• Added missing video settings
• Tweaks for UI scaling
• Added ViewDistance, PostProcess and Texture Quality settings to settings menu.
• Fixing the partner not having lip sync in some instances
• Improved patient dialogues in some callouts
• UI sound improvements
• integrated Softer UI SFX for hovering over/confirming buttons
• Added various sfx
• Blocking triage package from being opened during transitions
• Deleting duplicated foliage in D1
• Made Dispatch Calls also react to game paused

Visual Improvements:

• Lighting improvements on callout props
• Fixed floating witness hair
• Fixed beach fence
• Small smoke optimizations
• Made Fountain water prettier and more performant

Performance Improvements, Bug Fixes & Crash fixes:

• Updated XeSS and updated DLSS Quality Settings
• Removed faulty refraction from the glass material
• Reduced some instances of screen flickering issues
• Added translation of displayed DLC titles
• Made ray tracing setting available when Lumen is used
• Fix crash when ending callout
• Fixed a bug where patients visibly repositioned themselves on game reload
• Fixed a bug where Player movement is possible before the loading screens have completely finished.
• Fixed graphical issues at lucky loops
• Prevented cars from jumping around at the lucky loop junction
• Fixed a bug where you would automatically Triage patients by talking to them
• Fixed blurry textures in minimap
• Fixed shadows near Introductory Callout location
• Fixed a bug where no patient is present at some callouts
• Fixed Vehicle sounds not playing properly
• Fixed misaligned Paramedic NPCs faces in hospital transfer cutscenes
• Fixing car glass collision to not interfere with patient
• Fixed rotated people on field stretcher
• Fixed Voice Over being cancelled by Maxi Map
• Fixed neutral Stethoscope animation
• Fixing building collision in D3 next to callout
• Fixed Issue where the Callout would not progress after selection of panic diagnose in the training callout 01
• Fixing glitched road decal in D1
• Fixing traffic light collision in tutorial area
• Fixing witness dialogues in Beach Party callout
• Fixed floating assets in multiple callouts
• Fixing corpses in Catastrophic event 2 clipping with the ground
• Fixed clipping landscape in D1
• Fixing tree collisions
• Fixed Title crashes upon resetting player as soon as the shift starts
• Fixed title freezing/locking itself when cancelling NewGame and pressing Continue afterwards in the main menu
• Fixed vehicle flickering
• Fixed Count Up Sound never Stopping
• Fixed german "einweisen" to "einladen" (into ambulance)
• Fixed german for "einweisen" (into ambulance) to "einladen"
• Fixing stretched buildings in D1
• Fixing collision and size of streetsigns

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📝 Submitting Feedback

🛠️ Patch Highlights

• Performance Improvements.
• Multiple collisions, visuals and localization bug fixes.
• Change of the Guidance Widget about the Triage Tags.
• Addition of a score for the application, or not, of life saving measures.
• Patient Protocol now shows only tool, diagnoses, and procedures unlocked by the player.
• Addition of multiple ambient sounds of the city and modification of the UI's sounds.

📁 Purging Existing Configuration File

💾 Installation Location

• Make sure you have a different Steam Library path created to move to (see the instructions in how to add a Steam Library folder above)
• Navigate to your Steam client 'Settings' menu.
• Open the 'Storage' tab.
• Select the drive where the games you wish to move are located.
• Select the games you wish to move, and click 'Move'

🖥️ Enable TSR (Temporal Super Resolution)

🚨MEDICS! THIS IS NOT A DRILL!🚨 Ambulance Life: A Paramedic Simulator is available NOW! Start your shift, answer the call, and save some lives!

📺 Release Trailer

💰 How to Purchase

You can purchase directly through Steam here: https://store.steampowered.com/app/1926520/Ambulance_Life_A_Paramedic_Simulator/ Or all available platforms here! 🔗Purchase Ambulance Life: A Paramedic Simulator

⚖️ Supporter & Deluxe Edition

Here are some clarifications about the Supporter & Deluxe Edition to help clear up any confusion! ❓ What is the difference between the Supporter Edition and the Deluxe Edition? 🅰️ Only the name! The Supporter Edition is available on Steam and the Deluxe Edition is available on consoles! ❓ When will the Supporter/Deluxe Edition content become available? 🅰️ While some items will be available shortly after release, others (Bay Side Expansion, notably) will be available starting on April 22, 2025! ❓ Will players be able to purchase the Supporter/Deluxe Edition after release? 🅰️ Players can either buy the Supporter/Deluxe Edition up to and after release or purchase each individual item to create their own experiences!

🛠️ Community Support

To streamline feature requests, technical issues, and bug reports, we've put together a dedicated support portal for the community to track their submissions! Anyone can submit by registering a MyNacon account, which will allow tracking of issues and topics yourself and others have submitted. 🔗Ambulance Life Support Portal

❤️ Thank You

At Aesir Interactive, we want to take this moment to say thank you from the very bottom of our hearts. Ambulance Life: A Paramedic Simulator was only a dream and with your patience, excitement, and trust, this passionate and dedicated community has brought that dream to life. From humble beginnings, our studio has been carving a path through the tumult of the video games industry, constantly evolving and learning. 2025 is going to be an incredible year for Aesir Interactive and we're just getting started. From the entire Aesir team, the most profound thank you. ❤️ Now, we'll see you on the streets of San PelÍcano, Medics! 🚑💨💨💨 https://store.steampowered.com/app/1926520/Ambulance_Life_A_Paramedic_Simulator/ Ambulance Life: A Paramedic Simulator is now available on PC, Xbox Series, and PlayStation 5.

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📅 Release Times

• Consoles will be releasing first at February 6 01:00 PST / 10:00 CET
• PC will release shortly after at February 6 09:00 PST / 18:00 CET

📺 Livestreams

⌛ Pre-Orders

♥️ Thank You

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👋 Greetings, Medics!

🤏Minimum Specifications

• OPERATING SYSTEM: Windows 10
• PROCESSOR: Intel Core i7-8700K or AMD Ryzen 7 1800X
• MEMORY: 16 GB RAM
• GRAPHICS: NVIDIA GeForce GTX 980, 4 GB or AMD Radeon RX 590, 8 GB or Intel Arc A380, 6 GB
• DETAILS: 1080p Low @ 30 FPS w/ TSR @ 66% Resolution Scaling
• SSD Required

👌 Recommended Specifications

• OPERATING SYSTEM: Windows 10
• PROCESSOR: Intel Core i7-12700K or AMD Ryzen 7 5800X
• MEMORY: 16 GB RAM
• GRAPHICS: NVIDIA GeForce RTX 2070 Ti SUPER, 8 GB or AMD Radeon RX 5700 XT, 8 GB or Intel Arc A770, 16 GB
• DETAILS: 1080p High @ 30 FPS w/ TSR @ 71% Resolution Scaling
• SSD Required

💪 Optimum Specifications

• OPERATING SYSTEM: Windows 10
• PROCESSOR: Intel Core i9-14900K or AMD Ryzen 9 7950X
• MEMORY: 32 GB RAM
• GRAPHICS: NVIDIA GeForce RTX 4080, 16 GB or AMD Radeon RX 7900XT, 24 GB
• DETAILS: 2160p Ultra @ 60 FPS Without TSR
• SSD Required

🏆 Win a Custom Gaming PC!

• Nvidia GeForce RTX 4080
• AMD Ryzen 7 7700X
• 32GB DDR5 RAM
• 1TB M.2 SSD
• Windows 11
• Custom case with tempered glass and liquid cooling

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Greetings, Paramedics!

🤝 Supporter Edition

🌉 Bay Side Expansion

🚒 Fire Department Cosmetic Pack

📢 15 Additional Sirens

📓 Paramedic Handbook

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• You responded to 144,665 Callouts (we won't comment on how many were successful...)
• A total of 82,666 Shifts were launched
• Only 3% of players embraced the full challenge of being a paramedic by playing in Simulation Mode!

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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.

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MEDICS! The day has come!

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Story #10: A new paramedic’s first call-out

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories
• It isn’t always enough | San PelÍcano Stories
• Put your heart into what you’re doing | San PelÍcano Stories
• After a while, you stop paying attention | San PelÍcano Stories
• Life has a funny way of making choices for you | San PelÍcano Stories
• Some of us are gambling with life and death | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #9: Student who suffered an alcohol-induced coma

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories
• It isn’t always enough | San PelÍcano Stories
• Put your heart into what you’re doing | San PelÍcano Stories
• After a while, you stop paying attention | San PelÍcano Stories
• Life has a funny way of making choices for you | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #8: Homeless man who suffered hypothermia

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories
• It isn’t always enough | San PelÍcano Stories
• Put your heart into what you’re doing | San PelÍcano Stories
• After a while, you stop paying attention | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #7: Worker who suffered a fall

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories
• It isn’t always enough | San PelÍcano Stories
• Put your heart into what you’re doing | San PelÍcano Stories

— The Aesir Interactive Team 🚑

Wishlist Ambulance Life now:

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Story #6: Athlete who suffered a heart attack

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories
• It isn’t always enough | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #5: Fireman who took part in fighting a major blaze

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories
• It was no longer a game | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #4: Policeman injured during a robbery

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories
• At that point I did start running | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #3: Elderly lady who witnessed a road accident

• San PelÍcano Stories
• Don’t talk to me about karma or destiny | San PelÍcano Stories

— The Aesir Interactive Team 🚑

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Story #2: Paramedic who responded to an explosion at a petrol station

— The Aesir Interactive Team

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