The world

Enamel Town

A flat, friendly, paper-cut city of cream and ink. It starts as one small clinic and ends as a town that knows your name.

The City Health Map

Eight places, joined by dotted paths along a pale river. They open in order as the player levels up, and each one changes how a shift feels — not by raising a difficulty number, but by changing the rule of the room.

Four rules are in play: crowding, fast spread, critical patients and rescue waves.

The eight places

Little Clinic

Where you started.

School District

Sniffles spread fast.

Sunny Park

Picnic outbreak.

Town Market

Crowds mean germs.

Central Hospital

Big cases arrive.

City Health Network

Guardian of the whole town.

The Lido

One pool, everyone in it.

The Night Bus

Nobody can move a seat.

A sheet of arena floors for the first four places, each with its own tile pattern, furniture silhouettes and ground colour. — **Zone floors, first four**Each place has its own floor, so a glance tells you where you are.

A sheet of arena floors for the last four places, including the pool deck of The Lido and the lit indigo interior of The Night Bus. — **Zone floors, last four**The Night Bus keeps its floor lit, so every ink outline still reads.

The clinic hub, listing upgradeable parts of the clinic with the next stage and its coin cost.

The clinic you build

Coins earned on shift go back into the clinic. Eight parts can be raised stage by stage, and the upgrades are not only decoration — a bigger waiting room is literally another chair, which is literally more time.

What can be upgraded
Reception	The front of house
Waiting room	One more chair per stage
Equipment	The working kit
Cure storage	What the tray can hold
Diagnosis board	Reading the room
Trophies	Somewhere to put the badges
Room style	How the clinic looks
Mascot	Sprout's corner

Sprout

A seedling in a glass jar with a face, a clipboard and opinions. Sprout turns up on the home screen, in the Shift Report, at level up, in the clinic, and on the postcards — and never during play, so nothing ever gets in the way of the room.

Growth is cumulative. Each stage adds something and keeps everything already earned. Sprout never loses a possession.

Five stages
1 · Sprout	Level 1 — jar, two leaves
2 · Sapling	Level 3 — third leaf, clipboard, satchel
3 · Bloom	Level 5 — marigold flower, headlamp
4 · Scholar	Level 8 — lab coat, spectacles
5 · Legend	Level 12 — marigold cape, enamel pin

Six expressions carry the mood: happy, worried, excited, thinking, celebrating, encouraging.

Sprout's growth sheet, stages one to three, each shown with all six expressions. — **Stages 1 to 3**Jar and leaves, then clipboard and satchel, then flower and headlamp.

Sprout's growth sheet, stages four and five: the scholar with a lab coat and spectacles, and the legend with a marigold cape and an enamel shield pin. — **Stages 4 and 5**The scholar's coat, then the legend's cape and pin.

The Doctor's Guide

One book that fills in as you play. Nothing in it is bought; everything in it is met.

Illnesses

Twelve cards. Each carries its signs and a mastery meter that fills as you treat it.

Cures

What each one is for, and which of the four kinds it belongs to.

Citizens

Rare variants of the townsfolk, found on shift.

Badges

Achievements, earned rather than granted.

Themes

Four looks for the town: default, night, meadow and candy.

Events

Seasonal skins, such as Winter Clinic Week. Presentation only — they never change a rule.

The Doctor's Guide, Illnesses tab. Discovered illnesses show a card with symptoms and a mastery meter; undiscovered ones stay blank. — **Illnesses**Mastery is tracked per illness.

The Doctor's Guide, Cures tab, showing cure cards drawn as flat ink-outlined icons with a short description of what each is for. — **Cures**Twelve icons, four kinds.

The Doctor's Guide, Citizens tab, showing collectable rare townsfolk, most of them still locked. — **Citizens**Rare townsfolk, collected by meeting them.

The Doctor's Guide, Badges tab, showing achievement badges above a seasonal event banner. — **Badges**Achievements, plus the current seasonal banner.

The cosmetics screen, offering unlocked looks for the clinic and the town. — **Cosmetics**Unlocked with play, never with money.

The Doctor's Guide in the night theme, with the same layout on a dark ground. — **Night**One of four themes for the whole town.

There is no leaderboard, no friends list, no chat and no online play. Shift codes are the only thing players pass between each other, and they are just nine characters typed by hand.