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I feel like this is trying to go for something like Papers Please but I don't have any information to make anything more than a lucky guess about whether or not holding or discharging is best for a given patient (or even if its a trick question and BOTH options could be bad). Since every character looks so strange and alien, it's hard to judge if their mannerisms are supposed to serve as the tell to clue players in or if there's something I'm missing.

If you want to expand, definitely lean into the bureaucratic design mindset of Papers Please. Let players search through a record database of patients, ask them questions about themselves and cross reference the info so the player can make more informed decisions about their requests while also taking into account the hospital funding and the patient's objective wellbeing (so in some cases, giving them what they claim to want might actually make things worse like feeding an addiction etc).