
A dystopian simulator where your choices shape a decaying city. Join other players to protect the metropolis from ruin, hasten its downfall, or simply work in the factories. With no set goals or rules, every action has consequences in a world teetering on the brink.
Modeled estimate, not a reported figure. How we estimate →
Prices
Each in the currency that store quoted — not converted: the gap between two rows is the publisher's pricing, not an exchange rate.
Every market we collect.
Discounts
Every price cut of more than 20% we have observed, in each market that quoted one, with this game's chart position on either side of it. These are episodes, not a model: a sale is one event, and one event cannot tell you what the next one will do.
Reviews, worldwide (the counter carries no country): 2.89/day in the week to Aug 4 → 4.57/day in the week after.
For scale, across Steam · Top Sellers · Brazil over the last 30 days: the 26 chart moves that followed a price cut of more than 20% went a median of 7 places towards #1, and the 2,402 moves with no price cut behind them went 2 away. One store, one chart, one country — it is the only place we have enough observations to say even that.
Prices outside the United States have been collected since 6 August 2026 and chart positions since 19 July 2026, so a cut older than that has no market to compare and a market that joined later has no history yet. Nothing here is converted between currencies.
About
Enter ANEURISM IV, a sprawling metropolis where the proletariat works without question and the air is thick with decay. As a Spirit—a spectral entity on the verge of becoming flesh and bone—you stand at a crossroads. The city is yours to influence, disrupt, or simply observe. With no set goals or rules, how you engage with this world is entirely up to you.
From the hardworking Prole to the affluent Banker, each fate offers unique abilities, challenges, and ways to interact with the city and its inhabitants. Your choice defines your journey:
Align with the Cortex to stabilize and protect the city.
Join the Scumbags or Zealots to spread the Rot and sow chaos.
Remain Neutral and immerse yourself in daily life, working in factories or exploring the city.
An ever-present threat, the Rot visibly alters the city as it spreads. Roles like Liquidators and Scumbags are pivotal in either containing or exploiting this menace. If left unchecked, the Rot will consume everything, leading to the city's demise.
ANEURISM IV is a sandbox simulator first and foremost. The city reacts dynamically to player actions:
Take Down the City: Collaborate with others to bring about the city's downfall and witness its reset.
Protect the City: Work to maintain order and keep the Rot at bay.
Live Your Life: Engage in everyday activities or carve out a unique path—it's your choice.
Survival depends on your willingness to work. Earn credits by taking on various jobs—labour in factories, manage resources as a Prole, or manipulate finances as a Banker. These credits are your lifeline, allowing you to purchase necessities from shops, trade for valuable goods, or invest in property.
In ANEURISM IV, there are no rules dictating your actions. Every decision you make impacts the city and its inhabitants. Will you bring stability or chaos? The choice is yours.
Total Freedom: No imposed objectives. Play your way.
Dynamic Consequences: Every action influences the world around you.
Multiplayer Interaction: Invite friends to join your world—collaborate, compete, or coexist.
Survival Mechanics: Manage your nourishment and sanity in an oppressive, ever-changing environment.
Wait for rations
Craft goods
Rent property
Listen to the radio
Work in a factory
Do laundry
Earn credits
Pay taxes
Evade the Cortex for tax evasion
Go insane
Eat suspicious things
Updates
Build ids and update times come straight from Steam's PICS — the same source SteamDB reads. Patch history grows as we record new builds.
Engagement
Reviews
Themes across 286 recent reviews and how positive each mention is. A keyword signal, not full sentiment analysis.
Reviews
Good luck trying to figure out how to run a shop or do anything thats not a basic job. There is a single server running in the entire game as of writing this with 60-80 players. Which seems to be way over a standard server's comfort zone. You probably wont get a chance to even touch the shops or anything like that because they pyramid scheme the shops and then hop off and make fat profit while offline. So if you wanna be a proper businessman, don't bother until the game has more players. The wiki is also extremely outdated and un-detailed in a lot of cases, and youtube is also outdated, making it hard to learn how to do a lot of things.
Dying game, community servers are never populated meaning you're gonna have to play on unmoderated official servers full of trolls, hackers, and just generally unpleasant people who ruin the experience of what could be a really good game otherwise. Would be amazing if there was actual moderation. The Anamnecyte debt system that makes you a prisoner and forces you to grind your debt away by doing the most tedious, literally sisyphean task ever is actual hot garbage because you ultimately get punished for fighting back against griefers, that is if griefers don't use it against you in the first place, i.e. deliberately jumping in front of your shots to get themselves killed when you're trying to shoot a Limitation target as a Cortex, or many other fun ways to try and bait someone into losing Anamnecytes. I've seen quite a few different techniques; and admittedly I've even fallen victim to a couple of them myself in the past. It's not fun at all. Arguably, it's a stupid mechanic that's only going to contribute to the playerbase dying out, because some people who would otherwise stay on the game and keep playing are just not going to want to spend obnoxious amounts of time pushing rocks for things that may not even really be their fault in the first place. And I think I count myself among that group. I have better things to do than play a game that does not respect my time.
Media

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Price dynamics, follower growth, revenue and sales trajectories with interactive tooltips
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Genres
Stats
All-time low is the lowest price we've recorded for this game since we started tracking it.
Languages: English*, French, Czech, Russian, Portuguese - Brazil, Portuguese - Portugal*languages with full audio support
Hours played at review time, across 286 reviews with recorded playtime.
positive critical· bar length = how often the theme comes up
This game in its prime was beautiful, and i yearn for those days once more
Absolutely ♥♥♥♥♥♥♥ with 0 admin support on public servers... 100% cannot recommend this game less.
boring asf tbh
Это - было круто, это - была аневризма. Жаль, что говноеды лучше будут играть в напичканные донатом и админ абузом дарк рп серверами в гарис моде чем в это. Было классно, пока онлайн не умер.
Upon release if I were shanked randomly by a prole and lost all of my money it'd infuriate me, but the type of anger consistent with losing at Blackjack and simply trying again. This is because the reward of owning an apartment / store, having privacy to stash / build things valuable in the economy, the danger in selling them, and the highs of doing so made the struggle not only worth it but an integral piece of what made this game special. When a game fails it's never the player-bases' fault. There was constant griefing when the game came out and was at its zenith- updates have either over-squashed or aggravated this but it isn't the point. The rewards of "winning" aren't worth the struggle anymore. The developers lack the knowledge of their own game and introspection to maintain the balance between struggle / reward. Combine this with horrible updates then reverses, poor moderation, blame-games, and no actual long-term vision and you have a now-decayed project. Sincerely I hope they can return to their previous heights or at least bring activity back by correcting these issues but I doubt it. The momentum and lightening in the bottle effect is gone.
everyone is using alt account to farm game it's funny
This game ♥♥♥♥♥♥♥ blows.
The game is fun but it's pretty much ruined by griefers. People will just take your stuff with zero consequences, the only fun part is when you get to play as some high-action role like a cultist or a cop and that takes a long while grinding amnecytes in-game to play them, while at the same time people just take your things, no problem, trashing your hard work, giving you nothing in return, and get more amnecytes themselves. PLEASE add a limit to people who take other's things within a minute or two of another person dropping said item ( and of course, make sure anyone who's picking it up know that they'd be stealing ) and maybe add a toggleable 'dropped items are being donated' button in the inventory for those who want to drop bandages for their friends so that there's no 'stealing this item' timer
Active players
Estimated daily and monthly active players (DAU/MAU) modeled from peak concurrency.
Players by region
Where this game's players are, estimated from review languages.
Players also reviewed
The games this title's players most often review too — audience affinity.
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