
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 24 chart moves that followed a price cut of more than 20% went a median of 9 places towards #1, and the 2,404 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
Dead game gg
i like it
very good. like crazy good. and good money
Media

Related
Related
Price dynamics, follower growth, revenue and sales trajectories with interactive tooltips
This and every other Pro feature is free until October 20, 2026. A free account is all it takes.
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
A Masochist dream....
Asked a guy how often the server restarts because I lost everything from the prior week I played, he said it rarely happens so I played for a good couple of hrs last night. Logged in today and the server had reset again so I started working in the Laundromat, killed a guy for stealing my laundry, went negative 3 anemnacytes (would've been 5 but I had gained 2 already), tried to do more laundry, 7 minutes later I pop up as wanted, get killed immediately while I watch everyone else steal my wet & dry laundry, respawn as a slave who can barely see and couldn't push rocks because of two afk slaves blocking my path. This is Autism IV.
really nice game the community can be bad tho
was a good game but no control over alt account/macros filled with bots
game lost its momentum recently. it WOULD have been good but its mostly dead, so the servers close to you just don't have people anymore, the game is grindy as hell and being enslaved is a genuine hour long grind after defending yourself in the laundromat. had the right formula but died out super quickly.
Glory to Aneurism IV !
they let me say the n word, fire game. and the prole is white :-)
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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