THERE it is! I knew you'd do it eventually! Ladies and Gentlemen, City 2, Level 43, that's the exact moment you'll start seeing an artificial spike in difficulty designed to make you cough up cash. My doctor may not be maxed out but my clinic basically is (the only thing that isn't is the ETT, which isn't the problem, it's rarely used). On a "normal" level, timed, I got: three acute pain patients (1/2 the time on their needs) and eight patients for six beds with half a Zen bar (so I can't use it). The ONLY way to attend to all of those needs is to use instant cures and clean sweep brushes. And I know what you're thinking: "Why not use them?" or "You don't have to use them!"

1) Because I already used 1/3 of my horde of them in the previous level cos I was swamped by demanding needy patients and wasn't allowed to fail a single request. I went from 14 of each to 8 in one level.
2) Only I needed LIKES, which can only be gotten by giving the best care as fast as possible. If I didn't get 30 likes, I'd fail the level anyway, and every lost patient is likes you didn't get in a two minute time limit (last timed level I had I only JUST got 32/30 likes with perfect care and no lost patients).

You had me fooled for a while, I'll give you that. I got halfway through the second city before I noticed anything wrong, I genuinely thought you were a game first and microtransactions second. You really did play the long game a lot better than most. But now I see you're just the same as every other damn mobile game, wanting to bleed me dry. Well, sorry to say, sweet cheeks, but I was using you for your achievements anyway.

The Diner Dash gameplay and realistic surgeries drew me in, given I liked that game and I love medical stuff, but I'm not about to be played by a game. I'm English and you're American healthcare: You wanted money and I'm sure as hell not going to pay.