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Sanitarium

Moby ID: 572
Windows Specs
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Description official descriptions

Not much is known about Max Laughton at first, but it is clear that he is conducting a particularly important research and is close to reaching his goal. Eager to share the good news with his family, Max hurries home in his car. However, somebody has evidently tampered with the vehicle; failing to control it, Max gets in a serious accident and loses his conscience. When he wakes up, he finds himself in a strange tower resembling an asylum, surrounded by insane people, the shrill sound of alarm driving him mad. Max cannot remember anything from his past and is feverishly trying to escape this place. But just when he thinks he has succeeded, he is taken on delusional, horrifying trips through his subconsciousness, unable to distinguish between reality and hallucinations.

Sanitarium is a point-and-click adventure game, best described as a psychological thriller. The game is divided into nine chapters, each taking place in a different location and having its own distinct atmosphere. It is not always clear if something is happening on the grounds of the sanitarium or in the delusional mind of the protagonist. In most chapters the player controls Max himself, though in the more surreal areas drawn from his memories the role of the protagonist is given to other characters, real or fictional.

Both movement of Max and picking up items are done with the mouse. Puzzles are mostly inventory-related, with a few machine and lever puzzles. There are also a few action sequences, but even when the player dies, the game can be continued without any penalty. Talking to various NPCs will teach the player about their bizarre surroundings. The plot unfolds as Max's memories are gradually restored and the player finds out more about his past and the nature of the research he was dedicating his life to.

Spellings

  • Шизариум - Russian spelling
  • סניטריום - Hebrew spelling

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Screenshots

Promos

Credits (Windows version)

111 People (99 developers, 12 thanks) · View all

Reviews

Critics

Average score: 80% (based on 30 ratings)

Players

Average score: 4.1 out of 5 (based on 143 ratings with 12 reviews)

Could deformed sisters torture cyclops in a Mexican morgue?..

The Good
DreamForge, certainly an underrated developer, mainly focused on role-playing games (Ravenloft series and others), with only an occasional adventure - such as the interesting Chronomaster - sticking out. Sanitarium is undoubtedly their best-known adventure, and probably their most famous game in general.

Sanitarium begins as a psychological thriller. You have lost your memory and can't even remember your name; all you know is that you are in a very bizarre place, surrounded by equally bizarre people. Piece by piece you must unravel the mystery, but at first it seems that it would become even more complicated as you advance in through the fittingly disjointed, nightmarish plot.

Right in the beginning there's so much suspense that it took me several attempts to actually start playing the game. You have no idea about what to do next or even who you are supposed to be. The beginning Sanitarium manages to be scary and very unsettling without resorting to cheap effects. There are very few standard horror elements in the game: minimum of violence, almost no gory scenes at all, and only a few creepy monsters making well-timed appearances. What is truly frightening is the psychological suspense and the madness surrounding the hero and torturing him from within. What is scary is the inability to tell dreams and hallucinations from reality.

The first real chapter of the game is also by far the strongest one. Everything is very quiet in a seemingly peaceful little village. But then you start talking to those children... and those deformed children were probably the single scariest thing I have ever seen on my monitor. I remember feeling physically ill just from playing that chapter. I couldn't put the game down afterwards simply because of some sort of a morbid curiosity that kept urging me to continue. But the game does much more than shock you with disturbing images: it makes you identify yourself with the hero who, in spite of surrounding madness, tries to control himself and act as normal as possible.

Not everything Sanitarium does is brilliant or even appropriate, but one can hardly deny that it tries very hard to keep us in the loop of perpetual psychotic ravings. And that is no small task - after all, there is only so much pressure human brain withstand when bombarded with mutated faces of innocent kids. It seems that the developers understood that and eventually went for color and variety at the expense of horror atmosphere. This is precisely what the game was berated for: it promises unbearable mental horror and ends with a horse-faced deity chatting with decent-looking Mexican spirits. But while it is true that, in a way, Sanitarium doesn't sustain its atmosphere well enough, it attempts to compensate it with diversity. Many of us lambasted the comic book or the Mesoamerican chapter post factum - but during the first playthrough, the change of scenery was certainly perceived as interesting and even strangely invigorating.

The Bad
Despite my defense of the later chapters, I won't try to deny that they cannot compare to the opening ones and even come close to ruining the game. In its aspiration to cram as much material as possible into the game in order to reflect the richness of human imagination (or whatever other reason, really), Sanitarium ends up choosing the path of gradual reduction of the horror aspect and its eventual replacement by mild and rather harmless fantasy adventuring. The dark and twisted images of the earlier chapters give way to nearly cheerful superhero adventures, culminating in the Mesoamerican chapter, rightfully regarded as the weakest one.

There is quite a bit of discrepancy between the atmosphere and the puzzles in Sanitarium. The few mechanical puzzles actually work well, and - unlike some other reviewers - I also didn't mind the primitive action sequences. In contrast, traditional inventory-based puzzles are rather weak and almost feel like an afterthought. I do not see anything remotely poignant or symbolic in riding a toy pig in order to proceed to a mysterious pumpkin patch controlled by a horrifying alien. It doesn't really get better as the game advances. You'll be forced to endure stretches of schematic gameplay with obsolete devices and a lot of backtracking, which clashes with the game's horror aspirations and renders the later chapters positively dull.

The conversations are, unfortunately, not better. You'll have to exhaust one dialogue tree after another to obtain vital information time after time; but these dialogues are not particularly interesting or well-written, lacking wit or any sort of extravagant element to match the game's original premise. There is something thoroughly mild and mundane in the entire gameplay system of Sanitarium, which feels very much out of place in a game with such strong imagery.

Finally, though the graphics are certainly good, I find the isometric perspective woefully unsuitable. The rooms are just way too small. This wouldn't be a problem in a RPG, where you have to overlook a large world with less importance assigned to each area. But here, every item is needed to solve some puzzle, so expect a good deal of the so-called "pixel-hunting". And the isometric perspective generally doesn't fit a game that emphasizes the protagonist's psychological suffering rather than world exploration. First-person view, for example, would have been much more appropriate. The control scheme is needlessly weird - why do I have to hold down a mouse button to move? The protagonist's walking speed is too slow, and he would often get caught in unskippable animations going up and down the stairs.

The Bottom Line
Sanitarium is unique and engrossing, and the first two or so chapters are truly well done. Unfortunately, it loses a lot of its atmosphere along the way, and its gameplay system is steadily a few notches below its captivating premise.

Windows · by Unicorn Lynx (181775) · 2016

One of most exciting and addicting adventure games I ever played.

The Good
I liked the complex way that such a small story is told in such a complicated way. The cinematics are most impressive.

The Bad
The graphics, but I think the game, generally, makes the player forget about it. And the end of the game made me kind of disappointed.

The Bottom Line
Addictive puzzle-adventure game, with such a complex story that you forget the bugs and the quality of gameplay. Just don't play it with the lights off...

Windows · by Miguel Ferreira (1) · 2004

An interesting, but unfortunately very eclectic experience

The Good

Bizarre. That is the only word that can summarize this game. You play Max, an amnesiac who may or may not be insane, in an environment that is either his subconsciousness, or a hallucinatory version of the insane asylum he is in. Or both. Sounds like a good idea for a video game? Of course it does!

This basic idea is easily the strongest point of the whole game. I'm not sure it is completely unique, but at the very least games dealing with minds of the insane are not particularly common. "Sanitarium" is divided into several chapters, some of which manage to display the mess that is inside human brain wonderfully. The others, unfortunately, don't, but I'll return to that later. The atmosphere and the subtle details linking the chapters together (like the recurring circus and clown motif) are very impressive (even though the graphics are not particularly so, especially in the cutscenes) and seem to show that someone was really thinking when putting the whole game together. The interface is very simplistic and easy to use. And of course there are several very creepy and disturbing (which does not mean frightening) moments.

The Bad

Unfortunately, there are flaws, and quite a lot of those. The most obvious design mistake is that the by far strongest chapter is the second one. And if that wasn't enough, the second best follows almost immediately afterward and from there on it gets steadily worse. Partly it's because the writers (as mentioned in other reviews here) desperately try to find a sensible plot, reducing all the madness to a hallucination, which essentially means that you stop caring for your hero and, well, about the game as such.

The other thing is that especially the later chapters are connected only very loosely to the rest. This is particularly true of the "comic book" chapter and the incredibly annoying "Mayan" chapter that feel like completely different games that have been added for some very obscure reason as an afterthought. They are different not only visually, but also in overall style; I even think the Mayan chapter was actually supposed to be funny - and I have to stress I did not register anything even remotely resembling a joke in the rest of the game! And if it wasn't meant to be funny... Well, that's even worse.

Then there are the puzzles, which are terribly easy and with very obvious solutions. If you ever get stuck, it is quite likely because you overlooked something (which happens rather a lot). Mostly you just walk around and talk to everyone about everything; the first part of the Mayan chapter in fact consists of virtually nothing else but endless walking and talking. To make the game more difficult, it is seasoned with some "action" sequences that just show that the interface that was more than good for an adventure game is otherwise completely useless (and yet again I point to the Mayan chapter - as if we all didn't know mazes in an adventure game have never ever been a good idea).

What's also incredibly irritating is the walking pace of your character. Almost all of Max's incarnations you will control (yes, there are more than one) are incredibly slow, considering you spend vast majority of playing time walking around. If there were a way to speed him up, the game would be much shorter - and it actually is quite short even as it is. And a last point, though I agree this is nitpicking, the savegame files have a completely ridiculous size for an absolutely linear adventure game - averaging about 1.5 megabytes each (easily RAR-able into about 15 kilobytes). I know that's not really an issue on modern machines, but I think that tells you something about the game's programmers.

The Bottom Line

The beginning of the game is very good and unique, but as it progresses, it becomes more and more annoying and I quite frankly finished it just because I knew I was almost at the end.

Nevertheless, I heartily recommend giving "Sanitarium" a try - but if you can manage that, stop playing after the end of the Mansion segment. You'll have a gaming experience to remember and save yourself a lot of disappointment.

Windows · by plumifrons (95) · 2007

[ View all 12 player reviews ]

Discussion

Subject By Date
Spine/Sides cover scans RickTM Sep 28, 2022
problems installing sanitarium raconteurion Sep 14, 2010

Trivia

Bugs

Initial shipments of Sanitarium came with a game-wrecking bug that would cause the player to get locked out of buildings in level 2. A patch is available that corrects this, but there are still reports that it appears infrequently.

Awards

  • Computer Gaming World
    • April 1999 (Issue #177) – Best Adventure Game of the Year (together with Grim Fandango)

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Related Sites +

  • Crapshoot
    A humorous review on PC Gamer
  • Postmortem: DreamForge's Sanitarium
    A postmortem of the isometric adventure game, Sanitarium, on Gamasutra. The article is written by the game's writer, Chris Pasetto, and deals with the origins of the game's concept, pinning down an engine, their relationship with their publisher, and several other elements that arose or had an effect in the creation of the game (Dec. 4th, 1998).
  • Sanitarium Hints
    These hints provide gentle nudges before the final solution is revealed, helping you solve the game without spoiling it for you.

Identifiers +

  • MobyGames ID: 572
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Contributors to this Entry

Game added by faceless.

Android, iPhone, iPad added by ZeTomes.

Additional contributors: Indra was here, Jeanne, Maw, Crawly, Zeppin, Klaster_1, Patrick Bregger.

Game added December 15, 1999. Last modified March 6, 2024.