LOYAL4

Indie studio · since 2026

Pixel games, made between shifts.

Loyal4 is a one-person studio run by a registered nurse, making games about the people who keep hospitals running.

See Shift Survivors Play the free demo
Shift Survivors gameplay: a nurse in the hallway of 4 West with RNs, CNAs, a doctor and housekeeping working the rooms, call lights and isolation signs on the doors.
Shift Survivors · 11:56 on 4 West

The board

Games on the floor

Updated: November 2026

RoomGameStatus
401 Shift SurvivorsArcade · survive a 12-hour shift In development · coming to Steam
402 Open bedWaiting for the next admission Available

Room 401

Shift Survivors

07:00 to 19:00. Nobody gets left behind.

Survive a 12-hour shift at St. Overtime Medical Center. Answer call lights, run neuro checks, catch stroke alerts, discharge and admit, and grow your team until 19:00.

  • Real nursing work at arcade speed
  • Build your team: RNs, CNAs and a resource nurse
  • Perks, badge reels and 12 achievements
  • In English and Spanish
  • Keyboard, controller and Steam Deck
Play the free demo Steam: coming soon
Shift Survivors level-up screen: choose one of four powers, like an extra RN or faster discharge teaching.
Level up, pick a power

About

Made by a nurse

Every Loyal4 game starts with real nursing work: call lights, neuro checks, admissions, the coffee run. The goal is games that play fast and still feel true to the floor.

Shift Survivors started on a hospital floor as something for staff to play on break, and grew into the studio's first game.

Contact

Press, events and questions

Write to the studio:

4loyal4@gmail.com