Two Point Hospital: JUMBO Edition

This is a simulation game in which players design and manage a hospital. Players manage resources, build facilities, hire staff, and diagnose/treat patients. Lack of treatment or proper facilities can sometimes cause patients to urinate, defecate, and/or throw up on the ground; the resultant waste will remain until a janitor cleans it up. Several sequences depict patients using toilets, accompanied by flatulence and flushing sounds. In one sequence, players can shoot at tiny worm-like creatures that "splat" when shot, leaving yellow, blood-like stains on the ground.