Big Bad Pharma
In the codexSimulation

Big Bad Pharma

A cosy pharmacy-stocking sim with a wicked streak. Clock in, sort the shelves, chase satisfying upgrades, and slowly climb the corporate ladder of a pharmacy that maybe shouldn't exist. Tidy. Satisfying. A little bit evil.

DEV: Middlewood StudioPUB: Middlewood StudioAppID 4953610
UPDATE PULSEevery ~1d·last 12d ago·14 recent on record

Is Big Bad Pharma still being updated? — the short answer, with the evidence.

92.4
Excellent

Elixir Rating

83% of 106 Steam reviews are positive, which after adjusting for sample size gives a reception score of 74.7. The developers have shipped 12 substantial updates in the past six months, adding 17.7.

reception 74.7·support +17.7·Excellent

Computed from Steam’s own review tally and observable developer activity — never from anyone’s opinion of the game. How this is calculated

Should you look into this?

From Steam's own record

Current price

$5.24$6.99−25%

Development

Actively supported

Last heard from developers

11 days ago

Usual rhythm

every ~7 days

Substantial updates (6 mo)

12

Current silence

within normal range

The developers post roughly every 7 days and were last heard 11 days ago — within their normal range. 12 substantial updates landed in the past six months. It is currently 25% below its usual price.

Distilled by the oracle

Our coverage

1 dispatch written from this game’s announcements

releaseAug 20, 2026

Big Bad Pharma V1.0.5 Fixes Audio, Motion Sickness, and Broken Resolution Scale

Version 1.0.5, titled the Catalogue Update, arrives for Big Bad Pharma with a new in-game reference tool and a concentrated round of fixes.

What changed

New feature

  • A Catalogue book, opened with TAB, lists every shop product across three sections and 23 categories. Items are sorted alphabetically within each category; a colour-coded tab rail on the edge allows direct jumps, and arrow keys turn pages.

Fixes

  • Audio sliders now function in real time. Master, Music, and SFX controls were previously ignored by music, fridge/chiller ambience, and footsteps entirely. Volume settings also no longer reset when the Settings menu is reopened.
  • Head bob has been removed. The camera was attached to the character's head bone, producing movement that caused motion sickness; it is now locked to the body.
  • Resolution scale is restored. Selecting a quality preset was silently overriding the render resolution, causing a soft, smeary image regardless of manual settings. The Low preset no longer looks worse than Medium.
  • An invisible collision block surrounding the toilet base has been removed.
  • Shelf capacities now recalculate correctly on load, making a 100% completion figure reachable on saves that were previously stuck below it.

Taken together, the patch addresses several issues significant enough to affect comfort and accessibility — most notably the motion sickness camera and the broken audio system — meaning the game should now behave closer to its intended state for a wider range of players.

Two years of development

■ substantial ■ routine

Nov2025FebMayAugNov2026FebMayAug

20 announcements · 12 substantial · 21 months with nothing

Recent Transmissions

20 entries in codex

Community AnnouncementsSep 21, 2026
V1.2.1 hotfix is live — shelf labels are back

🌱 Shelf labels are back. V1.2.0 broke the little labels on the shelf edges: they did not appear at all, and the "Shelf labels" switch in Settings did nothing, because it was switching something that was never being drawn. This was my mista…

Community AnnouncementsSep 21, 2026
Big Bad Pharma V1.2.0 patch notes

This is the big one I promised on the crash thread. V1.1.7 helped smaller machines get further; this patch is built around actually getting an 8 GB laptop with integrated graphics from the desktop to the shop floor and keeping it there, plu…

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Community AnnouncementsSep 13, 2026
Big Bad Pharma V1.1.6 patch notes

This one started with me sitting down and reading every thread on the discussions board in one go, then going through the game's code looking for the causes rather than the symptoms. Six separate threads were about the same thing, one achie…

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Community AnnouncementsAug 30, 2026
Big Bad Pharma V1.1.5 patch notes

A few of you sent in reports that turned out to be much more useful than you probably realised, one comment about an achievement that "never triggers" and one very patient write-up about being told you were a single item short led me straig…

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Community AnnouncementsAug 19, 2026
Big Bad Pharma V1.1.4 patch notes

🌱 No more 1/1 shelves. The two halves of the rule now live together properly. While a product still has unshelved stock, a fresh segment sizes itself to exactly what remains — that is V1.1.2's fix and it stays (27 Pedibree Minis still fill…

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Community AnnouncementsAug 19, 2026
Big Bad Pharma V1.1.3 patch notes

A quick one, and it is entirely my fault. Yesterday's V1.1.2 fixed the shelves asking for items that don't exist — and in doing so it broke the little segment counter on the end of every shelf label. Thank you to everyone who posted screens…

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Community AnnouncementsAug 19, 2026
Big Bad Pharma V1.1.2 patch notes

This one is for the shelf labels that ask for more items than the game actually contains, and for everyone chasing the last few items of a no-abilities run. Thank you for the screenshots and the side-by-side tests — the Pedibree Minis compa…

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Community AnnouncementsAug 19, 2026
Big Bad Pharma V1.1.1 patch notes

This one is aimed squarely at the three things people have been telling me since V1.1.0: items you can't reach, the game falling over on lower-end machines, and the upgrade screen not making sense. Thank you again to everyone who took the t…

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Community AnnouncementsAug 16, 2026
Thank you for 3000 sales! 💚

Thank you for 3,000 sales Big Bad Pharma has now sold 3,000 copies. That's three thousand people who took a chance on not just a new indie game about a very questionable pharmacy, but on me and I still find it hard to believe. I want to be …

Community AnnouncementsAug 15, 2026
Big Bad Pharma V1.1.0 patch notes

This is the one I've been building towards all week. Every confirmed bug from the V1.0.9 known-issues list is fixed here, plus two more I found while going back through the game with a fine comb. Thank you to everyone who reported these — a…

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Community AnnouncementsAug 15, 2026
Big Bad Pharma V1.0.9 patch notes

Controller 🌱 Picking up, dropping, swapping and pausing did nothing on a controller. This is the real answer to "controller still isn't working". Movement, looking, jumping, crouching and the abilities were all wired up — but the five acti…

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Community AnnouncementsAug 15, 2026
No AI art left in Big Bad Pharma

When Big Bad Pharma launched, some of its art was AI-generated: the capsule art, the logo, the achievement icons and the store page images. You told me that mattered to you, and you were right. As of today none of it is left. Every piece ha…

Community AnnouncementsAug 14, 2026
Three days in: everything you reported, and where it stands 💚

Big Bad Pharma launched on the 12th, and in the three days since I've shipped four patches. Almost every single fix came directly from your reports, screenshots and Task Manager numbers in the discussions. This is a one-person project and h…

Community AnnouncementsAug 14, 2026
Big Bad Pharma V1.0.8 patch notes

Critical fixes: 🌱 Game crashing before the menu (black screen, then back to desktop). Found it: on first boot the engine was pre-compiling thousands of graphics pipelines all at once, using every CPU core at the same time. The more cores y…

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Community AnnouncementsAug 14, 2026
Big Bad Pharma V1.0.7 — patch notes

Critical fixes: Items no longer vanish into the floor. V1.0.6's new outside ground plane sat just under the shop floorboards and caught any item that tunnelled through — above the depth where the 30-second rescue sweep looks. The ground now…

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Community AnnouncementsAug 14, 2026
Big Bad Pharma V1.0.6

NEW: the shop floor has been completely rebuilt. All 12,792 items are re-piled into mixed heaps and drifts instead of neat blocks of one drug, then dropped with real physics and baked where they landed, so they lie on their sides and lean o…

Community AnnouncementsAug 12, 2026
V1.0.5 — The Catalogue Update

New Catalogue book — press TAB. Every product in the shop, split into three sections and 23 categories, alphabetical within each. Colour-coded tab rail down the edge to jump straight to a category, arrow keys to turn the pages. Fixed The au…

Read our dispatch on this

Read this patch for

Community AnnouncementsAug 12, 2026
Big Bad Pharma is live on Steam 💚🎉🥳

I’m not going to pretend I’m not nervous writing this. Excited too, obviously, but mostly just… a lot.This game started as a “what if” back when I was 5 or 6. My dad’s a self-taught electrical engineer and we’ve always been into technology …

Community AnnouncementsAug 5, 2026
Big Bad Pharma is built and ready. We're just waiting on Steam

Quick update: Big Bad Pharma is finished and the build is submitted. It's sitting with Steam for approval right now, so the release is out of our hands for the moment.The second the build clears, the shutters go up. We'll post here the mome…

Community AnnouncementsJul 17, 2026
🏆 Update: 20 New Achievements Added!

We're thrilled to announce that Big Bad Pharma now features a full suite of 20 achievements to chase, unlock, and brag about to your friends!Whether you're just clocking in for your first shift or standing triumphantly atop your empire of p…