Rail Sim Universe ALPHA vs +1 Speed Hospital Rescue
Rail Sim Universe ALPHA currently leads with 191 concurrent players against 128. On all-time peak the record belongs to +1 Speed Hospital Rescue at 258 concurrent players, versus 227. Lifetime, +1 Speed Hospital Rescue has more visits (8.1M vs 5.1M). Full side-by-side history for Rail Sim Universe ALPHA and +1 Speed Hospital Rescue is charted above.
Rail Sim Universe ALPHA
191
playing now
227 24h peak · 5.1M visits
VS
🚨+1 Speed Hospital Rescue
128
playing now
192 24h peak · 8.1M visits
Player count history
Rail Sim Universe ALPHA+1 Speed Hospital Rescue
Head to head
| Metric | Rail Sim Universe ALPHA | +1 Speed Hospital Rescue | Difference |
|---|---|---|---|
| Playing now | 191 | 128 | 63 |
| 24h peak | 227 | 192 | 35 |
| 24h average | 159 | 113 | 46 |
| 7-day peak | 227 | 242 | 15 |
| 7-day average | 126 | 108 | 18 |
| 30-day peak | 227 | 242 | 15 |
| All-time peak | 227 | 258 | 31 |
| 24h change | ▲ 52.9% | ▲ 18.9% | — |
| 7d change | — | — | — |
| Total visits | 5.1M | 8.1M | 3M (1.6×) |
| Visits (24h) | 16.4K | 20.4K | 3.9K |
| Visits (7d) | 39.5K | 118.8K | 79.4K (3.0×) |
| Favorites | 51.8K | 670.3K | 618.5K (12.9×) |
| Rating | 92.0% | 91.3% | — |
| Global rank (players) | #3,303 | #3,850 | of 7,866 |
| Trending score | 48.7 | 7.9 | — |
| Created | Sep 20, 2022 | Mar 28, 2026 | — |
| Genre | Simulation | Simulation | — |
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Both games are sampled on the same schedule and plotted on a shared time axis, so the comparison is like for like. Peaks, averages and growth come from RoVitals's own recorded history — 4 days for Rail Sim Universe ALPHA, 7 for +1 Speed Hospital Rescue.