Leechside Manor

Screenshot 2026-10-21 at 4.27.24 AM.png
I decided to focus on old medical tech — leeches and bloodletting. The history facts in this game are all true.

Paris, 1828–1832. Dr. Broussais orders thirty leeches for every patient, France buys them by the tens of millions, and you are his house physician at the Val-de-Grâce Hospital.

Place leeches on the patients to bleed them. The leeches will fall off when full but the soldiers will bleed until you press lint into the bites. Careful that you don't bleed them too much, or they will faint and you will need to carry them out. Salt the fed leeches so they can be used again, keep the hungry ones out of the drain, and mind your footing: leeches on the floor are slippery. Three years, three shifts of mounting difficulty.

CONTROLS

WASD / arrows — walk

Shift — run. Be careful! You are guaranteed to slip on fed leeches

E / Space — take, give, apply (hold to pump the bdellometer)

Esc — pause · M — mute

Made for Ludum Dare 60 by John Shen, using Claude code.

CREDITS

Music: "Ancient Rite" and "Vanishing" by Kevin MacLeod (incompetech.com), licensed under Creative Commons: By Attribution 4.0 License — http://creativecommons.org/licenses/by/4.0/

Sound effects (CC0): Kenney, Fantozzi, bart, EZduzziteh, Independent.nu, sinny, TinyWorlds — via kenney.nl and OpenGameArt

Title plate: the death of Galerius, Boccaccio, Des cas des nobles hommes et femmes, Paris, 15th century. BnF, Français 127, f. 258r. Source gallica.bnf.fr / BnF

Type: IM Fell English and EB Garamond (SIL Open Font License)

Comments8

Roma4ka20 Oct 2026, 14:21
very cool game, it's so entertaining and exciting, I like that you have to keep track of everything at once and that you need to be attentive.
Hexela
Hexela21 Oct 2026, 00:22
That was sick. As soon as I fully figured out what I need to do I very quickly got in a flow state. 5 times I slipped on a leach out of 5.
hammeredzombie
hammeredzombie21 Oct 2026, 00:32
very cool game and well made! but slipping on leeches was bad friction instead of being a consequence to some skill issue (good friction). i understood that walking across the leeches would make me slip, but the third time it happened while i was trying to carefully pick up the leech and not walk across it was when i stopped playing. i also think this game would be better with only mouse click inputs. using WASD so much in a predominately idle game also added that bad kind of friction.
Euler Moises
Euler Moises21 Oct 2026, 00:39
I really enjoyed your game. Even though I’m not particularly good at management games, I had a lot of fun.

I loved it when the nurses started moving back and forth—a clever way to "get in the way" of the doctor.

The gameplay felt very fluid and enjoyable. The movement is well-executed, and I especially liked how the doctor walks more slowly when carrying a corpse, effectively conveying its weight—a very smart touch.

Although the art style is simple, everything is easy to identify; the visuals are clear. The art at the beginning feels a bit disconnected from the in-game art—I suspect the title screen image might have been sourced from the internet. The music is also excellent; the cello gives the game a somber, funereal atmosphere.

The hitboxes for actions can be a bit confusing at times. While it’s usually clear what the character is targeting, when you’re standing near two objects, the focus tends to flicker between them, which occasionally led me to perform the wrong action. Perhaps incorporating mouse-based interaction could improve this?

What game inspired you to create this one? I ask because there are many games in this genre, and usually, there’s one that stands out as a primary influence.

I think this is a fantastic take on the theme. Many people focus solely on machinery and forget just how much medicine has evolved.

Congratulations!
josemwarrior
josemwarrior21 Oct 2026, 01:08
solid entry, I love it, it has its own language and rules, very intuitive and engaging
ACartlidge21 Oct 2026, 01:21
Funny idea! Agree with the comment about flow state, ESPECIALLY once i learned I could employ triple leech technology.
John Shenauthor21 Oct 2026, 10:33
Thanks for all the comments! Some answers and notes:

@hexela - I could have made this more explicit, but running will guarantee slips. Walking is 25% chance.

@hammeredzombie - It's especially easy to slip when trying to pick up a leech from above because of how the hitboxes were configured. I noticed it too late to fix before the deadline. I plan to fix it but will have to wait until the LD review period is over.

@euler-moises - The art is from some actual historical depictions of leeching. Details in the credits! Mouse controls are interesting. I didn't consider it. I was inspired by Overcooked. I loved that game but multiplayer seemed impossible for the jam so I focused on adding 1p mechanics. If I keep working on it multiplayer is a high priority.
lovecreep21 Oct 2026, 14:21
Cool setting—I especially liked the graphics and visuals! I didn't quite figure out how to play, though😭😂
Found a bug?
Tell us on Discord