The game appears to use shifts as night runs , and current guides show it can go on indefinitely rather than having a hard final shift cap. One recent full walkthrough labels runs up to 20 shifts , while another guide says the game is endless survival and that you survive “as many Shifts as possible.”

What that means

  • One shift = one night in the hospital.
  • The run does not seem to end at a fixed number of shifts.
  • Some players’ videos show a practical milestone like 20 shifts , but that looks like a playthrough length, not the official maximum.

Simple answer

If you mean “how many shifts are in the game,” the best current answer is: there isn’t a fixed limit; it’s endless.

Quick note

Community guides are updating fast, so specific shift counts can change if the developers add a win condition or a new mode later.