Updated on Saturday, October 31, 2026
Welcome to the city of Saint Louis.
This simulation includes both emergency and non-emergency responses.
The city of St Louis has 30 Engine houses and multiple medic units placed throughout the city. This simulation is designed to be very busy.
The airport is also staffed with 2 engine houses from the city and 1 ALS ambulance staffed by Abbott EMS.
Abbott EMS has multiple units present for the non-emergency transfers as well as back-up units for 911.
Abbott also has multiple units that run out of city engine houses for 911 response.
I am also in the process of adding in the other suburban metro departments for some additional game variety.
If you have any feedback or suggestions, please let me know!
This simulation is still a work in progress.