A downloadable RPG

Buy Now$7.99 USD or more

Hidden beneath the surface there’s another layer to the world. Supernatural creatures roam the shadows, living among and integrating into society as humankind expands into every corner they used to have to themselves. It was only a matter of time, then, before they found their way into our hospitals.

Looking for help.

The Eldritch Care Unit is a medical program that runs alongside the mundane hospitals and medical centers throughout the country. You play those doctors, nurses, occultists, and other staff members that seek to do whatever they can to cure the supernaturally sick population, despite the difficulties of incomprehensive insurance, short-staffing, and lack of funding.

It’s not easy to do this job. But you swore an Oath.

And it’s magically binding.

The Game

Eldritch Care Unit is a unique RPG taking place in the hidden supernatural wing that's present in hospitals across the United States, wherein players take on the roles of overworked doctors, nurses, ritualists, researchers, and other staff members, doing their absolute best to provide the care they can to the patients that come in. Said patients are inherently supernatural by nature or affliction, and so these rare specialists are the only ones who have a hope of fixing them up.

This book contains:

  • Information on the Eldritch World that these ECUs exist within.
  • A unique new resolution mechanic, the Adversarial System, which relies on withstanding external hardships more than testing your own capability directly.
  • Example patients and advice to get you started.
  • A fillable character sheet.

ECU is also San Jenaro Co-op Approved, guaranteeing that it was produced in fair conditions by forward-thinking people!


Buy Now$7.99 USD or more

In order to download this RPG you must purchase it at or above the minimum price of $7.99 USD. You will get access to the following files:

ECU_ Eldritch Care Unit.pdf 2 MB

Community Copies

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Community Copy

If you're having trouble justifying the expense for ECU due to economic hardship or other issues, see if there's a community copy available!

Please only take one if you can't afford it!

Download demo

ECUCharacterSheet.pdf 340 kB

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