Turn the hospital into a multiworld rhythm campaign. Other games deliver new stages and ward keys, while your clears and higher ranks send rewards back to the room.
The APWorld defines 180 possible checks; the default Helping Hands goal creates 177 because its three X-0 checks are reserved for other goals. S/Perfect locations are on by default. The source marks the three intermissions and Rhythm Weightlifter Stages 5–12 as excluded from required progression, while still creating their checks. The current client is preview 0.7.2; the separately published APWorld is v0.0.11.1 (manifest 0.0.11). Source cross-check: the client maps the World’s Scramble Beatsound Trap to Hard Difficulty, and routes the listed Ice Speed Powerup through its Ice Speed trap modifier; runtime handling of the latter remains undetermined. No generated seed or game session was tested.
Actions and milestones that can send a check to your multiworld.
180 locationsDefault marks checks from configurations selected by standard options; the generated set can still vary with logic and seed.
1-1 - Samurai Techno - B Rank
Default
Clear 1-1 - Samurai Techno with B rank or better to send this check.
Standard stage ranks
1-1 - Samurai Techno - A Rank
Default
Clear 1-1 - Samurai Techno with A rank or better to send this check.
Standard stage ranks
1-1 - Samurai Techno - S Rank
Default
Clear 1-1 - Samurai Techno with S/Perfect rank to send this check.
Standard stage ranks
1-1N - Samurai Dubstep - B Rank
Default
Clear 1-1N - Samurai Dubstep with B rank or better to send this check.
Standard stage ranks
1-1N - Samurai Dubstep - A Rank
Default
Clear 1-1N - Samurai Dubstep with A rank or better to send this check.
Standard stage ranks
1-1N - Samurai Dubstep - S Rank
Default
Clear 1-1N - Samurai Dubstep with S/Perfect rank to send this check.
Standard stage ranks
1-2 - Intimate - B Rank
Default
Clear 1-2 - Intimate with B rank or better to send this check.
Standard stage ranks
1-2 - Intimate - A Rank
Default
Clear 1-2 - Intimate with A rank or better to send this check.
Standard stage ranks
1-2 - Intimate - S Rank
Default
Clear 1-2 - Intimate with S/Perfect rank to send this check.
Standard stage ranks
1-2N - Intimate (Night) - B Rank
Default
Clear 1-2N - Intimate (Night) with B rank or better to send this check.
Standard stage ranks
1-2N - Intimate (Night) - A Rank
Default
Clear 1-2N - Intimate (Night) with A rank or better to send this check.
Standard stage ranks
1-2N - Intimate (Night) - S Rank
Default
Clear 1-2N - Intimate (Night) with S/Perfect rank to send this check.
Standard stage ranks
1-CNY - Chinese New Year - B Rank
Default
Clear 1-CNY - Chinese New Year with B rank or better to send this check.
Standard stage ranks
1-CNY - Chinese New Year - A Rank
Default
Clear 1-CNY - Chinese New Year with A rank or better to send this check.
Standard stage ranks
1-CNY - Chinese New Year - S Rank
Default
Clear 1-CNY - Chinese New Year with S/Perfect rank to send this check.
Standard stage ranks
1-BOO - theme of really spooky bird - B Rank
Default
Clear 1-BOO - theme of really spooky bird with B rank or better to send this check.
Standard stage ranks
1-BOO - theme of really spooky bird - A Rank
Default
Clear 1-BOO - theme of really spooky bird with A rank or better to send this check.
Standard stage ranks
1-BOO - theme of really spooky bird - S Rank
Default
Clear 1-BOO - theme of really spooky bird with S/Perfect rank to send this check.
Standard stage ranks
3-1 - Sleepy Garden - B Rank
Default
Clear 3-1 - Sleepy Garden with B rank or better to send this check.
Standard stage ranks
3-1 - Sleepy Garden - A Rank
Default
Clear 3-1 - Sleepy Garden with A rank or better to send this check.
Standard stage ranks
Playing with others
An Archipelago slot represents a Rhythm Doctor campaign. Multiworld participants can progress together or at different times while the room remains available. This review does not establish that the base game's local two-player mode provides a separately validated shared-slot setup.
Known scope and limitations
Both components remain previews. Use the 0.7.2 client ZIP matching your BepInEx major version and the separately published rhythm_doctor.apworld from World release 0.0.11.1. Its internal manifest is 0.0.11 with a stated Archipelago minimum of 0.6.7. The development branch already says 0.0.12, but that is not the published download reviewed here.
The client targets Rhythm Doctor beta 1.2.0, release 43. It warns when the game build differs, but a warning does not establish compatibility. Select the intended beta before installing; later game updates need a fresh check.
BepInEx 5 is recommended. Extract the matching ZIP into BepInEx so its plugins folder is merged correctly; retain the plugin, Pulse, network library and Assets together. Set HideManagerGameObject to true in BepInEx.cfg. Native Linux needs the documented run_bepinex.sh launch route.
macOS is excluded for game 1.0.5 and later because of the Unity 6 loader limitation documented by the maintainer. The game being sold for macOS does not establish support for this mod.
Automatic reconnect is not implemented. The quick reconnect button starts another login; it does not preserve an interrupted session. Keep the room available, verify acknowledgements and return to the ward if newly received items have not appeared. The maintainer notes that console-injected items can require reconnecting.
Back up normal saves before use. The plugin temporarily clears the configured slot in memory, suppresses ordinary campaign and backup writes, and reloads disk data on normal menu return. This is not full isolation from other mods; the maintainer still lists possible Rhythm Weightlifter results leaking from slot 1.
Keep default traps and powerups off for the least experimental configuration. In the reviewed client, Scramble Beatsound Trap is mapped to hard difficulty. Sticky-trap combinations and modifier consumption also have unresolved accounting issues, and the 0.7 migration requires previously cleared traps to be cleared again.
The World rejects a Ghost-Tap-only random pool and has inconsistent sticky-trap validation. With perfect checks disabled, client result handling can still include their IDs. Offline checks and the final victory have no durable queue for later delivery.
Room passwords are retained in configuration and included in login logs, including a base64 copy of the input. Keep those files private and redact them before sharing diagnostics. Use an explicit wss:// room address where supported; an address without a scheme can fall back to plaintext.
The source roots carry MIT licenses, while the downloaded packages omit their full notices. The source archive also contains stripped game-reference assemblies whose redistribution basis is not documented in the reviewed material. This is an evidence gap, not a finding of unlawful distribution.