
by M. D. Grimm
[Volume one complete, Volume two launch September first!]A fatigued surgeon. A fantasy world that desperately needs modern medicine and a lesson in ethics. Sam was a surgeon on the brink of burnout, just trying to keep her patients alive and her personal life from imploding. But after signing up for an experimental AI "therapy" roleplay, she finds herself violently dropped into a world of lethal magic, monsters, and a ruthless bureaucracy with a literal body count.Armed with nothing but a talking bat, a sword she barely knows how to wield, and an absolute refusal to let her patients die, Sam must navigate a new reality. If she wants to find a way home, she’ll have to use her medical expertise to fight both magical plagues and corrupt systems.Sometimes, making a cruel world a little kinder requires a scalpel.Updates Tuesdays and FridaysWhat to expect:Portal Fantasy/IsekaiFantasy World with MonstersStrong sarcastic female leadNo RomanceWeak to strong (slow burn)Dark humor with a medical flare and graphic medical detailSystematic and Psychological Horror
No streak history
One state-enhanced oracle order, filtered by each list. Observed Royal Road ranks remain separate ground truth.
Rank updated 2 Oct 2026, 07:19 UTC
Entry forecast updated 2 Oct 2026, 07:19 UTC
Ranking model: rs-public-oracle-state-v1
Forecast model: rs-model-entry-v1
Chart history contains only this ranking model's runs; legacy points are not spliced in.
Not enough recent follower history to estimate a shadow rank yet.
beats 80% of similar stories
not enough data yet
beats 51% of similar stories
Mid-pack, room on both levers
Traffic and conversion both sit mid-field for a story this size. Growth here compounds from consistency: steady cadence feeds traffic, and a sharper hook lifts what each view is worth.
Benchmarks: 8,060 active Royal Road stories, percentiles within the 20–49 chapters band, cohort of 2026-07-02. Conversion is measured as followers gained per 1,000 views over the recent window.
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