Changelogs
Stay up to date with the latest changes and enhancements.
Stay up to date with the latest changes and enhancements.

23. Jan 2026
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Update News: New Content in the Game
The first content update primarily brings you lots of new content for the emergency medical services. There were also new vehicles for the fire department.
For now, the First Responder module is only available for passenger cars. As soon as a vehicle with this system is at an incident, patients can no longer die. The system is great if you don't have enough ambulances, as it's faster and cheaper than an ambulance.
In addition to its existing modules, the heavy rescue vehicle has two unique modules:
Loading crane: With this module, you can complete technical assistance missions with the Crane requirement
Hydraulic set (heavy): Use this to complete technical rescues 20% faster than with the hydraulic set (large)
With the RTW modules, we're expanding the existing emergency medical services system with another layer of gameplay. In addition, KTW and RTW no longer work the same way.
Patient Transport
This is a new call type in the pool. Your task is to transport a patient from the scene to the hospital. KTWs transport patients immediately, whereas RTWs take longer.
Heavy Transport
The KTW and RTW now have the “Heavy Transport” module. Starting at dispatch center level 2, patients may require an emergency medical services vehicle equipped with this module to be transported.
Additional Modules
NKTW: This module restores the same functionality for KTWs as before the update; in other words, an NKTW is just as effective as an RTW on emergency medical services calls. Without this module, the KTW takes longer to treat patients.
NAW: This module lets you handle emergency physician calls with just one vehicle. If the personnel system is enabled, this vehicle requires 3 people: 2 emergency paramedics and 1 emergency physician.
Patient transport mission type
Patients can now die. This only affects special missions. The faster medical personnel arrive on scene, the higher the chance of survival.
The hose tender has received a new module. The “SW 4000” gives the hose tender even greater range.
Tooltips can now also be accessed in the mobile version
Improvements to the mobile design
Vehicles drive to the scene without lights and sirens for R0 and patient transport missions
The Coins page now displays benefits
Performance improvements
When several equipment trucks with a breathing apparatus module were present, they refilled each other
Patients were driven to the hospital despite technical rescue
Some incidents were not selected during incident generation
DLK and foam were not taken into account when completing incidents
The calculation for the ratio of incidents (emergency medical services/fire department) has been fixed
It was not possible to repair vehicles in status 6
You could be friends with yourself
Enjoy this update
Your RescueOperator Team