Of course, that doesn’t mean you’re suddenly going to take a break from building to perform surgery or anything. The key difference, of course, is that real cities have tens of thousands of people working together in a variety of areas of expertise, while this simulation puts you in the position of being an expert on everything from waste disposal to medical treatment. The only difference is that I’m not sure it’s really my fault this time.Ĭities: Skylines is all about making a set of complex systems come together in a harmonious way - you know, rather like building a real city.