If you're in the mood for a rail-related mallardy and have already got tuberculosis, tendernitis, and wagonorrhea then it's unlikely you'll regret your purchase.
Train Fever is a highly ambitious transportation management game that unfortunately suffers from gameplay issues ranging from slow progression to a lack of objectives. Train Fever is only recommended to those who are strong fans of the genre, while other players are better off with more welcoming and polished games.
Even though you aren't guided to do anything, you'll easily be kept busy on an ongoing basis, as there's always new cargo to obtain, lines to create, and cities to connect. Even with the frustrating technical issues I've had with the game, I still find myself wanting to create some more transport lines.
In full honesty, I'm going to admit that I did not do very well playing Train Fever. It was a difficult and, at times, frustrating experience for me to get the hang of it for this review, but I stuck with it as best I could because, despite my flagrant ineptitude, I got the sense that it was a good game if you're into simulators.
In the end, Train Fever has been designed to serve a very, VERY specific need; people that love to tinker with the infrastructure of public transportation.
It's a smart simulation game with some really great use of modern horsepower atop the basic trappings of older games in a genre that sadly isn't as active as it likely deserves to be. Just keep in mind you'll need to go in with plenty of patience and a willingness to search outside the game if something obscure trips you up. If you can get past that, and you like a bit of simulation, you're going to have a lot of fun.
Train Fever is a good game for the passionate crowd and, If I did not have to deal with bigger releases, I could see myself spending more time with it in order to see exactly how higher ground can be negotiated and to make perfect sense of the way goods and city needs interact with one another.