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Star Citizen Alpha 4.3.1 Update Released, Adding Medical Gameplay, RSI Apollo, and More

Giuseppe Nelvaby Giuseppe Nelva
September 18, 2025
in News
Reading Time: 2 mins read
Star Citizen RSI Apollo
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Today, Star Citizen developer Cloud Imperium Games released update Alpha 4.3.1, titled “Virtue’s Descent.”

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The update completely overhauls medical gameplay, with changes to how wounds are applied and healed, and how players can be rescued and even resurrected after death.

This turns playing medic or first responders into a viable (and hopefully interesting) gameplay loop.

It also works well with the release of a highly anticipated ship, the RSI Apollo, which is basically a big ambulance with medical facilities on board.

There is also more from the Onyx Storyline, with things getting darker and creepier. With the opening of Site B, there’s more to explore and discover.

You can check out a trailer below, and a video focusing on the RSI Apollo.

If you’re unfamiliar with Star Citizen, it’s a PC exclusive, crowdfunded project directed by Chris Roberts of Wing Commander fame. It’s a multiplayer sandbox space simulator that has been in development for over a decade and in alpha for several years.

In the meantime, the crowdfunding total continues to grow, and it has recently passed $867 million. To be precise, it’s currently at $867,121,945. The game also has 5,912,496 registered users, albeit not all of them are paying customers. Many simply create an account to enjoy the free-to-play periods.

A single-player campaign titled Squadron 42 is also in active development with a 2026 release window, starring an exceptional cast of famous actors, including Mark Hamill, Henry Cavill, Gary Oldman, Liam Cunningham, Gillian Anderson, and more.

Since the project has been in development for over a decade, you can see how Squadron 42 has evolved since its first reveal.

Full disclosure: the author of this article has backed Star Citizen’s crowdfunding campaign.

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