The voice acting is in English with an English accent and all the in game text is in English
Build and manage your own hospital! New and sealed switch game. Jumbo edition includes all of the expansions. Great game lots of reviews around 9/10, and difficulty rating of "just right".
Some German writing on the cover but It is also labelled with the UK "PEGI". The switch console will play this in the language it is set to. It is not locked to German, and it can still be accepted in game secondhand game shops if you wish to sell it in the future.
Any creases in the picture are just the plastic wrapper. Packed well and sent quickly. I aim to dispatch within 24hrs but may take 2 days. Thanks.