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Obviously this is my personal preference - and it's one of someone who has been making indie games for a long time. I used engines like Game Maker for years before transitioning to more lightweight and custom workflows. I also work in very small teams, where it's easy to make one-off tools for team members. But I want to push back that making games "from scratch" is some big impossible task - especially in 2025 with the state of open source frameworks and libraries. A lot of popular indie games are made in small frameworks like FNA, Love2D, or SDL. Making games "without an engine" doesn't literally mean opening a plain text editor and writing system calls (unless you want to). Often, the overhead of learning how to implement these systems yourself is just as time consuming as learning the proprietary workflows of the engine itself.
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The practical implementation involves thinking about the conversation your audience wants to have rather than the keywords they might type. What are they trying to accomplish? What confuses them? What decisions are they facing? What objections or concerns do they have? When you address these elements in natural, conversational language, you simultaneously create content that people find valuable and that AI models recognize as comprehensive answers to common questions.
不过，要理解核心医疗的突围，首先必须明白造一颗“人工心脏”到底有多难——人工心脏是通过微创或开胸手术，在患者左心室心尖部打孔，接入一个极其精密的“微型金属水泵”。这个水泵将左心室无法泵出的血液抽出，直接打入升主动脉，从而代替左心室承担全身的血液循环。
AcknowledgementsWritten by Maxim Massenkoff and Peter McCrory.