Theme Hospital is definitely one of those games has aged really well. It's a classic. I agree that going back to older GTAs is difficult: I booted up GTA Vice City and apart from the soundtrack, I wasn't that keen on playing it. But something like Sim City 2000 I feel always will have appeal.
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Going back to older games is kind of a fickle thing. So Gamespot UK's @dannyodwyer started a new video series Random Encounter and I suggested Giants: Citizen Kabuto, a game released back in 2000 to almost universal acclaim. So clearly a great idea from me for good times. Not so much. As it turns out that game in 2013 is significantly less awesome and makes us wonder what we were thinking back in those days.

Part of this is just because some games age better than others, for various reasons. Deathmatch games like Quake 3 and Unreal Tournament haven't really progressed since then and in many ways have disappeared from modern games and the FPS is just something that's very different. Those two games are still fantastic. But it's hard for me to say how good those games would be if I hadn't played them back when they were released.
I think the older games that don't resemble modern games have to a certain extent aged better simply because they lack that direct comparison. Space sims like Freelancer there haven't been the same advancements and developments that have happened to other genres. Back to Giants, third person action games have changed over the years. The ways in which that game falls flat on it's face are in many ways, just part of the times that it was in. Just from how the game moves and feels, the kind of terrible/incredible race stereotypes, the fact that the game is kind of trying to be a third person action game, but also a strategy game and also have this racing game in it as well. Also having it all happen in this really big open areas for you to traverse. It was incredibly ambitious back in 2000 and it was certainly pushing the boundaries of what was being done, but none of that makes for a game that will play well thirteen years later.
So what does make a game age well, I mean being a good game to start with clearly helps but also clearly isn't a definitive indicator. Going back to a game like GTA 3 for instance, great in it's time, but the open world crime action game has progressed so far in the interim years that you see the flaws and problems in that game a lot more because well developers spent a great deal of time fixing them. I genres that have otherwise died off don't have the same points of comparison to modern games which definitely helps but if someone that had never played TIE Fighter before went back to it today, would they have any fun?
A lot of this has been pretty speculative so far but there have been somethings that have been kind of figured out. Early polygonal games like PS1 era, just look bad now. Technically impressive in their day, but now they just look terrible. The catchy 8 bit music of old can still be really impressive. Strong catchy melodies have served those tracks incredibly well. Animation, particularly polygonal animation have come a long way, doubling animation frame speed as it turns out is a terrible idea. In short most games don't age well. Some do, but at the same time, it'll always be hard to say if you're enjoying those older games because of those fond memories or because the game still holds up as a good game in 2013.
To cap this off I'll list a few more game suggestions for Random Encounter. Because clearly I'm not done ruining people's memories of old games.
Alpha Centauri
Oni
XIII
Ground Control
Dungeon Keeper
Stronhold
Vampire the Masquerade Bloodlines
Theme Hospital
Homeworld
Red Alert
Freelancer
MechWarrior
TIE Fighter
Morrowind


