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ZH Center for Military Medical Ethics

"Challenging Perspectives" Game-based training in MME

A serious moral game in Military Medical Ethics

The idea of "Challenging Perspectives" is both to challenge one's own perspective on military medical ethics and to be exposed to challenging perspectives and scenarios in military medical ethics in a game-like setting.



This project aims to improve ethics training by developing a serious moral game that harnesses the proven benefits of board games as powerful informal learning environments to equip health care providers (HCP) with the tools they need to respond effectively and ethically in the mission field.

The game addresses the need to continuously develop educational methods in military medical ethics to improve the ethical skills of HCPs to better adapt to challenging scenarios, be they civilian, military, or humanitarian. For example, resource allocation is an ever-present issue, as illustrated by the recent COVID-19 pandemic. In military scenarios, the need to comply with international humanitarian law and the constant risk of PTSD resulting from moral injury make ethics education of HCPs an essential requirement for sound medical practice and it can foster resilience among the medical staff.

The Game

The goal of this game is to traverse through an ethically challenging scenario and reach a decision among the group of players on how to handle such situations. In order to accomplish the goal, the players pass through five consecutive phases: the scenario phase, the moral question phase, the lens phase, the evaluation phase and the action phase. Each phase has a time limit indicated. Respecting the suggested time limits is recommended, but players can decide to switch to the next phase earlier and can also decide to take more time if they think it is needed for a specific phase.


The Goal

The goal is to provide a tool that can be used by ethics trainers or by small groups to support ethics teaching of military and humanitarian health care personnel. Learning how to deal with ethically challenging situations shall be learned in a playful way.

Download and Print & Play

The game material is freely available for everyone to download and use.

Credits and Funding


The development and production of this training material has been supported by the Centre of Competence for Military and Disaster Medicine, Swiss Armed Forces, Bern, Switzerland.


Game design: Tomislav Furlanis, Daniel Messelken
Ilustrations: Suzana Ravaršan @riondaart
Additional icons:
Acknowledgements: We would like to thank a number of people who contributed to the idea of this game and during early development. Our colleagues Bernhard Koch, Cord von Einem, and David Winkler supported the idea of this serious moral game from the beginning and helped with early playtesting as well as feedback. Daniel's co-workers at the Center for Ethics of Zurich University provided valuable and constructive feedback on philosophical aspects.
A special and sincere thank you goes to all of our playtesters, the MME course attendees, and the members of the board game community RiRoll Rijeka.

Weiterführende Informationen

Download the game material

More about Download the game material

Download the game material on the external website