Special edition · SPECIAL

Living as a nurse

A child who once walked a hurt friend to the school nurse's office goes into nursing. A four-year university, a three-year nursing school, or two years of practical nurse training. Anatomy flashcards, clinical training notes, the national exam. Your first night shift, a patient's sudden turn, being there at the end, reporting a close call. Transfers, parenting and night shifts, leaving and coming back. In 2002 the separate titles for women and men became one, and there are disaster areas and COVID-19 wards. Certified nurse, specified medical acts training, nurse manager, home-visit nursing, nursing school teacher. Some lives never go into nursing, and some leave along the way. The pixel-art background changes with your life, from the school nurse's office to the lecture hall, the nurses' station, the ward at night and the homes in town.

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What happens in this life

  1. Nursing schoolChoose your route in the fall of your last year of high school: a four-year university, a three-year nursing school or junior college, or a two-year practical nurse school. From 2002, five-year high school nursing programs too. Anatomy and physiology, skills labs, clinical training.
  2. The national exam and your first jobThe national nursing exam (or the prefectural practical nurse exam). If you fall short: try again, take the practical nurse exam, or change course. A university hospital, a community hospital, a clinic, or a psychiatric or long-term care hospital. Your preferred unit.
  3. Wards and night shiftsA preceptor, your first night shift, a sudden turn and the end of a life, told gently. The third-year wall, another hospital, or school for public health nursing or midwifery (by law, midwives must be women). Practical nurses can aim for a nursing license through two-year or distance-learning courses.
  4. Parenting, disasters and infectionsParenting and night shifts (outpatients, hospital daycare, or leaving and coming back). Helping after the Hanshin-Awaji, Great East Japan, Kumamoto and Noto earthquakes. COVID-19 wards and vaccinations. Certified nurse, specified medical acts training, nurse manager, home-visit nursing, nursing school teacher, and life after retirement.

Nursing in Japan in numbers

Sources: Act on Public Health Nurses, Midwives and Nurses (e-Gov), its 2001 amendment (Act No. 153 of 2001, House of Representatives), Ministry of Health, Labour and Welfare (results of the 114th and 115th national nursing exams, Report on Public Health Administration and Services 2024, two-year distance-learning nursing courses, overview of home-visit nursing, specified medical acts, registration of licensed nurses not in work, disaster support nurses from fiscal 2024), Ministry of Education (nursing education in high schools), Japanese Nursing Association (certified nurses). Assignments and transfers, night shift counts (about 96 a year on three shifts, 54 on two), exam pass chances, leaving and returning, earning further qualifications, income and a hospital retirement age of 60 are game assumptions. All hospitals, schools and people are fictional. Sources for "How to become a nurse in Japan" are listed under the guide above. · The explainer (real data and assumptions)

How to become a nurse in Japan

Pass the national exam and get a license

A nurse is licensed by the Minister of Health, Labour and Welfare to care for sick and injured people and women after childbirth, and to assist in medical treatment (Act on Public Health Nurses, Midwives and Nurses, Article 5). To become one, you pass the national nursing exam and receive the license (Article 7).

Who can take the exam

You qualify by graduating from a designated university course, studying for three years or more at a designated school such as a junior college, or graduating from a nurse training school designated by the prefectural governor (Article 21). Since fiscal 2002, five-year programs combining a high school nursing course with an advanced course are also available (Ministry of Education). In April 2015, first-year places were 31% at universities, 45% at three-year schools and junior colleges, 18% in two-year and distance-learning courses, and 6% in five-year programs (Ministry of Health, Labour and Welfare).

From practical nurse to nurse

Licensed practical nurses are licensed by the prefectural governor and work under the instructions of doctors, dentists or nurses (Articles 6 and 8). The practical nurse exam is open to those who finish a two-year school or practical nurse training school (Article 22). Practical nurses with three or more years of work after licensing, or who finished high school, can study for two years or more and take the national nursing exam (Article 21). A two-year distance-learning course for experienced practical nurses began in April 2004 (Ministry of Health, Labour and Welfare).

Pass rates

In the 114th national nursing exam in February 2025, 56,906 of 63,131 examinees passed: 90.1% (95.9% for new graduates). In the 115th exam in February 2026, 52,666 of 59,614 passed: 88.3% (94.1% for new graduates) (Ministry of Health, Labour and Welfare).

Public health nurses, midwives and beyond

Public health nurses and midwives study for at least one more year and must pass both their own national exam and the nursing exam (Articles 7, 19 and 20). By law, midwives must be women (Article 3). Certified nurses of the Japanese Nursing Association need five or more years of practice and a program of at least six months and 600 hours before their exam. Nurses who complete specified medical acts training (from October 2015) can carry out 38 specified acts following a doctor's written protocol (Ministry of Health, Labour and Welfare).

One title for women and men

A 2001 amendment (Act No. 153 of 2001) renamed the law and replaced the separate titles for female and male nurses, and for female and male practical nurses, with single gender-neutral titles. It took effect in March 2002.

These rules and figures come from the Act on Public Health Nurses, Midwives and Nurses (e-Gov) and official pages of the House of Representatives, the Ministry of Health, Labour and Welfare, the Ministry of Education and the Japanese Nursing Association. Exam pass chances, assignments, night shift counts and income in the game are game assumptions. All hospitals and people are fictional.

Sources: Act on Public Health Nurses, Midwives and Nurses (e-Gov, Japanese) · House of Representatives: Act No. 153 of 2001 (Japanese) · MHLW: 114th national nursing exam results (Japanese) · MHLW: 115th national nursing exam results (Japanese) · MHLW: working nurses at the end of 2024 (Japanese) · MEXT: nursing education in high schools (Japanese) · MHLW: two-year distance-learning nursing courses (Japanese) · Japanese Nursing Association: certified nurses (Japanese) · MHLW: specified medical acts (Japanese) · MHLW: home-visit nursing (Japanese)

FAQ

Other special editions

Be born the normal way (no choosing)

The special editions are not meant to mock any job, way of life or family situation. They draw on public statistics and other real data to let you experience, as entertainment, what could happen in that life. Every character is fictional.

For schools, companies and local governments: live a life backed by statistics. Contact us

What makes it different from other life simulators

Getting to know Japan through a single life.

"Born in Japan" (日本に生まれる) began when I came across a life simulator in which you are born somewhere in the world and live out a whole life.

A world that feels distant when you only read numbers and explanations starts to connect to you when you follow one person's life. That experience was wonderful, and I wished Japan's everyday life and culture could be shared the same way.

We don't get to choose where we're born, when, or into what family.

What if you had been born in a different prefecture? What if your parents had been better or worse off? What if you had been born a little earlier, or later? Who would you have met, what would you have struggled with, and what would you have held dear?

Even within the same Japan, the view changes depending on where and when you grow up. School, work, marriage, life with family. Each of those choices involves not only a person's own feelings but also local customs, the mood of the times, and how society is set up.

On this site, you can live one person's life, guided by Japan's official statistics and mixed with game assumptions. It begins with conditions you can't choose, has moments where you decide for yourself, and brings events you never saw coming. Through it, I hope you can feel how Japanese culture lives on in everyday life and everyday choices.

For people living in Japan, I want to offer a chance to touch lives outside their own idea of "normal." For people abroad, I want to offer a way into the daily life and cultural background of Japan that you can't see from tourist spots or the news alone.

Of course, no single simulation can represent all of Japan. There are circumstances and feelings that statistics can't hold, and every life has meaning only the person living it can know. That's exactly why I hope the life you live here becomes a reason to want to know real people better.

The same birth can lead to a different life.

After you finish playing, maybe you'll look at the road you've walked a little differently, or imagine the life of someone far away. This site hopes that small act of imagination leads to a better understanding of people and cultures.

What is "Born in Japan"?

You can't choose where you're born, your family, or your era. "Born in Japan" is a free life simulator: you are born at random in one of Japan's prefectures, in some year between 1947 and 2010, as the child of some family, and you live a whole life to the end, one year at a time, through decisions about school, dropping out, jobs, changing jobs, marriage, housing, money, and caregiving, along with events like traffic accidents and becoming a victim of crime. No sign-up required.

Read the numbers: The average life in Japan · Oya gacha: the family you are born into · The odds of being born in Japan

How to play

  1. Press "Be born" to determine your birthplace, birth year, sex, your family's finances (including households in relative poverty), whether you have a single parent, siblings, and your parents' education.
  2. Events happen every year, and now and then you face a decision. If you're not sure, choose "Auto" and a common choice is picked for you.
  3. At the end of your life, you'll see your rank among people born the same way, how rare your life was, a title, and a graph of your whole life. You can share your result card on X, LINE, and Threads.
  4. "Today's birth" is a mode where everyone playing that day starts from the same birth. You can compare results with friends.
  5. In "Enter your life and compare," enter your birth year, education, work style, and more to see your life side by side with statistical lives under the same conditions.
  6. In "Look back on my life," answer 20 multiple-choice questions to turn your path into a pixel-art timeline and compare it with statistics for people born in the same year and prefecture (life tables, college enrollment rates, never-married rates, number of children, homeownership). Your answers never leave your device.

Statistics we use

The probabilities and amounts for life expectancy, wages, college enrollment, marriage, childbirth, divorce, pensions, savings, and more are based on the following official statistics.

Detailed explainers by area: Birth / School and dropping out / Work and wages / Marriage, children, and divorce / Housing / Savings and investing / Retirement and pensions / Accidents and crime / Life expectancy / Unusual lives (all). There's also a comparison by prefecture.

Parts not covered by statistics (rent, home prices, expected investment returns, how wages change after switching jobs, and so on) are filled in with assumptions that have no source. Which parts are real data and which are assumptions is listed in the notes at the bottom of the results screen.

About analytics

For analytics, we send information about page views and interactions (how far you've progressed in a life, the decisions shown and chosen, use of the share buttons, and so on, including device and browser information and a cookie-based identifier) to Google Analytics (Google LLC). We use it to improve the service, and we never send the text you type (short notes, your answers during breathers, or names). Amounts are shown in today's money, with inflation removed. This is not a prediction of anyone's future. For visits from the European Economic Area, the UK, and Switzerland, we don't run cookie-based analytics until you allow it.

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