I have seen it with my eyes. I was homeless and travelling in canada and needed an emergency extraction and heard that there is a dentist volunteering to do extractions for free. I went there, and they had 4 chairs being prepped by volunteer nurses, as the dentist went from one chair to another in a circle doing a quick extraction as each chair was replaced with a new patient. They may have even been going faster than 5 per hour.
Noita, Streets of Rogue, and Dwarf Fortress are some of favorite games.
I haven’t played it, but Animal Well looks great.
It’s not a pixel game, but because it has Sims 1 graphics, I think Project Zomboid should get a special mention.