Background:
This is my attempt to take an originally fictional game from one of my fantasy stories, and make it real. The full rules described here are the ones from that story, and are very elaborate as the story intended to depict a alternate present in which these activities takes place frequently in society at large, and participation in them is involuntary. That is, these rules are complicated because they come from a kafkaesque (but sexy) dystopia. Feel free to simplify them for actual use - I certainly do!
The game requires two players, both of whom must be fully consenting adults, and both of whom should be familiar with the rules beforehand.
Participants:
• patient
• doctor (or nurse, or other title of your choice)
Equipment:
• hospital gown (preferably an actual hospital-grade one, not the fashionable kind that are designed to give the patient "dignity")
• hospital style "grippy" socks (or any socks, really)
• bedroom slippers, sandals or any shoes you could imagine someone wearing in a hospital setting
• medical gloves, lubes, etc
• buttplug
General Gameplay:
The game is best played on the weekend or when both partners are off work, remote workers, or retired - as it requires the patient to remain dressed in a hospital gown all day while the doctor observes.
The goal for the patient is to go about their normal daily activity at home while keeping the back of the gown closed as much as possible to prevent the doctor from seeing their bare ass.
The game may take all day.
The patient starts the game off wearing the following:
• hospital gown, the back should be untied
• underwear
• socks
• slippers
Inspection
Up to three times during the day, the doctor may request an "Inspection" at a random time, which is a request for the patient to stop what they are doing and allow the doctor to check what is being worn under the gown. The patient may refuse the inspection, but each time they do so, they lose one of their outs as described in the next section.
Outs
If the patient is aware that they are about to be in a situation where it will be impossible to keep their ass covered, they may use one of the following "outs":
"Excuse Me" - the doctor is expected to turn away, leave the room, or otherwise avoid being able to see the patient's uncovered ass. The patient may use this once a day, unless they gave up the right to it by refusing an inspection.
"Pardon Me" - the doctor is allowed to observe the situation in its entirety, but must do nothing else. They may use this once a day, unless they twice refused an inspection.
"Mercy!" - the doctor may watch as the patient resumes activity, and if the patient's ass is accidentally exposed, the doctor may take what is termed a "freebie", but no Check condition occurs. A patient may call Mercy an unlimited number of times, unless they refused 3 inspections in which case there is nothing left that they can do.
Freebies
A freebie consists of something like the following (use your imagination):
• snapping the waistband of the patient's underwear, if still wearing it
• gently slapping, patting, or tickling the patient's bottom, whether clothed or bare
• if bare, on the third and subsequent incident of the day, the doctor may take the patient over the doctor's knee and administer a quick spanking
• if bare, on the 4th and subsequent incident, the doctor may perform a brief digital-rectal exam on the patient
The first two listed above, which take less time than the others, may also be called "quickies".
The doctor is free to improvise additional actions as needed to keep the game interesting, the only rule is they must be significantly less involved than anything that happens in a Session (see below).
Checks
"Check" is what the doctor must say if they notice the patient with the back of their gown open, and are able to see the patient's underwear (if still wearing) or bare butt, and the patient has NOT excused themself by using one of their outs.
The terminology is intended to sound like putting one's opponent in check in chess.
When in check, a patient must stop what they are doing and stand straight up with their hands away from the back of the gown.
The doctor will conduct an inspection, and forcefully but harmlessly smack the patient on the ass. If the patient endures this with no sound or movement, they are free to resume normal activities.
If the patient makes a sound, or movement from the smack, the doctor will say "two for flinching" and administer another one.
If the patient makes a sound or flinches again, then an "escalation" occurs.
Escalation
The patient is required to remove an article (or pair of articles) of clothing. On each escalation, a different article is removed, in the following order:
• slippers
• socks
• underwear
If another escalation occurs when the patient is no longer wearing underwear, then the doctor has won the game. The doctor will insert a buttplug into the patient, after which the patient is said to be "corked".
Gameplay while Corked
A corked patient must wear the plug for the rest of the day, and is not allowed to remove it themselves. If they need to poop, they may ask the doctor to temporarily remove it.
No more freebies, checks, etc., can happen while the patient is corked but the doctor may request an inspection at any time to make sure the patient is still wearing the plug.
This may also be referred to as the patient being "flagged". The doctor should attach to the buttplug a paper luggage tag with information written on it about time and place when the patient was flagged. This is called the "flag".
Session
At the end of the day, the game is over. If the patient has managed to avoid getting corked, then the patient has won.
If the patient is corked, then the doctor has won, and a "Session" occurs. The doctor will remove the cork and administer a set of much more extensive treatments to the patient, such as:
• thorough rectal and genital exams
• longer and more forceful spankings
• enemas, suppositories, etc
• restraining the patient
• such medical tests and experiments as the doctor may devise
• tickling, tickle-torture, in the name of science!
• any and all types of sexual contact at the doctor's discretion
Variations
Couples may choose to adjust or remove the rules as needed to shorten the game. For example:
• starting with the patient already bare-bottomed
• limiting or eliminating outs from the game
• skipping one or both slaps after a check, going straight to escalation
• skipping the corked phase and going straight to the session
Use your imagination. Have fun.
Example, a game actually played 7/8/25
Rules changes for brevity:
• the patient started with only gown and underwear
• the only out allowed was "Mercy"
• doctor (me) allowed to call unlimited inspections
• any refusal to be inspected resulted in patient losing ability to call Mercy
• all freebies must be quickies
• no test for flinching when in check - any accidental exposure results in immediate escalation
• patient not allowed to egregiously turn back to the wall in situations when one wouldn't normally do that
• no corking/flagging - straight to the session immediately
Results:
• patient allowed inspection to confirm only underwear was being worn under gown
• patient forgot to call mercy when removing a glass from the kitchen cabinet, lost underwear
• because this patient is especially modest, they were allowed to remove underwear while gown was closed
• patient subsequently mixed a 2-quart pitcher of Tang brand orange drink and put it in the fridge, without losing control of the gown - impressive!
• after patient's visit to restroom, doctor requested inspection to ensure bottom was still bare, since patient had been out of doctor's view
• patient was reluctant, but more afraid of losing mercy, so allowed inspection
• after about one hour, during which time patient mostly sat around playing video games, patient declared not feeling well
• doctor recommended to examine patient
• patient complained of headache, doctor suspected eyestrain
• doctor requested patient to hold an eye chart in front of face with one hand, cover one eye with other hand
• patient forgot to call Mercy before doing so - lost control of gown -busted! - fun time begins!
• patient's feet and toes also found to be extremely ticklish, requiring patient to be restrained for own safety
• doctor determined real problem was patient's "tension" in anal/rectal area, requiring extensive massage of this area
• full release of patient's sexual energy seems to have cured the problem
These rules have also been published by me on other places, including my tumblr.