Yes it does. I myself have windows 7 home 64bit version and it runs well. I haven't heard about any problems with that, so I guess it's thumbs up and for you it's only to run to the nearest store. Anyhow, remember that the US version is called 911 First Responders. Same stuff, different name. Some people have had problems with purchasing the digital download version, so I would recommend to go for the cd version if possible. Edit: Bah, I was too slow