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Games Like 异化之恶〇Abnormal Treatment

60+ similar titles based on shared tags and player behavior. Themes include Horror, Pixel Graphics, 2D, RPG.

异化之恶〇Abnormal Treatment header art

Strange events occur at a sanatorium for those with unusual abilities. Follow clues, solve puzzles, and uncover the truth. What will be released when all secrets are revealed? Goodness? Or… pure ”EVIL”?

Reviews: Overwhelmingly Positive — 97% — of 3,585 reviews
Released: 2019-08-02
Developer: Eternal Dream
Publisher: 迷糊的安安
Genres: Adventure, Indie, RPG, Free To Play
Platforms: Windows

Overview

Abnormal Treatment is a standout in the RPG Maker horror genre, blending a deceptively cute aesthetic with unsettling psychological themes and intricate puzzle-solving. These recommendations focus on titles that capture that same 'cute-but-creepy' atmosphere, emphasizing narrative-driven exploration, female protagonists, and the classic top-down pixel art style common in psychological horror games.

Similar Games

View all 60 recommendations
  1. #1 The Witch's House MV
    97% matchOverwhelmingly Positive95% of 3,920 reviews2018
    Dev: FummyPub: DANGEN Entertainment
    Windows · Mac
    Median: 2.8 hrsMean: 9.8 hrs≥1hr: 85%

    A young girl, Viola, is drawn inexorably to a mysterious manor that seems to change behind her back. It is a place of pain, turmoil and death. Plumb its detestable depths and abominable history. Untangle riddles that bar your perilous path. And flee the hellish halls of The Witch’s House.

    Why similar: Horror 27.4%, Psychological Horror 13.4%, Pixel Graphics 10.8%, RPG 8.5%, Female Protagonist 8.1%

    Why You'll Like It: Features the same high-stakes puzzle-solving and cute-to-creepy aesthetic transitions found in Abnormal Treatment.

  2. #2 Mad Father
    96% matchOverwhelmingly Positive97% of 6,511 reviews2016
    Dev: senPub: PLAYISM
    Windows
    Median: 3.8 hrsMean: 7.4 hrs≥1hr: 86%

    Witness the tale of a most foolish family. A remake of the classic horror exploration game makes its way to Steam.

    Why similar: Psychological Horror 21.2%, Horror 16.3%, Anime 16.1%, Pixel Graphics 9.6%, Female Protagonist 9.3%

    Why You'll Like It: A quintessential RPG Maker horror game that perfectly mirrors the blend of a young female protagonist, dark family secrets, and psychological dread.

  3. #3 Paper Lily - Chapter 1
    96% matchOverwhelmingly Positive99% of 8,379 reviews2024
    Dev: Leef 6010
    Windows
    Median: 4.1 hrsMean: 8.2 hrs≥1hr: 76%

    Paper Lily is an RPG horror game in which you can solve puzzles in different ways. Explore a hidden world, meet strange characters, and guide Lacie as she attempts to find answers about her unusual condition.

    Why similar: Psychological Horror 16.6%, Anime 11.9%, Pixel Graphics 9.8%, Multiple Endings 8.3%, RPG 8.1%

    Why You'll Like It: A modern masterpiece of the genre that shares the same focus on exploration, puzzle-solving, and psychological horror.

  4. #4 Project Kat - Paper Lily Prologue
    95% matchOverwhelmingly Positive99% of 5,824 reviews2021
    Dev: Leef 6010
    Windows

    Project Kat is a short, unconventional RPG horror game in which there is always another way. Solve puzzles, make friends (or not), and guide Kat as she attempts to uncover the mystery behind a strange golden letter.

    Why similar: Psychological Horror 16.8%, Anime 13%, Pixel Graphics 9.3%, Multiple Endings 8.5%, Story Rich 7.5%

    Why You'll Like It: Provides a tight, focused horror experience with excellent puzzle design and a charming yet eerie art style.

  5. #5 Ib
    94% matchOverwhelmingly Positive99% of 5,122 reviews2022
    Dev: kouriPub: PLAYISM
    Windows
    Median: 3.4 hrsMean: 16.2 hrs≥1hr: 82%

    A 2D exploration adventure game set in a creepy, mysterious art gallery.

    Why similar: Psychological Horror 13.9%, Horror 10.5%, Female Protagonist 10.5%, Anime 9.5%, Multiple Endings 9.4%

    Why You'll Like It: A classic exploration-based horror game that defines the genre's focus on atmosphere, puzzles, and a vulnerable female lead.

  6. #6 Misao - 2024 HD Remaster
    94% matchOverwhelmingly Positive96% of 2,503 reviews2017
    Dev: senPub: PLAYISM
    Windows
    Median: 3.6 hrsMean: 8.4 hrs≥1hr: 86%

    Explore a school plagued by unnatural phenomena in this horror-adventure game revolving around the missing girl Misao. Improving upon 2017's "Definitive Edition" with refreshed graphics and support for HD resolutions, you can now experience the terror in a new form.

    Why similar: Psychological Horror 16.2%, Female Protagonist 13.4%, Anime 12.4%, Horror 11.7%, RPG 9.5%

    Why You'll Like It: This title excels at the supernatural school-setting mystery that fans of Abnormal Treatment will find familiar and engaging.

  7. #7 At Home Alone Final
    93% matchOverwhelmingly Positive97% of 7,988 reviews2021
    Dev: 阿正不经Pub: Peanut Bear Studio
    Windows

    A casual healing rpg that takes players on a journey around the house from the perspective of a young girl, what does she do when she's home alone? What strange things will you come across in the process, and while exploring, perhaps... What other strange secrets might you discover?

    Why similar: Psychological Horror 20.7%, Horror 13.9%, RPG 12.3%, Pixel Graphics 11.8%, Multiple Endings 11%

    Why You'll Like It: A strong indie horror title that utilizes pixel art to create a sense of isolation and psychological unease.

  8. #8 Pocket Mirror ~ GoldenerTraum
    91% matchVery Positive93% of 1,656 reviews2023
    Dev: AstralShiftPub: KOMODO
    Windows · Mac
    Median: 4.1 hrsMean: 6.4 hrs≥1hr: 84%

    Delve into the enthralling world of Pocket Mirror ~ GoldenerTraum, the acclaimed RPG Maker gothic horror game that'll take you on a moving journey of self-discovery.

    Why similar: Horror 20.9%, Anime 15.8%, Female Protagonist 14.5%, RPG 13.6%, Pixel Graphics 11.6%

    Why You'll Like It: Offers a highly polished, surreal, and puzzle-heavy experience that matches the visual style and thematic intensity of the seed game.

  9. #9 Savior of the Abyss
    92% matchMostly Positive78% of 264 reviews2021
    Dev: ALLAF GAMES
    Windows

    Savior of the Abyss is a horror adventure game. To avoid sudden death, always pay attention and be suspicious of things around you. Collect and use a variety of tools to get to the surface. Please lead the protagonist safely so that the protagonist can achieve his or her purpose safely.

    Why similar: JRPG 17.9%, Psychological Horror 17.8%, Horror 14.6%, Female Protagonist 13.7%, Pixel Graphics 8.3%

    Why You'll Like It: A tense, puzzle-heavy horror game that shares the claustrophobic and mysterious atmosphere of a sanatorium-like setting.

  10. #10 The Aquarium does not dance Special Edition
    90% matchVery Positive98% of 262 reviews2025
    Dev: 橙々Pub: Frontier Works Inc.
    Windows

    Navigate your way through an aquarium overrun by gruesome creatures known as creepies and unravel its hidden mysteries. With each riddle you solve, you’ll find yourself one step closer to uncovering the chilling truth of Bianca Aquarium. Your choices affect the outcome of the game, so choose wisely.

    Why similar: Female Protagonist 13.4%, Psychological Horror 12.7%, Horror 10.6%, Cute 9.4%, Pixel Graphics 9.1%

    Why You'll Like It: Combines a cute, stylized aesthetic with dark, horror-themed narrative beats in a way that feels very similar to the seed game.

  11. #11 Cursed Mansion
    91% matchVery Positive90% of 68 reviews2023
    Dev: Dragon Emperors
    Windows

    Rose must escape the Cursed Mansion - a demonic space that preys and feeds on fear and despair. In this horror RPG you'll solve puzzles and learn the mansion’s history. Mystery, malignant spirits, and misery everywhere. Cursed Mansion brings an eerie atmosphere which leaves one with goosebumps.

    Why similar: Psychological Horror 15.1%, Multiple Endings 12.1%, Female Protagonist 11.6%, Horror 11.3%, Anime 8.9%

    Why You'll Like It: Features multiple endings and atmospheric exploration that rewards players for uncovering hidden secrets.

  12. #12 Annie and the Art Gallery
    89% matchVery Positive86% of 185 reviews2022
    Dev: jswessler
    Windows · Mac

    After months of waiting, Annie finally snags a ticket to the new art exhibit. However, things take a turn for the worst: she finds herself trapped in the museum's haunted basement. Help her navigate puzzles, traps, and more as she tries to escape - and find out the truth of what's really going on.

    Why similar: JRPG 19.9%, Psychological Horror 19.4%, RPG 9.8%, Anime 8.9%, Female Protagonist 8.4%

    Why You'll Like It: A short, puzzle-focused horror game that emphasizes the exploration of a confined, mysterious space.

  13. #13 Araka~JK Exorcist Horror RPG
    89% matchMostly Positive77% of 71 reviews2023
    Dev: I'm moralistPub: BokiBoki Games
    Windows

    Manipulate the main character with power of telepathic, looking for the trace of Araka, an Exorcist imprisoned in the other world.

    Why similar: JRPG 22.9%, Horror 13.9%, RPG 13.2%, Female Protagonist 12%, Visual Novel 8.5%

    Why You'll Like It: Features a female protagonist navigating supernatural threats, fitting the core identity of the seed game.

  14. #14 Night Loops
    88% matchVery Positive89% of 163 reviews2023
    Dev: JiaquariumPub: indie.io
    Windows · Mac
    Median: 3.3 hrsMean: 3.9 hrs≥1hr: 91%

    Journey through the psyche… Welcome to the Seaside Hotel, where the final hour of your night shift awaits. Tend to guests, explore their dreams, and lose your sense of Self – time and again. In this dark, labyrinthine adventure, unravel the path to the truth below.

    Why similar: Psychological Horror 14.2%, Anime 10.8%, Female Protagonist 10.3%, Visual Novel 9.8%, Multiple Endings 9.4%

    Why You'll Like It: A psychological horror game that uses a unique time-loop mechanic to explore dark, surreal themes.

  15. #15 The Crooked Man
    87% matchVery Positive93% of 1,212 reviews2018
    Dev: Uri GamesPub: PLAYISM
    Windows
    Median: 3.5 hrsMean: 4.4 hrs≥1hr: 87%

    There was a crooked man, and he walked a crooked mile... This is the first title in the series known as The Strange Man, developed by Uri Games. Experience the myriad horrors awaiting David as he moves into his new house.

    Why similar: Psychological Horror 20.1%, Horror 14.8%, Anime 14.2%, Multiple Endings 13.8%, Pixel Graphics 10%

    Why You'll Like It: A foundational RPG Maker horror title that excels at building psychological tension through simple yet effective storytelling.

  16. #16 Fall into decay
    86% matchVery Positive92% of 106 reviews2024
    Dev: 灰房子工作室Pub: Gamera Games
    Windows

    名叫赛莉卡的少女某天在一间奇怪的宅邸中醒来,自己好像忘记了什么重要的事情,又似乎被卷入了什么事件之中…… 但首要的目的是找到逃离这里的方法。

    Why similar: Female Protagonist 12.2%, Anime 10.8%, RPG 10.8%, Pixel Graphics 9.9%, Puzzle 9.8%

    Why You'll Like It: A puzzle-heavy mystery game that maintains a consistent, dark, and atmospheric tone throughout.

  17. #17 Veloria
    85% matchVery Positive91% of 144 reviews2025
    Dev: WANDERING WITCH PROIECTUM
    Windows · Mac

    An Adventure game with environmental puzzles. Veloria awakens from a nightmare in an abandoned orphanage. As childhood fears resurface, she must piece together fragmented memories and uncover a dark past. Explore, solve puzzles, and survive this twisted place to reach her true ending.

    Why similar: JRPG 13.5%, Psychological Horror 13.4%, Female Protagonist 11.7%, RPG 9.1%, Puzzle 8.3%

    Why You'll Like It: A mystery-focused RPG that relies on puzzle-solving and exploration to drive its psychological narrative.

  18. #18 The Doll's Window
    86% matchMostly Positive74% of 58 reviews2022
    Dev: ujumiru
    Windows

    A horror exploration game that takes place in an underground labyrinth. Avoid malicious creations that are hungry for your soul. Depart from the nightmares that constantly haunt you.

    Why similar: Psychological Horror 20.2%, Anime 11.4%, Cute 10.7%, RPG 9.2%, Puzzle 8%

    Why You'll Like It: Perfectly balances a cute, doll-like aesthetic with disturbing psychological horror elements.

  19. #19 Illusion Carnival
    82% matchOverwhelmingly Positive98% of 6,810 reviews2024
    Dev: KiZ
    Windows · Mac

    A lost soul wanders through a whimsical, eerie pop-up book like amusement park. Dive into fun-filled stages, encounter unique characters, fend off spirit erosion, and uncover the park's hidden secrets. The enchanting yet dark Illusion Carnival begins now.

    Why similar: Psychological Horror 20.8%, JRPG 13.1%, Cute 11.6%, Anime 10.5%, Visual Novel 9.9%

    Why You'll Like It: A psychological horror game that uses a stylized, cute aesthetic to mask its more disturbing narrative elements.

  20. #20 Ann
    84% matchVery Positive94% of 2,719 reviews2021
    Dev: Rong Rong
    Windows

    Ann, an art student finds herself trapped in the school when she accidentally broke one of the school's rules. With the help of the school's security guard, help Ann navigate her way out and uncover the secrets of the school before she becomes a permanent resident of the school.

    Why similar: JRPG 17.9%, Horror 17.1%, Psychological Horror 15.1%, Anime 12.8%, Female Protagonist 9.7%

    Why You'll Like It: A classic-style horror RPG that focuses on narrative progression and uncovering the truth behind a tragic mystery.

  21. #21 羽翼的祈愿 - Feather Of Praying
    84% matchVery Positive96% of 318 reviews2018
    Dev: 秋之忧郁Pub: Eternal Dream
    Windows

    This is a horror puzzle RPG first released in 2016. Players control Qiu Xiaoqi as she explores a mysterious room filled with puzzles alongside a white-haired youth. They unravel mechanisms to uncover the truth behind her loss of consciousness. Will the wish be fulfilled? The story is yours to shape!

    Why similar: JRPG 14.8%, Psychological Horror 13.6%, Female Protagonist 11.8%, Anime 11.1%, Horror 9.8%

    Why You'll Like It: An indie horror RPG that emphasizes adventure and the uncovering of dark, hidden truths.

  22. #22 夜弦之音 - Echoes of Nocturnal Chords
    83% matchVery Positive100% of 113 reviews2020
    Dev: 秋之忧郁Pub: Eternal Dream
    Windows

    On a rainy night, Xiaoyin disappears searching for the legendary “Miracle Grass.” Yixuan follows clues into a trap-filled cave where bodies, monsters, lies, and warmth intertwine. Multiple endings guide you through fairy tale and reality, revealing a fate woven from hope and loss.

    Why similar: Anime 12.8%, Female Protagonist 12.7%, JRPG 12.5%, Horror 11.6%, RPG 10.8%

    Why You'll Like It: Blends RPG mechanics with horror and mystery, providing a similar gameplay loop to the seed game.

  23. #23 LUNA
    81% matchVery Positive82% of 488 reviews2025
    Dev: Hypnosis LabPub: Alice Publication
    Windows

    In a world corrupted by superpowers, powerful enemies have plunged society into chaos. Can Luna, through her mysterious superpower, defeat the nearly invincible enigmatic women and bring peace?

    Why similar: Anime 24.8%, RPG 23.6%, Cute 19.3%, Adventure 11.8%, 2D 9.4%

    Why You'll Like It: Focuses on top-down puzzle-solving and exploration, which are core mechanics of the seed game.

  24. #24 Ticy Adventure Club
    81% matchOverwhelmingly Positive98% of 3,248 reviews2022
    Dev: YEZHI
    Windows

    本作是2d剧情向角色扮演恐怖游戏。在本作设定中,玩家将扮演灵异探险社的社员,分工调查被委托的事件,探索场景,寻找线索,并最终解决委托中灵异作祟的问题。

    Why similar: Psychological Horror 15.5%, RPG 11.3%, Cute 10.5%, Horror 9.8%, Anime 8.8%

  25. #25 Blackout Hospital
    82% matchVery Positive97% of 174 reviews2023
    Dev: arcadekitten
    Windows

    When the power goes out while working night shift in the hospital, the emergency lights come on with an eerie glow...

    Why similar: Anime 18.1%, RPG 15.7%, Puzzle 12.3%, Cute 11.8%, Horror 10.3%

    Why You'll Like It: The hospital setting and focus on puzzle-solving provide a similar experience to the sanatorium mystery of Abnormal Treatment.

  26. #26 Ticy Adventure Club : Queen of the Spring
    79% matchOverwhelmingly Positive99% of 825 reviews2025
    Dev: YEZHI
    Windows

    本作是一款RPG恐怖解谜游戏。在游戏中,玩家将扮演一群以解决灵异事件为课外实践活动的学生,在提西城里调查有关“春日女王”的事件。随着调查的深入,一场巨大的阴谋正徐徐展开……

    Why similar: Psychological Horror 24%, RPG 16.9%, Horror 14.4%, Female Protagonist 13.6%, Story Rich 13.5%

  27. #27 白昼梦 · 心象病院
    79% matchVery Positive85% of 235 reviews2024
    Dev: 林檎树Pub: Eternal Dream
    Windows

    This is a pixel style puzzle game, including a certain micro-horror elements. Truth is blind love. Retrieve your memory and escape from this horrible hospital.

    Why similar: Psychological Horror 19.7%, JRPG 14.7%, Pixel Graphics 10.7%, Story Rich 9.8%, Horror 9.7%

  28. #28 花火与幽灵少女 - Hanabi and Ghost girl
    76% matchOverwhelmingly Positive99% of 1,374 reviews2025
    Dev: Tiram1su Games
    Windows

    蝉鸣声中偏远的山中小镇,表面悠然而宁静,背后却隐藏着某个笼罩了这里数百年的黑暗秘密。女主角结城花火几年前跟随父母一同来到空铃镇,在父母的事故后因为内向的性格被排挤的她如今一个人生活在小镇上,直到在旧校舍邂逅本已死去的“幽灵”。

    Why similar: JRPG 19%, Female Protagonist 12.3%, Puzzle 8.8%, Multiple Endings 8.1%, RPG 7.9%

  29. #29 At Home Alone II
    80% matchVery Positive86% of 227 reviews2019
    Dev: 阿正不经Pub: Peanut Bear Studio
    Windows

    A recreational healing Mini-plot game explored at home. Players will play and wander around the house from the perspective of a little girl. What will she do when she is alone? What strange stories will happen in the process? and in the process of exploration, you may find some strange secrets....

    Why similar: Psychological Horror 14.9%, Anime 11.9%, Female Protagonist 11.4%, Horror 10.2%, JRPG 9.8%

  30. #30 The Rule Of SHE
    78% matchVery Positive88% of 58 reviews2025
    Dev: HaiBin studio
    Windows

    A wandering soul mistakenly enters a world of strange tales and odd rules. Beware! This place is fraught with danger. To complete reincarnation, you must toe the line. Any soul that dares to go against the system will face correction. Will you comply—or defy?

    Why similar: Female Protagonist 14.8%, Horror 13.5%, Psychological Horror 10.7%, Multiple Endings 10.6%, Puzzle 9.9%

  31. #31 The NOexistenceN of you AND me
    75% matchVery Positive93% of 20,460 reviews2024
    Dev: 0x0Real StudioPub: Nino Games
    Windows · Mac
    Median: 2.5 hrsMean: 16.7 hrs≥1hr: 70%

    Use "game" as a medium to showcase the world of "you/girl". Explore the truth of "you/girl/world" through the form of a "visual novel".

    Why similar: Psychological Horror 20.9%, Visual Novel 20.1%, Anime 14.8%, Multiple Endings 13.8%, Cute 10.2%

  32. #32 At Home Alone
    78% matchVery Positive85% of 1,898 reviews2018
    Dev: 阿正不经Pub: Peanut Bear Studio
    Windows

    This is a recreational healing Mini-plot game explored at home. Players will play and wander around the house from the perspective of a little girl. What will she do when she is alone? What strange stories will happen in the process, and in the process of exploration, you may find some strange secrets....

    Why similar: Psychological Horror 24.5%, Horror 19.5%, Anime 17.8%, RPG 9.6%, Cute 8.8%

  33. #33 Void of Lilly
    76% matchVery Positive90% of 119 reviews2026
    Dev: Innocent Soul
    Windows

    Void of Lilly is an adventure in the world of the near future with JRPG elements and Bullet Hell battles! Help Ann to find her sister and uncover secrets of this world... Void of Lilly is coming on Steam for free!

    Why similar: Psychological Horror 15%, JRPG 10.4%, Anime 9.7%, RPG 9.3%, Story Rich 9.1%

  34. #34 The Monstrous Horror Show
    77% matchVery Positive91% of 299 reviews2023
    Dev: kaniheadcrabPub: OTAKU Plan
    Windows

    Four girls find their way into an abandoned hospital, each for her own reasons. Will they manage to unravel the dark secrets hiding within, escape safely, and return to their normal, peaceful lives?

    Why similar: Anime 11.9%, Story Rich 10.6%, Multiple Endings 10.6%, Female Protagonist 10.3%, Puzzle 10.1%

  35. #35 Buy a Croquette!
    73% matchOverwhelmingly Positive99% of 7,532 reviews2024
    Dev: 越青Pub: Eternal Dream
    Windows
    Median: 2.9 hrsMean: 12.5 hrs≥1hr: 73%

    March 2012, Nagano. The brave and clever high school girl, Chio Aozora, is facing a major crisis: she doesn’t have enough money to buy a croquette! Navigate through the streets and alleys of Nagano, interact with a variety of characters, solve complex puzzles, collect 380 yen, and buy a croquette!

    Why similar: Psychological Horror 15.5%, JRPG 15.2%, Female Protagonist 11%, Multiple Endings 10.6%, Visual Novel 8.6%

  36. #36 DEAD LAMB WALKING
    74% matchVery Positive97% of 195 reviews2024
    Dev: Lyn Mametchi
    Windows

    A story about a dead lamb walking.

    Why similar: Psychological Horror 14.9%, Female Protagonist 13.8%, Visual Novel 13.4%, Cute 10.6%, Horror 10.4%

  37. #37 猫不语
    77% matchMixed68% of 57 reviews2021
    Dev: 库库尔坎游戏工作室
    Windows

    Cat Silence is a horror suspense puzzle game with urban legend themes. The story takes place in an abandoned experimental middle school. With the deepening of the investigation, the unknown and long-buried bloody stories of this school slowly emerged, putting together a chilling truth...

    Why similar: Psychological Horror 14.8%, Female Protagonist 12.8%, Anime 11.9%, Horror 11.7%, Pixel Graphics 8.8%

  38. #38 You Are NOT Bunnygirl
    73% matchVery Positive97% of 87 reviews2025
    Dev: (Just)JordanPub: Jordan Peloquin
    Windows · Mac · Linux

    Guide Bunnygirl through a lab of malfunctioning robots in this RPG about self-care! Learn how to weaponize her emotions in combat and meet unhinged robots who seem to know more about her than she does. Can you protect Bunnygirl? And...who is she, anyway??

    Why similar: JRPG 18.4%, Psychological Horror 16.4%, Female Protagonist 11.4%, Horror 10.1%, Cute 9.8%

  39. #39 LUNA
    75% matchVery Positive83% of 322 reviews2020
    Dev: SimplePub: PsychoFlux Entertainment
    Windows

    Play as a little girl named 'Luna', and survive from the dark being while discovering the secrets behind her. The more you traverse on her memory, the more you will discover dark truths that lie deep inside.

    Why similar: Psychological Horror 16.6%, Female Protagonist 15.6%, Anime 13%, Horror 11.8%, RPG 11.7%

  40. #40 Kiki & Ana - The Child
    74% matchVery Positive95% of 127 reviews2021
    Dev: Horror Shop
    Windows

    "Kiki & Ana - The Child" is a cute story experience. Focused on story, art, and music. Must avoid hazards which some people find difficult. Takes about an hour to complete. WARNING: flashing lights, light gore.

    Why similar: Anime 12.6%, Cute 11.6%, Visual Novel 11.6%, Female Protagonist 11.1%, Story Rich 8.8%

  41. #41 Subway Exorcist Girl
    72% matchVery Positive83% of 307 reviews2025
    Dev: 纤指游戏Pub: Delicate Fingers
    Windows

    A subway train plagued by strange occurrences. A part-time exorcist girl arrives to confront the supernatural chaos, with the unknown ahead.

    Why similar: Psychological Horror 17.5%, Horror 15.2%, Visual Novel 15%, Anime 11.5%, Cute 9.5%

  42. #42 苍白花树繁茂之时Blood Flowers
    73% matchVery Positive83% of 313 reviews2023
    Dev: Bone Nail
    Windows

    A puzzle & plot single-player game. It all starts with the falling star ...... Through the puzzle, find the childhood memories while gradually unraveling the truth of the "Blood Tree Plague" hundreds of years ago.

    Why similar: JRPG 23.1%, Anime 14.2%, Visual Novel 13.8%, Horror 11.7%, Puzzle 10.3%

  43. #43 NEEDY STREAMER OVERLOAD
    69% matchVery Positive94% of 55,246 reviews2022
    Dev: WSS playground
    Windows · Mac
    Median: 3.5 hrsMean: 18.1 hrs≥1hr: 81%

    NEEDY STREAMER OVERLOAD is a “multi-ending ADV” depicting daily life with “OMGkawaiiAngel”, a young girl with a rather extreme need for approval attempting to become the #1 “Internet Angel” (streamer).

    Why similar: Psychological Horror 26.2%, Anime 17.4%, Visual Novel 15.3%, Multiple Endings 10.7%, Cute 10.6%

  44. #44 No Ghost in Sky Elevator
    71% matchVery Positive99% of 68 reviews2023
    Dev: Midori Games / みどりげーむず
    Windows

    It is a strange high-rise elevator. The objects that appear and the people you board are all strange. Depending on your actions, you will face a variety of consequences.

    Why similar: Psychological Horror 24.1%, Female Protagonist 16.9%, Multiple Endings 15.9%, Cute 12.1%, Anime 10.8%

  45. #45 Hazy Mind
    71% matchVery Positive86% of 331 reviews2024
    Dev: betetiro
    Windows · Mac · Linux

    You can't remember anything, and all you can see is HER. Delve into your story and uncover the truth behind what happened to you and your parents.

    Why similar: Psychological Horror 21.3%, Visual Novel 15.3%, Anime 12.4%, Multiple Endings 12.2%, Story Rich 10.1%

  46. #46 Corpse Party
    72% matchVery Positive89% of 1,376 reviews2016
    Dev: GrisGrisPub: XSEED Games
    Windows · Linux
    Median: 3.5 hrsMean: 17.2 hrs≥1hr: 81%

    A group of friends unknowingly perform an occult ritual that traps them in an otherworldly elementary school. Here, the vengeful spirits of young children threaten their lives and their sanity, and the only hope of survival is to uncover the chilling details behind the murders of those trapped before them...

    Why similar: Horror 20.3%, Anime 17.4%, Psychological Horror 15.5%, Visual Novel 10.5%, RPG 7.9%

  47. #47 Urban Myth Dissolution Center
    67% matchVery Positive88% of 5,930 reviews2025
    Dev: HakababunkoPub: SHUEISHA GAMES
    Windows
    Median: 8.0 hrsMean: 9.9 hrs≥1hr: 84%

    Join forces with the psychic Director of the Urban Myth Dissolution Center and solve a variety of cases involving cursed relics, rental properties with shady histories, and dimensional anomalies. Monstrous oddities and otherworldly planes abound in this occult mystery adventure game!

    Why similar: Psychological Horror 22.4%, Visual Novel 19.5%, Pixel Graphics 12.2%, Horror 10.8%, Story Rich 10.7%

  48. #48 Trick & Treat
    70% matchOverwhelmingly Positive96% of 2,406 reviews2016
    Dev: Rabbiton
    Windows
    Median: 1.5 hrsMean: 10.0 hrs≥1hr: 66%

    Trick or treating in a vampire's house.Trick & Treat is a light-hearted Halloween adventure. It's about exploring and solving puzzles in a spooky atmosphere. There will be some horror elements, romance, many bad ends and a happy ending of true love.

    Why similar: Horror 17.9%, Pixel Graphics 15.1%, Anime 14.1%, RPG 11%, Cute 9.3%

  49. #49 黑色花与红山羊 / Black Datura & Red Goat
    70% matchOverwhelmingly Positive96% of 589 reviews2020
    Dev: Angels Blue Digital EntertainmentPub: Gamirror Games
    Windows

    苏醒之时,他正处于昏暗的木屋之中。自己的身份、过去的经历,全都无法想起。很快,他发觉自己正处于一个异常的空间,到处都是谜题和陷阱,还有一些古怪的居民。在前行的途中,也不断与同样被困在此处的人成为了同伴。道路的前方,是救赎,还是绝望?这是一个围绕着“诅咒”与“救赎”的故事。

    Why similar: Psychological Horror 12.6%, RPG 12.4%, Anime 12.2%, Horror 11.5%, JRPG 11.3%

  50. #50 东方心之解束~Saving from the devil
    70% matchVery Positive98% of 179 reviews2022
    Dev: 咲熠
    Windows

    来试试《心之解束》吧!这是一个以小恶魔和帕秋莉为主角,剧情丰富,玩法多样的“休闲类”东方同人RM游戏哦~在一次属于两人的异变中,她们的命运将会何去何从呢? 玩家交流qq群:115601828

    Why similar: Anime 18.3%, Horror 14.3%, Cute 13.8%, Puzzle 11.8%, RPG 11.3%

  51. #51 KOEWOTAYORINI / 声之寄托
    71% matchVery Positive86% of 980 reviews2018
    Dev: あみそ組Pub: Pujia8 Studio
    Windows
    Median: 1.5 hrsMean: 258.5 hrs≥1hr: 55%

    “喂喂,求求你啦!救救我!” ——你接到这样一个电话 发出这样的求救,给你打电话的人,是一名被监禁的少女

    Why similar: Anime 15%, Psychological Horror 13.9%, Visual Novel 12.4%, Horror 11.4%, Multiple Endings 11.2%

  52. #52 Deteriorate.1
    69% matchVery Positive92% of 131 reviews2024
    Dev: 狐狸精Zhuki
    Windows

    《化鬼 Deteriorate》是一款动物主角题材的横版解谜恐怖游戏,你需要根据关卡提示解开谜题,并在追逐战中躲避反派的追杀,在【死亡交易】中存活下来。

    Why similar: Horror 21.8%, RPG 19.8%, Puzzle 16.2%, Pixel Graphics 13.6%, Female Protagonist 11.9%

  53. #53 Magical Massage
    67% matchVery Positive97% of 108 reviews2026
    Dev: Pop Elephant StudioPub: Cyberisle
    Windows

    Extreme Life-and-Death Massage! Enjoy magician's look of agony and cure embarrassing ailments! From hemorrhoids that cause earthquakes to rhinitis that make huge explosion...nothing too fancy that you can't handle. However, if your skills fall short, these powerful, unclothed magicians may kill you.

    Why similar: Psychological Horror 16.4%, Anime 14.4%, JRPG 14%, Visual Novel 13.8%, Cute 9.6%

  54. #54 Eve of Souls: Static Pod
    69% matchVery Positive95% of 508 reviews2019
    Dev: LighTea Fish Studio
    Windows
    Median: 3.0 hrsMean: 12.8 hrs≥1hr: 70%

    [The pod will break soon. Will she survive the nightmare or find the truth?]

    Why similar: RPG 15.9%, Psychological Horror 14.1%, Horror 13.8%, Anime 12.6%, Female Protagonist 11.7%

  55. #55 I'll Do It Tomorrow
    68% matchVery Positive96% of 82 reviews2024
    Dev: Luca Morotti
    Windows

    It's Sara's first day of work. However, when she takes the elevator to go to the office, she suddenly finds herself on a mysterious floor. What truth lies behind these weird rooms? Will you be able to move on? Or rather... will you want to move on?

    Why similar: Psychological Horror 19.9%, Anime 15.7%, Visual Novel 14.6%, Female Protagonist 13.1%, Story Rich 10%

  56. #56 Yuki「清醒梦」
    65% matchVery Positive98% of 352 reviews2025
    Dev: visualmemoryunit_
    Windows

    Explore an abandoned school where memories linger longer than the living. Uncover the mystery of your best friend’s disappearance. Dodge bullets.

    Why similar: Psychological Horror 27.2%, Visual Novel 16.4%, Female Protagonist 16.2%, Anime 9.8%, Story Rich 9.2%

  57. #57 Parasitic Evil
    66% matchVery Positive92% of 691 reviews2023
    Dev: R'sPub: Playmeow
    Windows
    Median: 1.4 hrsMean: 3.6 hrs≥1hr: 62%

    Amidst a catastrophe, the protagonists find themselves trapped inside a hospital that has been conducting mysterious research. While they manage to survive the initial disaster, they are soon confronted with insane mutations—and the struggle to escape the hospital which leaves both their sanity and physical forms under siege.

    Why similar: Psychological Horror 36.1%, Puzzle 21.7%, Anime 20.3%, Cute 11.8%, Adventure 10.1%

  58. #58 Even20: The Interference of Parallels
    66% matchVery Positive94% of 51 reviews2025
    Dev: SilverEyesPub: Wisdom Games Publishing
    Windows · Mac

    Two souls are drawn into a mysterious otherworld—and torn apart. In a realm filled with danger and restless spirits, each searches for the other while uncovering hidden truths. A suspenseful multi-ending adventure where every choice shapes their fate.

    Why similar: Psychological Horror 16%, Horror 12.8%, RPG 12.3%, Multiple Endings 9.8%, Pixel Graphics 8.6%

  59. #59 Saint Maker - Horror Visual Novel
    67% matchVery Positive86% of 253 reviews2023
    Dev: Yangyang MobilePub: Neon Doctrine
    Windows · Mac

    A haunted convent. Statues that move on their own. A buried past. Welcome to Saint Idelora’s convent, where becoming a saint comes with a price.

    Why similar: Psychological Horror 19.2%, Visual Novel 15.4%, Female Protagonist 14.6%, Horror 12.8%, Anime 10.8%

  60. #60 氷点下30度の絶望
    64% matchVery Positive97% of 337 reviews2025
    Dev: Mitsudomoe Koubou
    Windows

    可愛い後輩と2人っきり……冷凍庫の中で。 低体温症、矛盾脱衣、幻覚などの苦痛を乗り越えた先にあるのは、「真相」と「死」のみ。

    Why similar: Psychological Horror 25%, Visual Novel 17.9%, Multiple Endings 15.3%, Pixel Graphics 13.9%, Story Rich 10.7%

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异化之恶〇Abnormal Treatment cover art

Games Like 异化之恶〇Abnormal Treatment

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