Games Like Ambulance Life: A Paramedic Simulator

Emergency Call 112 – The Fire Fighting Simulation is an exciting, fully detailed simulation of the eventful life of a big city fire department. It was developed in cooperation with and modelled on the fire brigade of Mülheim, Germany. Mülheim has one of the largest and most modern fire stations in Europe.

Why similar: Driving 28%, Automobile Sim 21.3%, Simulation 18.9%, Realistic 14%, Open World 12%

Why You'll Like It: This simulator offers a highly realistic depiction of emergency response services and vehicle operation that mirrors the intensity of the seed game.

Play solo or in up to 10-player multiplayer co-op! Flashing Lights is an open world police, firefighting and EMS simulator game with plenty of opportunity for role-play or more relaxed fun with friends. Become the law or save lives! Discover leagues of player-created mods!

Why similar: Driving 30.6%, Automobile Sim 21.1%, Open World 12.4%, Realistic 10.9%, Simulation 10.3%

Why You'll Like It: It allows players to switch between police, fire, and EMS roles, providing a comprehensive look at emergency service duties in an open-world setting.

EmergeNYC is a simulation of New York City's Emergency Services. Drive over 30 different Emergency Vehicles with up to 32 of your friends through busy City Streets with blazing sirens and air horns. Take the role of a firefighter, medic, or police officer and ride with your friends to emergencies

Why similar: Driving 32.2%, Open World 17.8%, Automobile Sim 16.7%, Simulation 15.8%, Realistic 13.8%

Why You'll Like It: This game focuses heavily on the authentic experience of operating emergency vehicles and managing complex accident scenes in a dense urban environment.

Firefighting Simulator lets you experience what it means to fight fires up close as an active part of a major US city's firefighting crew - together with up to 3 friends in the co-op multiplayer- or in the single player mode.

Why similar: Driving 39.4%, Simulation 21.7%, Realistic 18.9%, Open World 10.9%, Co-op 4%

Why You'll Like It: It emphasizes the teamwork and technical precision required to handle emergency situations, much like the collaborative nature of paramedic work.

Welcome to Brighton! Join the police force of this fictitious American city and experience the day to day life of a police officer.

Why similar: Automobile Sim 27.1%, Open World 17.7%, Realistic 15.3%, Simulation 14%, Immersive Sim 10.4%

Why You'll Like It: While focused on law enforcement, it shares the same commitment to realistic procedural gameplay and patrol-based simulation found in ambulance sims.

Become a journalist who researches old car accident cases. Help victims and perform first aid, obtain evidence and reconstruct the events to discover what really happened.

Why similar: Medical Sim 65.1% ★, Realistic 13.4%, Simulation 12.3%, Gore 7.4%, Singleplayer 1.8%

Why You'll Like It: This title focuses specifically on the medical triage and initial assessment phase of an accident, which is a core component of the paramedic experience.

Climb into the driver's seat of your car and your business, transport passengers across Barcelona and grow your company! Can you help relieve the transportation challenges of a city that never sleeps?

Why similar: Driving 24.6%, Automobile Sim 16.3%, Open World 9.9%, Transportation 8.8% ★, Simulation 8.2%

Why You'll Like It: It offers a similar urban driving experience with a focus on navigation and passenger management, though without the medical elements.

Experience the job of a bus driver in a vast and freely drivable urban area. Drive original licensed city buses from the great brands: Mercedes-Benz, Setra, MAN, and IVECO BUS. Transport your passengers safely and punctually, either solo in single player mode, or in multiplayer mode.

Why similar: Automobile Sim 31.4%, Driving 31.3%, Simulation 14.8%, Open World 9.5%, Realistic 9.4%

Why You'll Like It: This title excels at the realistic driving and vehicle maintenance mechanics that are central to the simulation genre.

Reanimation inc is a completely realistic simulation - real urgent conditions and diseases, real protocols of care used in an ambulance, realistic simulation of the body! Do you like realistic games about medicine and simulators, games you need to think about? You 'll be happy!

Why similar: Medical Sim 76.5% ★, Simulation 15.9%, Gore 7.5%

Why You'll Like It: This game provides a deep dive into the medical simulation aspect, focusing on the specific procedures required to stabilize patients in critical condition.

Brave the challenging conditions of Alaskan life in the definitive trucker simulator. Be the master of your own destiny as you take jobs, transport cargo and experience a sense of freedom on foot and in your cab.

Why similar: Driving 25%, Automobile Sim 20.2%, Open World 11.6%, Realistic 10.1%, Simulation 7.9%

Why You'll Like It: It provides a grounded, realistic driving experience with a focus on vehicle upkeep and environmental challenges.

Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day!

Why similar: Medical Sim 44.8% ★, Realistic 15.9%, Simulation 14%, Open World 10.6%, Immersive Sim 6.8%

Why You'll Like It: An expanded take on emergency management that requires balancing multiple incidents across a city, perfect for those who enjoy the logistics of emergency services.

Game about the difficult work of people that manage emergency lines and services. Answer incoming calls and react properly - give first aid instructions, advise, dispatch correct number of firemen / police / ambulances, or sometimes - just ignore the call. Play on ANY CITY in the world!

Why similar: Simulation 47.5%, Management 23.4%, Realistic 21%, Singleplayer 4.5%, Atmospheric 3.6%

Why You'll Like It: This game shifts the perspective to the dispatch center, providing a strategic look at how emergency resources are managed and deployed.

Load, drive, and deliver through a huge open world with up to 24 players in cross-platform multiplayer. Join your friends in exciting heavy transport convoys. Jump into the driver's seat of more than 30 unique vehicles and carry out complex loading tasks to deliver a variety of cargo.

Why similar: Driving 24%, Automobile Sim 20.6%, Open World 12%, Simulation 10.4%, Realistic 10.4%

Why You'll Like It: This game emphasizes the technical aspects of operating heavy vehicles and managing cargo, which translates well to the driving mechanics of an ambulance.

Coordinate your team of first responders in the anniversary edition of EMERGENCY! Featuring 10 remastered classic EMERGENCY missions and three full campaigns, EMERGENCY 20 is the complete package for both experienced and new rescue commanders!

Why similar: Automobile Sim 36.4%, Simulation 24.5%, Realistic 20%, Management 8.3%, Co-op 4.3%

Why You'll Like It: A classic emergency management series that challenges players to coordinate various units to resolve complex disaster scenarios.

Build up your headquarters from scratch and design your own masterpiece. In Rescue HQ you build, organize and manage a joint station for firefighters, police and ambulance. Manage your resources wisely and master challenging emergencies to keep your city safe! Are you up to the challenge?

Why similar: Simulation 49.4%, Management 29.6%, Relaxing 14.9%, Singleplayer 6.1%

Why You'll Like It: It allows you to manage and build your own emergency station, providing a broader look at the infrastructure behind the vehicles you drive.

Emergency Call 112 – The Fire Fighting Simulation 2 is the consequent further development of the successful first part, which lets every Firefighter Fan experience the way a professional fire brigade works.

Why similar: Driving 39.2%, Realistic 17%, Open World 16.7%, Simulation 15.4%, Third Person 4.4%

Why You'll Like It: This sequel improves upon the original with more detailed scenarios and realistic equipment handling for emergency responders.

Start your even more exciting career as law enforcer on Europe’s fastest road now with the successor to the popular Autobahn Police Simulator. For the first time in Autobahn Police Simulator 2 you can use the Character Creator to customize your own in-game character.

Why similar: Driving 28.3%, Automobile Sim 27.5%, Simulation 12.8%, Realistic 12.4%, Open World 11.8%

Why You'll Like It: It combines high-speed patrol driving with procedural investigation tasks, offering a similar mix of driving and professional duty.

For the first time in railroad simulation, play as both the driver and company director! Take the controls of your locomotives and grow your railway empire by negotiating deals and developing your network.

Why similar: Driving 21.2%, Open World 15.2%, Transportation 14.7% ★, Realistic 13.6%, Simulation 12.8%

Why You'll Like It: It provides a relaxing yet professional driving experience that emphasizes adherence to schedules and safety protocols.

Construction Simulator has returned – larger and more impressive than ever! Fulfil your ambition to become a successful construction entrepreneur by establishing your business from scratch, assisted by your mentor Hape.

Why similar: Driving 23%, Automobile Sim 14.2%, Simulation 12.9%, Open World 12.4%, Transportation 10.7% ★

Why You'll Like It: While the theme is different, the core gameplay loop of operating complex machinery and completing professional tasks is very similar.

The world of coach drivers awaits you! Drive along motorways and country roads to the bus stations in over 40 cities in Germany. Thanks to the cooperation with FlixBus and true-to-the-original MAN buses, you will experience the game world in a realistic way.

Why similar: Automobile Sim 31.6%, Driving 30.9%, Simulation 13.1%, Realistic 9.7%, Open World 8.9%

Why You'll Like It: A high-fidelity driving simulator that focuses on the professional operation of large vehicles on complex road networks.

Get behind the wheel of 13 realistic city buses licensed by known city bus manufacturers such as Mercedes-Benz and MAN. Keep an eye on the traffic code and drive your passengers safely to their destinations through five characteristic city districts.

Why similar: Automobile Sim 27.6%, Driving 24.6%, Simulation 12.7%, Open World 10.8%, Realistic 9.4%

Why You'll Like It: It provides a solid foundation in urban driving simulation with a focus on route management and vehicle handling.

Driving Life is a hardcore driving survival game set in rural America. Earn money by driving manual cars, vans, and trucks, transport tourists, pay rent, buy fuel, and survive on a tight budget. Every dollar counts - spend wisely or go broke!

Why similar: Automobile Sim 30%, Realistic 13.2%, Open World 13%, Simulation 12.6%, Immersive Sim 10.4%

Why You'll Like It: It focuses on the immersive experience of driving in a living world, emphasizing the feeling of being behind the wheel.

Welcome to Tram Simulator Urban Transit - get on aboard! In this game, you take on the role of a tram driver and manager. Drive 6 tram models. Transport passengers and drive them to the numerous stops. Plan your own routes, manage your timetables, and expand your tram network.

Why similar: Automobile Sim 24.6%, Driving 24.1%, Simulation 12.4%, Realistic 11.1%, Immersive Sim 8.9%

Why You'll Like It: This game offers a focused urban driving experience with an emphasis on realistic vehicle physics and navigation.

Experience the everyday life in a German street maintenance service and complete a variety of realistic tasks in the area of road construction and maintenance! For your work you will have unique vehicles and various usable tools at your disposal.

Why similar: Automobile Sim 22.3%, Driving 21.5%, Realistic 16.5%, Simulation 16.1%, Open World 8.6%

Why You'll Like It: It offers a realistic, task-oriented simulation experience that rewards patience and attention to detail while driving.

Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

Why similar: Medical Sim 72.3% ★, Simulation 11.5%, Management 8.8%, Realistic 7.4%

Why You'll Like It: This game provides a deep look at the medical side of things, allowing you to manage the hospital that receives the patients you transport.

Transport passengers in the city bus simulation The Bus along 1:1 scale routes in Berlin, passing landmarks like the Victory Column, Brandenburg Gate, and Alexanderplatz. In the Scania Citywide LF and other licensed buses, sell tickets, handle traffic, and get everyone to their destination safely.

Why similar: Driving 32.2%, Automobile Sim 23.5%, Simulation 12.7%, Realistic 10.5%, Transportation 5.7% ★

Bus World is a game about passenger transportations in various conditions, starting from standard days of a bus driver and ending with rescuing people who suffered from disasters.

Why similar: Driving 28.2%, Automobile Sim 26.2%, Open World 12.3%, Realistic 10.9%, Simulation 10.8%

Why You'll Like It: This title adds unique environmental challenges to the standard bus driving formula, making it a good fit for those who enjoy exploration.

Junkyard Truck is an open-world off road driving and mechanic simulator. Build, upgrade, and maintain your old off road truck. Make money using your skills in driving, scavenging, gambling, or moonshine brewing. Try to build a truck capable of taking on the difficult challenges around the map.

Why similar: Driving 33.2%, Automobile Sim 29.2%, Open World 17.4%, Simulation 14%, Exploration 4.8%

Why You'll Like It: This game offers a more rugged, hands-on approach to vehicle maintenance and driving that appeals to fans of realistic simulation.

HOW MANY LIVES WILL YOU SAVE?Experience your city through the eyes of a lifesaver and find out what it means to be a genuine "Everyday Hero"! Keep track of several fire stations, a variety of vehicles, a wide range of equipment and specialized staff so that you're always prepared for anything.

Why similar: Simulation 92.1%, Singleplayer 7.9%

Why You'll Like It: It focuses on the management and deployment of fire and rescue teams, emphasizing the importance of rapid response times.

SimRail is new, advanced railway simulator. Master high-speed long-distance EMU, heavy freight hauls and suburban trains. Travel 500 km of geodetic-data based real routes. Become train dispatcher and control the traffic according to the schedule or cooperate with other players on multiplayer mode.

Why similar: Driving 24.9%, Automobile Sim 16.9%, Transportation 13.8% ★, Open World 10%, Realistic 9.9%

Experience what it feels like to be a real bus driver. Simulator featuring realistic physics, a variety of bus models (city buses, electric bus, school bus), three distinct regions to explore (US, Germany, Brazil) and much more. Test your skills in career, drive in freeride or play multiplayer.

Why similar: Driving 24.5%, Automobile Sim 19.6%, Transportation 13.2% ★, Open World 11%, Simulation 9.8%

Face unpredictable dangers, fight perilous fires with your crew, and save lives in Firefighting Simulator: Ignite. Step into the boots of a U.S. firefighter and play with up to 3 friends or with the help of your NPC controlled crew members.

Why similar: Simulation 37.1%, Realistic 27.9%, Immersive Sim 14.9%, Physics 7.7%, Third Person 6.9%

Dive into the ultimate moving experience in Moving Simulator! Manage chaotic house moves, carefully pack belongings, load trucks, and navigate through hilarious disasters. Precision, speed, and creativity will make you a moving master!

Why similar: Driving 30.5%, Transportation 14.2% ★, Simulation 12.4%, Open World 10.5%, Realistic 7.6%

Build an automotive empire. Buy, sell, and customize cars to create your own brands and showrooms. Become a shrewd entrepreneur in this immersive car trading and customization game.

Why similar: Automobile Sim 30.1%, Simulation 22%, Driving 20.2%, Realistic 10.5%, Immersive Sim 8.7%

Drive real military vehicles, deliver critical cargo, and master first-person logistics solo or with friends. Help survivors, provide infrastructure, and rebuild a war-torn region!

Why similar: Driving 28.5%, Automobile Sim 19.1%, Simulation 12%, Open World 12%, Realistic 7.2%

City Patrol: Police — Combatting Crime! Attention! The City Patrol Special Unit is recruiting new members — and they want YOU! Enforce order in the city’s streets and highways, be the arm of the law.

Why You'll Like It: This title offers a straightforward approach to emergency vehicle driving and patrol duties in a city environment.

Responding is an upcoming open-world Emergency Services simulator sandbox that offers a realistic and in-depth Police, Fire, and EMS experience that is set in a fictional version of New York State.

Why similar: Driving 27.8%, Automobile Sim 20.7%, Open World 13.3%, Realistic 11.7%, Simulation 9.9%

Step into the driver’s seat in Bus Bound, the latest title from the creators of Bus Simulator 21. Explore a vibrant city behind the wheel of officially licensed buses, and help transform it into a pedestrian-friendly paradise—one stop at a time.

Why similar: Driving 33.1%, Automobile Sim 22.8%, Transportation 15.9% ★, Simulation 10.9%, Realistic 7.1%

Uncover a goldmine in the used car market! Sniff out deals, buy low, modify, and sell high. Your journey from amateur grease monkey to car dealer magnate awaits. How fast will you rise in this lucrative venture?

Why similar: Driving 29.4%, Automobile Sim 22.6%, Open World 12%, Simulation 10.6%, Realistic 10.1%

Welcome to the world of high-stakes tuning and street racing! Welcome to Underground Garage! It's your playground where you can unleash your creativity and mechanical prowess. Fix cars, tune them up, and hit the road.

Why similar: Driving 27.9%, Automobile Sim 22.9%, Open World 14%, Simulation 11.1%, Realistic 9.2%

Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.

Why similar: Medical Sim 59.2% ★, Simulation 18.4%, Immersive Sim 9.5%, Realistic 8.3%, Management 3.8%

Bus Simulator 21 Next Stop offers the most comprehensive bus fleet in the history of the series with 30 officially licensed buses. Drive on two vastly different maps, alone or with friend. Play with extended management elements or just enjoy your time on the road.

Why similar: Driving 26.8%, Automobile Sim 24.6%, Simulation 12.7%, Realistic 10.8%, Open World 7.6%

A unique life simulation where you are a lumberjack building up a business and founding a lasting dynasty for generations to come.

Why similar: Simulation 37.9%, Driving 18.7%, Automobile Sim 16.3%, Open World 13.4%, Realistic 6.4%

Autopsy Simulator is a first-person horror-sim hybrid where players take on the role of a practice pathologist and study case files, created in collaboration with real-world forensic doctors, to help guide their dissection of anatomically accurate bodies to determine each subject’s cause of death.

Why similar: Medical Sim 58.9% ★, Simulation 20.5%, Realistic 8.9%, Gore 8.8%, Atmospheric 1.8%

The Slaverian Trucker is a Survival/Truck/Life simulator game. Make enough money to survive and expand your wealth in the harsh semi-post apocalyptic lands of Slaveria, doing legal and illegal work, while maintaining, fixing, building, repairing, tuning your trucks, cars and other vehicles.

Why similar: Driving 25.8%, Automobile Sim 22.2%, Transportation 13.3% ★, Open World 11.6%, Simulation 10.1%

Step into the next generation of urban public transport with City Transport Simulator 2026! Experience the most immersive bus and tram simulation yet, with a dynamic city that reacts to your every decision.

Why similar: Driving 28.6%, Automobile Sim 25.9%, Simulation 12.6%, Immersive Sim 9.5%, Management 6.4%

Transport oversized cargo in a variety of missions across a 175km² open world. Drive customisable, highly detailed trucks through dynamic weather and day and night. The official cooperation with Gruber Logistics allows you to get behind the wheel of real-life heavy cargo transports.

Why similar: Driving 24.7%, Automobile Sim 19.9%, Open World 11.1%, Simulation 10.1%, Realistic 8.5%

City Car Driving – realistic car driving simulator, which will help you master the basic skills of the car driving in various traffic conditions, with plunging into the environment most closely resembling the real one.

Why similar: Driving 39%, Automobile Sim 24.8%, Simulation 13.9%, Open World 10.8%, Realistic 8.9%

Experience the exciting day-to-day life of an US police officer in Police Simulator: Patrol Duty. Discover a large, lively and freely-accessible US city powered by Unreal®Engine 4 and ensure the safety in your district.

Why similar: Simulation 31.9%, Open World 27%, Driving 19.5%, Realistic 16.7%, Co-op 3.5%

Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!

Why similar: Medical Sim 59.7% ★, Realistic 11.3%, Simulation 9.6%, Immersive Sim 8.7%, Management 7.1%

Used Cars Simulator - trade used or stolen cars, fix and customize them, drive around, and explore the open world! Grow your business, complete quests, and have fun with a physics-based sandbox!

Why similar: Driving 29%, Automobile Sim 22.6%, Open World 12.5%, Realistic 9.3%, Simulation 9.3%

Enjoy realistic driving in the open world. Relaxing cargo deliveries or driving buses and taxis will give you enough money to buy new cars and parts. You can test your driving skills at the race track. It's all about pure driving pleasure!

Why similar: Driving 24.8%, Automobile Sim 17.4%, Transportation 12.3% ★, Open World 11.5%, Simulation 7.9%

Autobahn Police Simulator 3 lets you play as a rookie officer who just resumed their position after a serious car accident left them incapacitated for a while. Work diligently and take on missions to become a capable police officer and keep the autobahn safe.

Why similar: Automobile Sim 35.4%, Simulation 23.9%, Open World 17.3%, Realistic 9.9%, Immersive Sim 8.2%

Build your own base and take command of firefighting, police, EMS, and SWAT operations. Thanks to real map data, you can play right in your hometown - or anywhere in the world! Manage your fleet, hire staff, and take on a variety of authentic operations. In which city are you taking command?

Why similar: Simulation 35.1%, Open World 31.3%, Management 19.2%, Realistic 10.6%, Singleplayer 3.8%

The All-in-One Simulation! Drive highly detailed and licensed real buses & trams, build and design your own transport company, and grow your network in a European-inspired city.

Why similar: Driving 35%, Simulation 18.5%, Transportation 16.8% ★, Realistic 10.4%, Immersive Sim 9%

Buy and sell video games, upgrade your shop,load the cargo in your vehicle and take it to your store. Sell them to customers, make improvements and purchase new items to increase customer satisfaction and earn your place in the video game sales empire.

Why similar: Driving 34.4%, Automobile Sim 21.1%, Simulation 18.6%, Realistic 8.2%, Open World 7.9%

Work your way to a service empire. Get your hands dirty in a highly realistic simulation game that pays major attention to details. Pay a visit to a new Auction house and buy cars in various conditions. Expand your range of services by investing in a new work space and equipment.

Why similar: Automobile Sim 33.8%, Driving 24.5%, Simulation 15.7%, Realistic 12%, Open World 5.8%

Car For Sale Simulator 2023 - Developed for car enthusiasts, grow your own car sales business by buying and selling different car models. Drive the purchased cars as you wish, repair them, modify them, and sell them to customers at affordable prices.

Why similar: Driving 34.8%, Automobile Sim 24.3%, Open World 11.4%, Simulation 10.7%, Immersive Sim 9.3%

Save lives – be a hero! Join forces against the chaos in the newest title of the award-winning EMERGENCY series. Take up your shift as incident commander and coordinate with other players to fight fires, arrest gangsters and rescue injured civilians. Your city needs you!

Why similar: Realistic 27%, Automobile Sim 23.1%, Simulation 22.9%, Management 12.6%, Co-op 5.6%

Autobahn Police Simulator is the first simulation to realistically reflect the working life of a police officer on the German Autobahn. In numerous and diverse operations the player is responsible for enforcing law and order on Europe’s fastest roads.

Why similar: Driving 41.2%, Simulation 22%, Automobile Sim 18.5%, Realistic 8.6%, Open World 8.4%