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 20.9%, Simulation 19%, Realistic 14.3%, Open World 12.1%

Why You'll Like It: This simulator offers a deep dive into the daily life of emergency responders, focusing on the same realistic procedures and high-stakes atmosphere as 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 31.3%, Automobile Sim 21.2%, Open World 12.8%, Realistic 11.4%, Simulation 10.6%

Why You'll Like It: It allows players to switch between police, fire, and EMS roles, providing a comprehensive look at emergency response 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%, Open World 17.9%, Automobile Sim 16.4%, Simulation 15.9%, Realistic 14.1%

Why You'll Like It: This title focuses specifically on the coordination and execution of emergency services in a bustling city environment, mirroring the core gameplay loop of the seed game.

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 64.4% ★, Realistic 13.5%, Simulation 12.1%, Gore 8.3%, Singleplayer 1.7%

Why You'll Like It: This game focuses heavily on the medical assessment and first aid aspects of emergency response, making it a perfect thematic companion to the seed game.

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 27.4%, Open World 18.5%, Realistic 16.1%, Simulation 14.6%, Immersive Sim 10.9%

Why You'll Like It: While focused on law enforcement, it shares the same realistic driving, traffic management, and emergency response mechanics found in the seed game.

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 40.7%, Simulation 22.6%, Realistic 20%, Open World 11.4%, Singleplayer 2.7%

Why You'll Like It: It emphasizes the team-based, high-pressure nature of emergency services and requires precise navigation and equipment usage under time constraints.

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 24.7%, Automobile Sim 16%, Open World 10%, Transportation 8.7% ★, Realistic 8.4%

Why You'll Like It: While not an emergency game, it offers the most comparable realistic city driving experience with a focus on navigation and passenger management.

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: Driving 31.7%, Automobile Sim 31.3%, Simulation 15.1%, Open World 9.7%, Realistic 9.7%

Why You'll Like It: It provides a highly realistic driving experience in an open-world city, which is a core component of the gameplay in the seed game.

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 44.7% ★, Realistic 16.1%, Simulation 14%, Open World 10.6%, Immersive Sim 6.9%

Why You'll Like It: This game provides a broader perspective on emergency management, requiring you to handle dispatch and coordinate units across a city in real-time.

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 47.9%, Management 22.7%, Realistic 21.4%, Singleplayer 4.5%, Atmospheric 3.5%

Why You'll Like It: It challenges players to manage emergency calls and dispatch units, capturing the critical decision-making aspect of the emergency response profession.

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 37.3%, Simulation 26%, Realistic 21.4%, Management 8.4%, Third Person 3.8%

Why You'll Like It: This classic emergency management series focuses on coordinating complex rescue operations, which complements the hands-on approach of the seed game.

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 27.7%, Automobile Sim 20.2%, Open World 13.4%, Realistic 11.9%, Simulation 10%

Why You'll Like It: This early-access title focuses on realistic emergency response and driving mechanics, aiming for a high level of simulation accuracy.

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 34.7%, Simulation 24%, Open World 17.5%, Realistic 10.2%, Immersive Sim 8.4%

Why You'll Like It: It combines realistic highway driving with emergency response scenarios, offering a similar feel to the driving segments of the seed game.

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 25.1%, Automobile Sim 19.8%, Open World 11.7%, Realistic 10.3%, Simulation 7.9%

Why You'll Like It: It captures the atmospheric and realistic driving experience, focusing on the challenges of navigating difficult environments.

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 50.2%, Management 28.8%, Relaxing 14.8%, Singleplayer 6.2%

Why You'll Like It: This title allows you to build and manage your own emergency station, providing the logistical foundation for the field work seen in the seed game.

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 24.5%, Automobile Sim 20.6%, Open World 12.4%, Realistic 10.9%, Simulation 10.8%

Why You'll Like It: This game focuses on the technical aspects of vehicle operation and logistics, which shares some mechanical DNA with the driving in the seed game.

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 75.8% ★, Simulation 15.8%, Gore 8.4%

Why You'll Like It: This game focuses exclusively on the medical simulation aspect, providing a deep dive into the life-saving procedures performed by paramedics.

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 32.1%, Automobile Sim 23.4%, Simulation 12.7%, Realistic 10.7%, Open World 5.8%

Why You'll Like It: It offers a highly detailed and realistic driving experience set in a modern city, perfect for those who enjoy the driving mechanics of the seed game.

In Emergency Room Simulator, step into the role of an ER doctor: run targeted tests, treat patients, and save lives when it matters most. Experience intense shifts in a fast-paced medical environment.

Why similar: Medical Sim 66.6% ★, Realistic 13%, Simulation 9%, Open World 5.6%, Atmospheric 2.9%

Why You'll Like It: It shifts the focus to the hospital environment, allowing players to manage the patients they would have transported in the seed game.

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 56.3% ★, Simulation 19.6%, Gore 9.5%, Realistic 8.7%, Nudity 3.3%

Why You'll Like It: It provides a realistic medical simulation experience, focusing on the post-emergency side of the medical profession.

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 38.3%, Realistic 29.3%, Immersive Sim 15.6%, Physics 7.8%, Third Person 7.2%

Why You'll Like It: This game emphasizes the action and technical aspects of emergency response, providing a similar intensity to the seed game.

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%, Driving 30.9%, Simulation 13.2%, Realistic 10.1%, Open World 9%

Why You'll Like It: A high-quality driving simulator that emphasizes realistic vehicle handling and route management in an open-world setting.

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 59.1% ★, Simulation 18.4%, Immersive Sim 9.7%, Realistic 8.5%, Management 3.6%

Why You'll Like It: This title offers a detailed look at the medical field, focusing on time management and precision, which are key skills for any paramedic.

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% ★, Simulation 12.5%, Open World 10.6%, Realistic 7.8%

Why You'll Like It: While the theme is different, it shares the physics-based interaction and job-simulation elements found in the seed game.

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 game features open-world patrol and emergency response tasks that require careful driving and situational awareness.

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 27.5%, Driving 25%, Simulation 13%, Open World 11.1%, Realistic 9.8%

Why You'll Like It: An established driving simulator that provides a solid foundation for those looking to master vehicle control in a city environment.

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 29.5%, Simulation 22.1%, Driving 20.2%, Realistic 10.8%, Immersive Sim 8.9%

Why You'll Like It: It provides a life-simulation experience with a focus on vehicle management, offering a different but related perspective on automobile-based gameplay.

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 19.3%, Transportation 13% ★, Open World 11.1%, Simulation 9.9%

Why You'll Like It: A straightforward driving simulator that focuses on the mechanics of operating large vehicles in a realistic city environment.

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 28.4%, Automobile Sim 18.7%, Simulation 12.1%, Open World 12.1%, Realistic 7.3%

Why You'll Like It: This game focuses on the transport and logistics side of simulation, requiring careful planning and driving skills.

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 23.5%, Automobile Sim 18%, Transportation 13% ★, Open World 10.4%, Realistic 10.3%

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 29.4%, Realistic 13.5%, Open World 13.1%, Simulation 12.7%, Immersive Sim 10.7%

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 33.4%, Automobile Sim 22.9%, Transportation 16% ★, Simulation 11%, Realistic 7.4%

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 21.1%, Open World 15.3%, Transportation 14.6% ★, Realistic 13.8%, Simulation 13%

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 24.4%, Driving 24.3%, Simulation 12.6%, Realistic 11.5%, Immersive Sim 9.2%

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 27.1%, Automobile Sim 24.5%, Simulation 13%, Realistic 11.2%, Open World 7.8%

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 22.3%, Open World 12.1%, Simulation 10.8%, Realistic 10.3%

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%, Simulation 13%, Open World 12.5%, Transportation 10.6% ★

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 28.3%, Automobile Sim 25.7%, Open World 12.4%, Realistic 11.2%, Simulation 10.9%

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 38.1%, Driving 18.7%, Automobile Sim 16%, Open World 13.5%, Realistic 6.6%

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 28.2%, Automobile Sim 22.3%, Open World 14.1%, Simulation 11.2%, Realistic 9.5%

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 21.9%, Driving 21.5%, Realistic 16.9%, Simulation 16.3%, Open World 8.6%

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 59.8% ★, Realistic 11.4%, Simulation 9.6%, Immersive Sim 8.8%, Management 6.9%

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 26%, Automobile Sim 21.7%, Transportation 13.2% ★, Open World 11.7%, Simulation 10.1%

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 32.9%, Open World 28%, Driving 20%, Realistic 17.6%, Singleplayer 1.5%

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%, Simulation 12.9%, Realistic 12.7%, Open World 11.9%

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 39.8%, Realistic 17.8%, Open World 17.1%, Simulation 15.7%, Third Person 4.5%

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 39.1%, Automobile Sim 24.5%, Simulation 13.9%, Open World 10.9%, Realistic 9.1%

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 31.4%, Management 18.5%, Realistic 11.2%, Singleplayer 3.9%

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 19.7%, Open World 11.3%, Simulation 10.1%, Realistic 8.7%

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 34.3%, Automobile Sim 20.7%, Simulation 18.7%, Realistic 8.4%, Open World 8%

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 28.9%, Automobile Sim 22.3%, Open World 12.6%, Realistic 9.5%, Simulation 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 29.1%, Simulation 24.5%, Automobile Sim 24.4%, Management 12.9%, Relaxing 5.1%

In Bus Driver, your job is to transport passengers around an attractive and realistic city. You must drive to a timetable on a planned route, whilst obeying traffic rules, and taking care not to upset or injure your passengers.

Why similar: Automobile Sim 44.1%, Driving 28.1%, Simulation 21%, Open World 5.7%, Singleplayer 1.1%

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 34.9%, Simulation 18.6%, Transportation 16.6% ★, Realistic 10.7%, Immersive Sim 9.2%

MY GARAGE is a car simulation game with main focus being simulating real car repair, maintenance and physics.

Why similar: Automobile Sim 25.6%, Driving 21.7%, Open World 13.3%, Realistic 11.9%, Simulation 10.9%

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 41.1%, Simulation 22.1%, Automobile Sim 18.2%, Realistic 8.8%, Open World 8.4%

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 33.6%, Driving 24.8%, Simulation 16.1%, Realistic 12.7%, Open World 5.9%

Create your own bus empire on Fuerteventura now! Thanks to the economy system in the new Tourist Bus Simulator, you will be able to found your own bus company on the popular holiday island Fuerteventura.

Why similar: Driving 29.8%, Automobile Sim 29.3%, Simulation 11.9%, Open World 11.3%, Realistic 7.9%

City Transport Simulator 2026 combines a detailed bus simulator and tram simulator in one game. Drive realistic buses and trams, create routes and timetables, manage your fleet, and build your own public transport network in a dynamic European-inspired city.

Why similar: Driving 25.5%, Automobile Sim 19.2%, Transportation 12.7% ★, Simulation 9.5%, Realistic 8.9%

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 33.3%, Automobile Sim 29%, Open World 17.4%, Simulation 13.9%, Exploration 4.8%