- #1 The Mortuary Assistant
97% matchVery Positive92% of 8,435 reviews2022
Dev: DarkStone DigitalPub: DreadXP
Windows
Median: 3.3 hrsMean: 5.9 hrs≥1hr: 87%
Alone with the dead... Embalm corpses, banish demons, save your soul.
Why similar: Medical Sim 30.1% ★, Horror 29.9%, Simulation 12.9%, First-Person 6.4%, Realistic 6.1%
Why You'll Like It: This game perfectly mirrors the morgue-based horror setting and the methodical, task-oriented gameplay found in Autopsy Simulator.
- #2 Crime Scene Cleaner
96% matchOverwhelmingly Positive98% of 30,076 reviews2024
Dev: President Studio
Windows
Median: 13.6 hrsMean: 23.1 hrs≥1hr: 95%
Once you get tangled with the mob, you will forever be a part of the mob. At least they pay a decent salary and all you have to do is clean up after their dirty work, but you know what you’re doing. So clean crime scenes, earn as much money as you can, and get ready for the next mission.
Why similar: Gore 26.8%, Simulation 24.5%, Mature 19.1%, First-Person 8.1%, Crime 6.8%
Why You'll Like It: It shares the forensic, first-person cleanup and investigative atmosphere while focusing on the aftermath of violent crimes.
- #3 Viscera Cleanup Detail
96% matchVery Positive92% of 23,395 reviews2015
Dev: RuneStorm
Windows · Mac
Median: 4.3 hrsMean: 13.4 hrs≥1hr: 88%
In Viscera Cleanup Detail, you step into the boots of a space-station janitor tasked with cleaning up after various horrific sci-fi horror events. Instead of machineguns and plasma-rifles, your tools are a mop and bucket. That hero left a mess, and it's up to you to deal with the aftermath.
Why similar: Gore 34%, Simulation 28.1%, Blood 17.5% ★, First-Person 8.2%, Horror 7.3%
Why You'll Like It: This title emphasizes the gritty, methodical process of cleaning up gore and biological hazards in a first-person simulation environment.
- #4 Accident
95% matchMostly Positive77% of 1,703 reviews2021
Dev: Duality Games
Windows
Median: 1.2 hrsMean: 2.4 hrs≥1hr: 56%
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 47.9% ★, Blood 20.9% ★, Simulation 12.1%, Realistic 7.6%, First-Person 5.2%
Why You'll Like It: It focuses on the medical and investigative aspects of emergency response, providing a realistic simulation of trauma management.
- #5 Surgeon Simulator 2
94% matchMixed44% of 2,495 reviews2021
Dev: Bossa StudiosPub: Infogrames
Windows
Median: 2.1 hrsMean: 4.1 hrs≥1hr: 71%
It’s time to ‘scrub in’ in this physics-based surgery sim. Unearth the mysteries of the Bossa Labs Medical Facility and save Bob’s life.
Why similar: Medical Sim 53.3% ★, Blood 26.4% ★, Simulation 13%, First-Person 6%, Singleplayer 1.2%
Why You'll Like It: It offers a more chaotic, physics-based approach to medical simulation that complements the clinical focus of your seed game.
- #6 Creature Lab
94% matchMixed56% of 392 reviews2023
Dev: Image Power S.A.
Windows
Median: 2.9 hrsMean: 3.7 hrs≥1hr: 73%
Become a mad scientist! Conduct crazy experiments, mix mutagens, breed abominable creatures, and attach monstrous body parts to them. Manage your inventory, expand your lab, and make sure your hideout is safe. Send your creations into the city to obtain salvage and test subjects!
Why similar: Medical Sim 44.1% ★, Simulation 17.3%, Horror 15.1%, First-Person 8%, Dark 5.9%
Why You'll Like It: This game combines scientific experimentation and simulation with horror themes, requiring players to manage biological samples in a dark setting.
- #7 Bio Inc. Redemption
93% matchVery Positive88% of 2,788 reviews2018
Dev: DryGin Studios
Windows
Median: 2.6 hrsMean: 6.6 hrs≥1hr: 75%
Bio Inc.: Redemption is a realistic simulation and strategy game in which you make life or death decisions. Create a deadly illness to infect and torment your victim or play as the head of a medical team and hopefully find a cure to save your human patient. Will you be the plague or preserve humanity?
Why similar: Medical Sim 56.2% ★, Gore 16.9%, Simulation 11.5%, Horror 6.2%, Sexual Content 2.9%
Why You'll Like It: This deep medical simulation allows you to manage diseases and biological systems, appealing to the clinical side of your interest.
- #8 Reanimation Inc.
92% matchVery Positive84% of 129 reviews2019
Dev: Dmitrii Lomakin
Windows
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 61.2% ★, Simulation 17%, Gore 16.8%, Indie 4.9%
Why You'll Like It: A dedicated medical simulation that focuses on the technical aspects of life-saving procedures and patient care.
- #9 Ambulance Life: A Paramedic Simulator
91% matchMixed51% of 1,195 reviews2025
Dev: Aesir InteractivePub: Nacon
Windows
Median: 2.0 hrsMean: 4.6 hrs≥1hr: 71%
Dedicate your life to saving others. As soon as you receive the emergency call, speed off to the site of the accident in your ambulance, sirens wailing. Apply first aid and transport the seriously injured to hospital. Every second counts!
Why similar: Medical Sim 58.8% ★, Simulation 20.6%, Realistic 8.9%, Gore 8.8%, Atmospheric 1.8%
Why You'll Like It: It provides a realistic simulation of medical emergency response, focusing on the technical procedures required to save lives.
- #10 Scorn
91% matchMostly Positive77% of 17,806 reviews2022
Dev: Ebb SoftwarePub: Kepler Interactive
Windows
Median: 3.5 hrsMean: 6.0 hrs≥1hr: 82%
Scorn is an atmospheric first-person horror adventure game set in a nightmarish universe of odd forms and somber tapestry.
Why similar: Gore 30%, Nudity 16.8%, Horror 16.1%, Sexual Content 8%, Psychological Horror 7.6%
Why You'll Like It: This game offers a highly atmospheric, bio-mechanical horror experience that leans heavily into visceral, biological imagery.
- #11 Oxide Room 104
90% matchMixed68% of 254 reviews2022
Dev: WildSphere
Windows
Median: 2.6 hrsMean: 6.7 hrs≥1hr: 68%
A bone-chilling body-horror game with escape room gameplay. Bad decisions have brought Matthew to this terrifying motel. Now it’s up to you to decide how to escape - will you make it out alive?
Why similar: Gore 27.2%, Nudity 16.6%, Horror 15.4%, Psychological Horror 10.9%, First-Person 8.6%
Why You'll Like It: A first-person survival horror game that utilizes gore and claustrophobic environments to build tension.
- #12 Martha Is Dead
89% matchMostly Positive79% of 3,639 reviews2022
Dev: LKAPub: Wired Productions
Windows
Median: 5.6 hrsMean: 6.6 hrs≥1hr: 88%
Set in 1944 Italy, Martha Is Dead is an award-winning dark psychological thriller where the lines between truth, superstition, and tragedy blur. Explore a haunting countryside, uncover disturbing memories, and peel back layers of mystery. Every choice shapes the nightmare…are you ready to face it?
Why similar: Nudity 22.6%, Horror 20.7%, Psychological Horror 19.5%, Dark 9.5%, First-Person 7.6%
Why You'll Like It: A psychological horror game that features graphic, realistic gore and a heavy focus on dark, mature storytelling.
- #13 The Outlast Trials
87% matchVery Positive93% of 98,919 reviews2024
Dev: Red Barrels
Windows
Median: 10.0 hrsMean: 32.7 hrs≥1hr: 95%
Red Barrels invites you to experience mind-numbing terror, this time with friends. Whether you go through the trials alone or in teams, if you survive long enough and complete the therapy, Murkoff will happily let you leave… but will you be the same?
Why similar: Horror 34.1%, Psychological Horror 20%, Gore 13.4%, First-Person 11.8%, Realistic 9.4%
Why You'll Like It: This first-person horror game features intense medical experimentation themes and visceral, gore-filled environments.
- #14 Zoochosis
89% matchMixed60% of 2,285 reviews2024
Dev: Clapperheads
Windows
Median: 3.5 hrsMean: 5.7 hrs≥1hr: 88%
Zoochosis is a bodycam horror simulation game. You’re a zookeeper. Identify infected mutant animals, make a vaccine and cure them. Will you save all of them and survive?
Why similar: Realistic 20.6%, Simulation 19.5%, Horror 17.2%, Dark 11.8%, First-Person 9.3%
Why You'll Like It: This horror simulation involves managing a facility while dealing with biological mutations and terrifying creatures.
- #15 Scrutinized
86% matchVery Positive89% of 1,331 reviews2020
Dev: Reflect Studios
Windows
Median: 2.6 hrsMean: 6.3 hrs≥1hr: 69%
Work to expose the numerous criminal degenerates that plague your quiet town. Use citizen-issued reports, police records, social media accounts, text conversations, and more to determine who’s an actual threat and who’s harmless, all while avoiding the killers trying to infiltrate your home.
Why similar: Simulation 40.6%, Horror 29.8%, Dark 9.9%, Detective 7.6%, Indie 5.9%
Why You'll Like It: It combines investigative simulation with horror, requiring players to analyze data and survive a terrifying environment.
- #16 Phasmophobia
84% matchOverwhelmingly Positive96% of 815,266 reviews2020
Dev: Kinetic Games
Windows
Median: 16.9 hrsMean: 50.2 hrs≥1hr: 95%
Phasmophobia is a 4 player online co-op psychological horror. Paranormal activity is on the rise and it’s up to you and your team to use all the ghost-hunting equipment at your disposal in order to gather as much evidence as you can.
Why similar: Horror 54.3%, Psychological Horror 22.2%, First-Person 10.1%, Dark 7%, Detective 3.3%
Why You'll Like It: It captures the investigative, task-oriented nature of horror games while requiring players to use specialized equipment to identify supernatural threats.
- #17 The Works of Mercy
88% matchMostly Negative39% of 232 reviews2018
Dev: Peпtacle
Windows
The Works of Mercy is a psychological thriller inspired by the classics of the genre. The game’s plot revolves around mysterious killings committed on seemingly random victims. Only this time it’s the player who becomes the murderer.
Why similar: Gore 27.1%, Simulation 24.6%, Horror 15.4%, Nudity 11.2%, Indie 6.7%
Why You'll Like It: A psychological horror game that forces players into morally ambiguous, violent situations that mirror the mature themes of your seed game.
- #18 Amnesia: The Dark Descent
85% matchVery Positive95% of 35,239 reviews2010
Dev: Frictional Games
Windows · Mac · Linux
Median: 1.2 hrsMean: 10.2 hrs≥1hr: 54%
Amnesia: The Dark Descent, a first person survival horror. A game about immersion, discovery and living through a nightmare. An experience that will chill you to the core.
Why similar: Horror 30.7%, Gore 22.4%, Nudity 14.3%, Psychological Horror 10.4%, First-Person 7%
Why You'll Like It: A classic psychological horror title that excels at building tension through atmosphere and environmental storytelling.
- #19 God's Basement
86% matchMostly Positive74% of 1,314 reviews2018
Dev: Erebus
Windows
Median: 3.0 hrsMean: 3.7 hrs≥1hr: 71%
God's Basement is a first-person, narrative-driven, single player horror game. Uncover the secrets of an afterlife shrouded in mystery, as an entity known as "The Operator" leads you deeper into the fringes of a seemingly eternal purgatory.
Why similar: Mature 19.2%, Gore 16.4%, Horror 15.9%, Psychological Horror 12.8%, Dark 8%
Why You'll Like It: A psychological horror walking simulator that focuses on uncovering dark truths through environmental exploration.
- #20 Hardspace: Shipbreaker
82% matchVery Positive89% of 21,702 reviews2022
Dev: Blackbird Interactive
Windows
Median: 4.7 hrsMean: 23.9 hrs≥1hr: 86%
Equipped with cutting-edge salvaging tech, carve & slice spaceships to recover valuable materials. Upgrade your gear to take on more lucrative contracts and pay your billion credits debt to LYNX Corp!
Why similar: Simulation 71.5%, First-Person 22.3%, Singleplayer 6.2%
Why You'll Like It: While not horror, its methodical, high-stakes simulation of industrial disassembly mirrors the technical precision required in Autopsy Simulator.
- #21 The Gravedigger
83% matchVery Positive86% of 121 reviews2024
Dev: Authogin
Windows
You're hired to dig up graves at a local church, looting valuables while demonic activity escalates. You must find and return all the burnt bones to stop the demonic activity. Each night you will dig for valuables to find bones, fend off growing corruption, and survive to solve the mystery.
Why similar: Horror 26.3%, Psychological Horror 16.3%, First-Person 15%, Realistic 13.7%, Simulation 13.7%
Why You'll Like It: It shares the morbid, profession-based horror theme, focusing on the dark duties associated with death and burial.
- #22 Welcome to the Game
84% matchVery Positive85% of 2,528 reviews2016
Dev: Reflect Studios
Windows · Mac
Median: 1.4 hrsMean: 3.7 hrs≥1hr: 59%
Welcome to the Game is a creepy horror/puzzle game that takes you into the world of the Deep Web. Explore the Deep Web with the sole purpose of trying to find a Red Room, an online service / website that allows you to see and participate in interactive torture and murder.
Why similar: Horror 20.1%, Gore 17.3%, Simulation 16.1%, Nudity 13.2%, Psychological Horror 12.7%
Why You'll Like It: This simulation-heavy horror game focuses on intense, high-pressure investigative work in a dark, realistic setting.
- #23 MADiSON
82% matchVery Positive87% of 3,277 reviews2022
Dev: BLOODIOUS GAMES
Windows
Median: 6.1 hrsMean: 7.2 hrs≥1hr: 89%
MADiSON is a first person psychological horror game that delivers an immersive and terrifying experience. With the help of an instant camera, connect the human world with the beyond, take pictures and develop them by yourself. Solve puzzles, explore your surroundings and most importantly, survive.
Why similar: Horror 25%, Psychological Horror 18.4%, Gore 15.7%, Dark 9.4%, Simulation 9.2%
Why You'll Like It: A psychological horror game that uses investigative photography mechanics to uncover dark, disturbing mysteries.
- #24 Project Hospital
81% matchVery Positive89% of 9,018 reviews2018
Dev: Oxymoron Games
Windows · Mac · Linux
Median: 4.4 hrsMean: 24.2 hrs≥1hr: 80%
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 75.7% ★, Simulation 16%, Realistic 5.9%, Indie 2.5%
Why You'll Like It: This provides a comprehensive look at medical management and diagnostic procedures for those interested in the clinical side of medicine.
- #25 Lust from Beyond
79% matchVery Positive81% of 4,349 reviews2021
Dev: Movie Games LunariumPub: Movie Games S.A.
Windows
Median: 4.6 hrsMean: 14.6 hrs≥1hr: 91%
A Victorian mansion. A cult worshipping an otherworldly erotic deity. Among all that - you. Explore a world inspired by the works of Lovecraft, Giger, and Beksiński. See for yourself that there are no limits to dark ecstasy.
Why similar: Nudity 29.4%, Mature 25.9%, Sexual Content 14.8%, Gore 12.4%, Horror 10.3%
Why You'll Like It: This game explores mature, dark themes with a heavy emphasis on visceral horror and disturbing imagery.
- #26 Presence
81% matchMostly Positive76% of 108 reviews2021
Dev: VLADIMIR GUSSAKOVPub: H.Studio
Windows
Plunge into the world of the bloody tragedy that took place at the boarding school and feel the fear and someone's frightening presence.
Why similar: Blood 32.1% ★, Gore 23.7%, Horror 14%, Dark 6.6%, Crime 4.3%
Why You'll Like It: A horror game that utilizes gore and atmospheric tension to create a disturbing, immersive experience.
- #27 >observer_
80% matchMostly Positive78% of 5,884 reviews2017
Dev: Bloober Team SAPub: Bloober Team
Windows · Mac · Linux
Median: 3.6 hrsMean: 5.6 hrs≥1hr: 84%
The original first‑person cyberpunk horror detective tale set in a decaying, neon‑scarred future. As an Observer who invades minds to hunt for clues, you will sift through corrupted memories to track down a mysterious killer and confront your own dark past.
Why similar: Horror 24.4%, Psychological Horror 20.7%, Gore 12.7%, First-Person 8.8%, Atmospheric 6.4%
Why You'll Like It: A cyberpunk psychological horror game that features intense, invasive investigations into the minds of others.
- #28 Netbreak
79% matchMixed69% of 57 reviews2025
Dev: Tarba Paul CornelPub: Galactic Crows
Windows
Welcome to Netbreak™, a horror-puzzle experience. When a mysterious USB drive arrives on your desk, your curiosity drags you into a nightmare. Piece together clues, watch forbidden videos, and take down an underground SNUFF marketplace, that allows you to see interactive torture and murder.
Why similar: Gore 34.7%, Simulation 22.4%, Nudity 9.8%, Horror 8%, Indie 7.1%
Why You'll Like It: An indie simulation title that incorporates violent, gritty themes into its core gameplay loop.
- #29 Smile More
77% matchVery Positive98% of 96 reviews2026
Dev: Pixel Poxet
Windows · Mac
A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!
Why similar: Medical Sim 57.6% ★, Simulation 13.4%, Horror 10.3%, Gore 8.5%, Psychological Horror 4.5%
- #30 Exorcist Simulator
78% matchMixed68% of 123 reviews2025
Dev: D.M.G.V
Windows
Exorcist Simulator is a 1‑4 player online co‑op horror where every play asks the same, terrible question: Will you cast out the Devil —or wear his skin?
Why similar: Simulation 19.8%, Horror 18.4%, Psychological Horror 15.5%, Realistic 14.3%, First-Person 10.5%
Why You'll Like It: This game brings a professional, task-based approach to supernatural horror, similar to the procedural nature of autopsy work.
- #31 The Cabin Factory
76% matchVery Positive91% of 3,493 reviews2024
Dev: International Cat StudiosPub: Future Friends Games
Windows
Median: 1.1 hrsMean: 1.3 hrs≥1hr: 52%
Your job at the Cabin Factory is simple: inspect the cabins and decide on whether they’re haunted or not. If you do find any anomalies, get out…immediately.
Why similar: Horror 26%, Psychological Horror 20.9%, Simulation 18.6%, Realistic 10.5%, First-Person 10.4%
- #32 SIMULACRA
78% matchVery Positive90% of 4,596 reviews2017
Dev: Kaigan Games OÜ
Windows · Mac
Median: 3.6 hrsMean: 7.7 hrs≥1hr: 71%
An interactive horror experience of exploring a missing woman’s phone.
Why similar: Horror 27%, Simulation 23.9%, Psychological Horror 19.6%, Dark 8.1%, Detective 7.3%
Why You'll Like It: An investigative horror game that uses a simulated interface to uncover the truth behind a mysterious disappearance.
- #33 Revenge Of The Colon
77% matchVery Positive85% of 410 reviews2023
Dev: Lilou Studio
Windows
Median: 2.4 hrsMean: 3.1 hrs≥1hr: 67%
Revenge of the colon is a story driven, single-player, atmospheric, body horror game with multiple endings. Perform colonoscopies on five patients and discover the horrors concealed deep within them. PS1 horror style!
Why similar: Medical Sim 42.1% ★, Blood 16.4% ★, Horror 13.6%, Psychological Horror 10.4%, First-Person 4.8%
- #34 White Room Protocol
75% matchMostly Positive80% of 54 reviews2025
Dev: Lefto Studio
Windows
A psychological first-person horror game where you enter a memory-erasing protocol and relive a trauma. Uncover dark secrets, and experience fear through immersive atmosphere.
Why similar: Horror 19.7%, Gore 16.3%, Psychological Horror 15.6%, Realistic 12.4%, Dark 8.4%
- #35 Welcome to Kowloon
74% matchVery Positive82% of 1,836 reviews2023
Dev: a1esskaPub: N4bA
Windows
Median: 1.1 hrsMean: 1.9 hrs≥1hr: 56%
This is an indie horror from the first person, in which you find yourself in an area called Kowloon in search of cheap housing. The inhabitants of this place only at first glance seem to be ordinary people, but if we dig deeper, we will see their real faces.
Why similar: Horror 22.3%, Gore 21.4%, Psychological Horror 15%, Realistic 10%, First-Person 8.1%
- #36 Partum Artifex
73% matchVery Positive97% of 156 reviews2023
Dev: DalaKoala Games
Windows
A first-person atmospheric horror-puzzle game that focuses on the narrative to tie together the gruesome world with creative puzzles. Explore the mind of a twisted serial killer who wants nothing else than to show his work of art as well as tell his story to the world.
Why similar: Horror 26.5%, Gore 20.6%, Psychological Horror 14.2%, Realistic 8.7%, Atmospheric 8.4%
- #37 Circus of Pain
73% matchMostly Positive79% of 68 reviews2025
Dev: ZV GAMES
Windows
Immerse yourself in the terrifying world of Circus of Pain, where you become the main participant in a deadly circus show. Solve dangerous puzzles to survive.
Why similar: Gore 27.1%, Horror 19.7%, Psychological Horror 17.8%, Simulation 15.1%, Dark 9.9%
- #38 For Your Tranquility
75% matchMixed68% of 190 reviews2023
Dev: Gamesung Games
Windows · Mac
It's a mystery game that reveals the truth through an autopsy. Be a forensic doctor and find out why the dead died.
Why similar: Indie 26.1%, Crime 22.6%, Detective 18.8%, Story Rich 10.9%, Adventure 7.7%
- #39 The Dark Inside Me
76% matchMixed64% of 191 reviews2018
Dev: Akçay Karaazmak
Windows
Median: 3.0 hrsMean: 3.5 hrs≥1hr: 89%
Psychological horror adventure game from a horror movie director based on dynamic scenario. The Dark Inside Me, is a very unique psychological horror adventure game from a horror movie director Akçay Karaazmak, based on dynamic interactive scenario.
Why similar: Mature 18%, Gore 15.9%, Nudity 15.9%, Blood 14.6% ★, Horror 10%
- #40 Agony UNRATED
74% matchMixed56% of 3,673 reviews2018
Dev: Madmind StudioPub: Playway S.A.
Windows
Median: 4.1 hrsMean: 14.2 hrs≥1hr: 84%
Agony UNRATED is a first-person, survival horror set in hell. You will begin your journey as a tormented soul within the depths of hell without any memories about your past. The special ability to control people on your path, and possess demons, gives you the measures to survive.
Why similar: Nudity 26.6%, Gore 23.3%, Mature 19.7%, Sexual Content 11.6%, Horror 9.5%
- #41 Dollmare
69% matchVery Positive94% of 2,009 reviews2024
Dev: Alex GradePub: Almost Done Games
Windows
Median: 3.0 hrsMean: 3.4 hrs≥1hr: 87%
You've accepted a shady job offer at a doll factory. Inspect dolls for defects and anomalies. Follow strange protocols. Don't get fired and stay alive.
Why similar: Simulation 27.7%, Horror 23%, Psychological Horror 18.1%, First-Person 12.4%, Realistic 9.7%
- #42 Psychopathy Assessment
71% matchMostly Positive71% of 137 reviews2024
Dev: Tarba Paul CornelPub: Galactic Crows
Windows
Psychopathy Assessment is a retro-80s V.H.S PS1 style analog horror game that blurs the line between reality and delusion. Step into a universe where you're not just playing a game; you're taking a psychopathy test, but the stakes are considerably higher than a straightforward diagnosis.
Why similar: Gore 42.4%, Simulation 18.5%, Horror 9.1%, Psychological Horror 8.9%, Indie 8.4%
- #43 Conrad Stevenson's Paranormal P.I.
69% matchVery Positive93% of 964 reviews2023
Dev: D&A Studios
Windows
Median: 2.6 hrsMean: 10.4 hrs≥1hr: 72%
I made this first-person single player ghost hunting simulation game, trying to take an authentic approach at investigating ghosts. Use essential paranormal tools to help your community alleviate their concerns and put their minds at ease.
Why similar: Horror 22.2%, Psychological Horror 20.8%, Realistic 15.9%, First-Person 11.4%, Simulation 11.1%
- #44 Charon's Staircase
72% matchMixed63% of 72 reviews2022
Dev: Indigo Studios - Interactive StoriesPub: SOEDESCO
Windows
In this first-person horror mystery game, you set out to bury the horrible past of a tyrannical government. Retrieve and destroy the documents that unravel the secrets that lie beneath Oack Grove. Will you discover the terrifying truth and find your way out?
Why similar: Gore 20.6%, Horror 15.2%, Psychological Horror 14.7%, Nudity 11.5%, Dark 11.1%
- #45 Infliction
71% matchVery Positive81% of 936 reviews2018
Dev: Caustic Reality
Windows
Median: 3.8 hrsMean: 9.0 hrs≥1hr: 88%
Wander through an interactive nightmare set within the confines of a once-happy household. Piece together the mystery behind a harrowing series of events while struggling to survive encounters with an entity that relentlessly stands in the way of finding absolution.
Why similar: Gore 29%, Horror 19.3%, Psychological Horror 14.8%, Realistic 8.4%, First-Person 6.7%
- #46 Investigator
72% matchMixed69% of 1,025 reviews2016
Dev: AdroVGames
Windows
Median: 3.7 hrsMean: 4.9 hrs≥1hr: 94%
Investigator is a first-person exploration game with horror elements, where the events take place in a world of extreme weather cataclysms.
Why similar: Horror 34.4%, Simulation 31.5%, Indie 13.8%, Atmospheric 8%, First-Person 5.8%
- #47 Find Yourself
70% matchVery Positive84% of 1,285 reviews2021
Dev: EMIKA_GAMES
Windows
Median: 1.4 hrsMean: 2.7 hrs≥1hr: 67%
Explore the truly frightening subway cars and find out what fears the main character will have to face.
Why similar: Simulation 24.8%, Horror 20.7%, Psychological Horror 12.3%, Realistic 11.4%, Nudity 10.5%
- #48 Welcome to the Game II
70% matchVery Positive84% of 3,417 reviews2018
Dev: Reflect Studios
Windows · Mac
Median: 2.2 hrsMean: 8.3 hrs≥1hr: 69%
Welcome to the Game II is an atmospheric horror / strategy / puzzle game that takes you into the world of the deep web in search of the shadow web. Play as an investigative reporter trying to solve a case of a mysterious woman broadcasting for help as masked men are on the hunt to kill her.
Why similar: Horror 25.6%, Nudity 15.9%, Simulation 14.9%, Psychological Horror 13%, Gore 8.2%
- #49 Ghost of Tomorrow: Chapter 1
71% matchMostly Positive79% of 92 reviews2021
Dev: Ed Lioni
Windows
Experience a horrifying time-traveling adventure in Ghost of Tomorrow
Why similar: Gore 39.9%, Simulation 17.4%, Horror 10.7%, Psychological Horror 7.2%, Realistic 6.3%
- #50 DETECTIVE - Rainy night
68% matchVery Positive81% of 78 reviews2025
Dev: k148 Game StudioPub: JanduSoft
Windows
Detective Rainy Night is a narrative adventure with elements of deduction. Violent crimes, mature stories, and a touch of psychological horror await you at the Motel Holiday. Grab a pencil and paper because solving this case won’t be easy.
Why similar: Simulation 19.8%, Horror 18.2%, Psychological Horror 16.1%, Realistic 14.8%, First-Person 10.1%
- #51 The Signifier Director's Cut
70% matchVery Positive80% of 333 reviews2020
Dev: PlaymestudioPub: Raw Fury
Windows · Mac
Median: 3.7 hrsMean: 5.1 hrs≥1hr: 89%
This story-driven adventure follows a mystery of death and despair from reality into the surreal realms of objective memories and subjective experiences. Search the mind, solve puzzles, and unravel the dark truth in this psychological thriller.
Why similar: Psychological Horror 26.8%, Dark 16.2%, Sexual Content 14.1%, First-Person 13.8%, Indie 9.2%
- #52 Nightfall: Escape
73% matchMostly Negative38% of 60 reviews2016
Dev: ZeenohPub: Zeenoh Inc.
Windows · Mac · Linux
Median: 4.2 hrsMean: 5.5 hrs≥1hr: 97%
Nightfall: Escape puts you in the shoes of a field journalist who is on a mission to investigate the mysterious disappearances in a remote area. Explore the place, search for leads and use your wits to survive the hidden terrors of the cursed place. Tread carefully, for curiosity may come at a price.
Why similar: Gore 37.9%, Simulation 22.3%, Horror 19.1%, First-Person 9.6%, Indie 8.5%
- #53 The Medium
67% matchVery Positive89% of 9,813 reviews2021
Dev: Bloober TeamPub: Bloober Team SA
Windows · Mac
Median: 7.5 hrsMean: 13.5 hrs≥1hr: 83%
A third‑person psychological horror game where you explore both the real world and the spirit realm. As a medium drawn to a deserted resort, you’ll uncover dark secrets, confront echoes of trauma, and face the consequences of seeing more than one truth.
Why similar: Horror 22.1%, Mature 16.9%, Psychological Horror 14.8%, Gore 14.3%, Dark 7.6%
- #54 The Method of Hiding a Body
68% matchVery Positive92% of 83 reviews2024
Dev: Sea of Ghosts
Windows
A story-driven horror puzzle game where the player takes on the role of a resentful ghost, possessing others in order to search for her own corpse.
Why similar: Psychological Horror 41%, Gore 29%, Story Rich 18.4%, Indie 5.7%, First-Person 3%
- #55 Do No Harm
67% matchMostly Positive74% of 873 reviews2025
Dev: Darts Games
Windows
Median: 2.5 hrsMean: 5.9 hrs≥1hr: 77%
Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine. Make moral choices — decide who to save or kill, discover whom to trust, and unlock multiple endings! Can you endure 30 days of perilous decisions?
Why similar: Medical Sim 66.3% ★, Psychological Horror 8.3%, Simulation 7.9%, First-Person 5.5%, Dark 5.3%
- #56 Necrophosis
66% matchVery Positive90% of 752 reviews2025
Dev: Dragonis AresPub: Dragonis Games
Windows
Median: 2.6 hrsMean: 2.6 hrs≥1hr: 77%
Necrophosis is a first-person horror adventure, plunging you into a nightmarish realm teeming with grotesque forms and ominous visuals. Delve into eerie landscapes and uncover secrets in this atmospheric journey through the macabre.
Why similar: Horror 40.6%, Psychological Horror 37.1%, First-Person 20.1%, Adventure 2.2%
- #57 Nyctophobia: Devil Unleashed
68% matchMostly Positive71% of 63 reviews2021
Dev: Solitary GamesPub: Lamina Studios
Windows
A single-player psychological horror game that will take you to the deepest and darkest secrets of the asylum.
Why similar: Horror 19.1%, Gore 18.2%, Nudity 16%, Psychological Horror 13.7%, Indie 11.6%
- #58 Scene Investigators
66% matchMostly Positive75% of 971 reviews2023
Dev: EQ Studios
Windows
Median: 2.5 hrsMean: 4.6 hrs≥1hr: 76%
Scene Investigators is a hardcore deductive reasoning game for fans of the "true crime" genre. Step into re-created crime scenes, observe closely for pieces of evidence, analyze possible motives behind the crimes, and uncover what truly happened.
Why similar: Realistic 29.4%, First-Person 17.6%, Crime 17%, Detective 12.9%, Atmospheric 9.3%
- #59 Ghost Exorcism INC.
66% matchMostly Positive76% of 5,451 reviews2021
Dev: StudioGoupil
Windows
Median: 4.2 hrsMean: 20.6 hrs≥1hr: 87%
Ghost Exorcism INC is a horror game where you can play alone, or in a team of up to 6 exorcists. Your mission will be to identify paranormal entities, and then exorcise them.
Why similar: Horror 43.6%, Dark 18%, Realistic 14.8%, Atmospheric 11.4%, Detective 8.2%
- #60 Profession investigator
66% matchVery Positive99% of 103 reviews2022
Dev: Indie-Geek
Windows · Mac
Profession Investigator is an immersive simulator with a text-based interface in which you have to deal with real criminal cases. The game uses materials from court archives and specialized literature.
Why similar: Simulation 66.6%, Detective 10.8%, Adventure 8.1%, Indie 6.6%, Story Rich 6.2%