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Games Like Autopsy Simulator

60+ similar titles based on shared tags and player behavior. Themes include Singleplayer, First-Person, Indie, Atmospheric.

Autopsy Simulator header art

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.

Reviews: Mixed — 51% — of 1,582 reviews
Released: 2024-06-06
Developer: Woodland Games
Publisher: Team17 Digital Ltd
Genres: Indie, Simulation
Platforms: Windows
Median playtime: 4.3 hrs
Mean playtime: 4.7 hrs
Players ≥ 1 hr: 80%

Overview

Autopsy Simulator uniquely blends clinical forensic procedures with visceral psychological horror, offering a grounded yet unsettling experience. These recommendations focus on games that balance realistic simulation mechanics with dark, medical-themed narratives or intense, atmospheric horror experiences.

Similar Games

View all 60 recommendations
  1. #1 The Mortuary Assistant
    97% matchVery Positive92% of 8,621 reviews2022
    Dev: DarkStone DigitalPub: DreadXP
    Windows
    Median: 3.3 hrsMean: 6.0 hrs≥1hr: 87%

    Alone with the dead... Embalm corpses, banish demons, save your soul.

    Why similar: Horror 30.3%, Medical Sim 29.8%, Simulation 12.8%, First-Person 6.4%, Realistic 6.2%

    Why You'll Like It: It shares the exact blend of medical simulation and supernatural horror, requiring players to perform mortuary tasks while identifying demonic entities.

  2. #2 Crime Scene Cleaner
    96% matchOverwhelmingly Positive98% of 33,219 reviews2024
    Dev: President Studio
    Windows
    Median: 14.2 hrsMean: 25.2 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: Simulation 31.5%, Gore 30.8%, First-Person 10.4%, Crime 8.8%, Realistic 8.3%

    Why You'll Like It: This game focuses on the forensic and procedural side of crime scenes, matching the gritty, investigative atmosphere of a pathologist's work.

  3. #3 Creature Lab
    96% matchMixed55% of 398 reviews2023
    Dev: Image Power S.A.Pub: CreativeForge Games S.A.
    Windows
    Median: 3.0 hrsMean: 3.8 hrs≥1hr: 74%

    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 44.2%, Simulation 17.1%, Horror 15.2%, First-Person 8%, Dark 5.8%

    Why You'll Like It: It combines simulation mechanics with horror, tasking players with conducting experiments that feel as morally ambiguous as a forensic autopsy.

  4. #4 The Outlast Trials
    94% matchVery Positive93% of 106,237 reviews2024
    Dev: Red Barrels
    Windows
    Median: 10.1 hrsMean: 33.8 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 33.9%, Psychological Horror 19.5%, Gore 15.1%, First-Person 11.4%, Realistic 9.2%

    Why You'll Like It: It features intense gore and medical-themed horror experiments that mirror the disturbing, clinical nature of the seed game.

  5. #5 Martha Is Dead
    95% matchMostly Positive79% of 3,850 reviews2022
    Dev: LKAPub: Wired Productions
    Windows
    Median: 5.5 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 22.7%, Horror 20.7%, Psychological Horror 19.1%, Dark 9.3%, First-Person 7.6%

    Why You'll Like It: This psychological horror game features realistic, visceral gore and a heavy emphasis on dark, mature storytelling set in a grounded environment.

  6. #6 Surgeon Simulator 2
    94% matchMixed43% of 2,582 reviews2021
    Dev: Bossa StudiosPub: Infogrames
    Windows
    Median: 2.0 hrsMean: 4.0 hrs≥1hr: 70%

    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 57.5%, Gore 20.8%, Simulation 13.9%, First-Person 6.5%, Singleplayer 1.3%

    Why You'll Like It: While more comedic, it provides the most direct mechanical experience of performing complex medical procedures in a first-person perspective.

  7. #7 Bio Inc. Redemption
    93% matchVery Positive87% of 3,146 reviews2018
    Dev: DryGin Studios
    Windows
    Median: 2.4 hrsMean: 5.9 hrs≥1hr: 72%

    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 56.5%, Gore 16.8%, Simulation 11.4%, Horror 6.2%, Sexual Content 2.9%

    Why You'll Like It: This game focuses on medical simulation and the study of human anatomy, albeit from a strategic, disease-focused perspective.

  8. #8 Scorn
    92% matchMostly Positive77% of 19,170 reviews2022
    Dev: Ebb SoftwarePub: Kepler Interactive
    Windows
    Median: 3.5 hrsMean: 6.1 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 30.7%, Nudity 16.8%, Horror 15.9%, Sexual Content 8%, Psychological Horror 7.4%

    Why You'll Like It: It features extreme gore and a focus on anatomical horror, aligning with the visceral visual style of the seed game.

  9. #9 Accident
    91% matchMostly Positive77% of 1,732 reviews2021
    Dev: Duality Games
    Windows
    Median: 1.2 hrsMean: 2.5 hrs≥1hr: 55%

    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 50.8%, Gore 16.1%, Simulation 12.7%, Realistic 8.1%, First-Person 5.6%

    Why You'll Like It: This simulation game focuses on the aftermath of accidents, requiring players to perform medical triage and investigation.

  10. #10 Amnesia: The Dark Descent
    91% matchVery Positive95% of 35,496 reviews2010
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 1.2 hrsMean: 10.5 hrs≥1hr: 55%

    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 30.6%, Gore 22.4%, Nudity 14.5%, Psychological Horror 10.3%, First-Person 7%

    Why You'll Like It: A classic in psychological horror that emphasizes vulnerability and atmospheric dread, mirroring the tension found in Autopsy Simulator.

  11. #11 SOMA
    90% matchOverwhelmingly Positive96% of 51,711 reviews2015
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 5.6 hrsMean: 10.2 hrs≥1hr: 89%

    From the creators of Amnesia: The Dark Descent comes SOMA, a sci-fi horror game set below the waves of the Atlantic ocean. Struggle to survive a hostile world that will make you question your very existence.

    Why similar: Gore 28%, Horror 20.4%, Psychological Horror 14.9%, Dark 8.9%, First-Person 8.9%

    Why You'll Like It: It explores deep psychological horror and medical-themed existential dread within a first-person, atmospheric setting.

  12. #12 Reanimation Inc.
    89% matchVery Positive84% of 130 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 61.4%, Simulation 16.9%, Gore 16.8%, Indie 4.9%

    Why You'll Like It: It is a dedicated medical simulation game that focuses on the technical aspects of life-saving procedures and anatomy.

  13. #13 Oxide Room 104
    89% matchMixed68% of 259 reviews2022
    Dev: WildSphere
    Windows
    Median: 2.6 hrsMean: 6.8 hrs≥1hr: 69%

    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 27.1%, Nudity 16.9%, Horror 15.4%, Psychological Horror 10.8%, First-Person 8.6%

    Why You'll Like It: This survival-horror game features body-horror elements and a first-person perspective that emphasizes the fragility of the human form.

  14. #14 Zoochosis
    88% matchMixed61% of 2,358 reviews2024
    Dev: Clapperheads
    Windows
    Median: 3.2 hrsMean: 5.5 hrs≥1hr: 87%

    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 20.9%, Simulation 19.3%, Horror 17.2%, Dark 11.7%, First-Person 9.4%

    Why You'll Like It: This horror-simulation hybrid requires players to manage a facility while dealing with grotesque, mutated creatures.

  15. #15 Ambulance Life: A Paramedic Simulator
    87% matchMixed50% of 1,266 reviews2025
    Dev: Aesir InteractivePub: Nacon
    Windows
    Median: 2.1 hrsMean: 4.6 hrs≥1hr: 72%

    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 58.9%, Simulation 20.4%, Realistic 9%, Gore 8.8%, Atmospheric 1.8%

    Why You'll Like It: It provides a realistic simulation of emergency medical response, focusing on the procedural aspects of medical care.

  16. #16 Visage
    86% matchVery Positive84% of 10,814 reviews2020
    Dev: SadSquare Studio
    Windows
    Median: 3.0 hrsMean: 7.5 hrs≥1hr: 77%

    Visage is a first-person psychological horror game. Explore a mysterious ever-changing house in a slow-paced, atmospheric world that combines both uncannily comforting and horrifyingly realistic environments, and enjoy a genuinely terrifying experience.

    Why similar: Horror 38.1%, Psychological Horror 23.8%, Dark 8.7%, First-Person 8%, Realistic 6%

    Why You'll Like It: It is a premier example of psychological horror that uses a first-person perspective to create an oppressive, realistic atmosphere.

  17. #17 Scrutinized
    86% matchVery Positive89% of 1,359 reviews2020
    Dev: Reflect Studios
    Windows
    Median: 2.7 hrsMean: 7.0 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 30.1%, Dark 9.9%, Detective 7.7%, Indie 5.8%

    Why You'll Like It: It blends simulation mechanics with horror, requiring the player to perform investigative tasks while under threat.

  18. #18 The Cabin Factory
    84% matchVery Positive91% of 3,683 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 26.4%, Psychological Horror 21%, Simulation 18.3%, Realistic 10.4%, First-Person 10.3%

    Why You'll Like It: It provides a slow-burn, psychological horror experience that emphasizes immersion and narrative discovery.

  19. #19 The Gravedigger
    84% matchVery Positive85% of 123 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 26.4%, Psychological Horror 16.2%, First-Person 15%, Realistic 13.8%, Simulation 13.6%

    Why You'll Like It: It focuses on the grim, procedural work of handling the deceased in a dark, atmospheric setting.

  20. #20 Contraband Police
    83% matchOverwhelmingly Positive95% of 25,155 reviews2023
    Dev: Crazy RocksPub: PlayWay S.A.
    Windows
    Median: 7.9 hrsMean: 16.5 hrs≥1hr: 91%

    Take over the duties of a border guard inspector in a communist country of the 80's. Smuggling, corruption and forgery are the order of the day here. Be vigilant and earn the respect of your superiors.

    Why similar: Simulation 35.1%, Realistic 21%, First-Person 16.6%, Story Rich 7.1%, Detective 6.3%

    Why You'll Like It: It emphasizes procedural investigation and simulation mechanics in a gritty, realistic setting.

  21. #21 Welcome to the Game
    85% matchVery Positive85% of 2,549 reviews2016
    Dev: Reflect Studios
    Windows · Mac
    Median: 1.4 hrsMean: 3.8 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%, Gore 18%, Simulation 15.8%, Nudity 13.3%, Psychological Horror 12.5%

    Why You'll Like It: A simulation-horror hybrid that requires intense focus and investigation in a dangerous, realistic environment.

  22. #22 Dollmare
    82% matchVery Positive94% of 2,102 reviews2024
    Dev: Alex GradePub: Almost Done Games
    Windows
    Median: 3.1 hrsMean: 3.5 hrs≥1hr: 89%

    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 27.5%, Horror 23.2%, Psychological Horror 18%, First-Person 12.4%, Realistic 9.8%

    Why You'll Like It: A first-person horror simulation that focuses on unsettling, realistic environments and psychological tension.

  23. #23 Phasmophobia
    81% matchVery Positive94% of 833,391 reviews2020
    Dev: Kinetic Games
    Windows
    Median: 17.1 hrsMean: 51.2 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 54.7%, Psychological Horror 22.1%, First-Person 10%, Dark 6.9%, Detective 3.3%

    Why You'll Like It: It focuses on the investigative process of horror, requiring players to use tools to identify supernatural threats.

  24. #24 >observer_
    82% matchMostly Positive78% of 5,913 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 20.6%, Gore 12.7%, First-Person 8.8%, Atmospheric 6.3%

    Why You'll Like It: A psychological horror game that features forensic-style investigation of crime scenes in a dark, sci-fi setting.

  25. #25 MADiSON
    80% matchVery Positive87% of 3,363 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 25.1%, Psychological Horror 18.3%, Gore 15.9%, Dark 9.3%, Simulation 9%

    Why You'll Like It: A psychological horror game that uses a first-person perspective to create a deeply unsettling and realistic experience.

  26. #26 Partum Artifex
    79% 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 26.6%, Gore 20.6%, Psychological Horror 14.1%, Realistic 8.8%, Atmospheric 8.3%

    Why You'll Like It: It is an atmospheric horror game that uses puzzle-solving and narration to build a disturbing, immersive experience.

  27. #27 Still Wakes the Deep
    78% matchVery Positive88% of 12,360 reviews2024
    Dev: The Chinese RoomPub: Secret Mode
    Windows
    Median: 4.8 hrsMean: 6.2 hrs≥1hr: 84%

    1975. Disaster strikes the Beira D oil rig off the coast of Scotland. Navigate the collapsing rig to save your crew from an otherworldly horror on the edge of all logic and reality in this 3x BAFTA Games Award-winning narrative horror experience.

    Why similar: Gore 32.9%, Horror 20%, Psychological Horror 15.8%, First-Person 9.6%, Dark 8.8%

    Why You'll Like It: An atmospheric horror game that emphasizes isolation and a realistic, grounded setting.

  28. #28 Ghost Exorcism INC.
    79% matchMostly Positive76% of 5,451 reviews2021
    Dev: StudioGoupil
    Windows
    Median: 4.2 hrsMean: 20.5 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 41.7%, Dark 17.1%, Realistic 14.2%, Atmospheric 10.8%, Detective 7.9%

    Why You'll Like It: It combines investigative simulation with horror, tasking players with using scientific tools to deal with supernatural entities.

  29. #29 Layers of Fear
    78% matchMostly Positive79% of 1,666 reviews2023
    Dev: Anshar StudiosPub: Bloober Team SA
    Windows · Mac
    Median: 4.2 hrsMean: 7.3 hrs≥1hr: 78%

    The era-defining first-person psychological horror in all its terrifying glory. All of the game’s chapters collected into one convenient package that allows you to plumb the depths of madness in pursuit of artistic revelation.

    Why similar: Horror 28.4%, Psychological Horror 24.2%, First-Person 15.1%, Dark 11.7%, Story Rich 7.9%

    Why You'll Like It: It focuses on psychological horror and the descent into madness, matching the narrative depth of the seed game.

  30. #30 Smile More
    76% matchVery Positive95% of 267 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 52.8%, Gore 12%, Simulation 11.4%, Horror 11.2%, Psychological Horror 5.9%

  31. #31 Agony
    81% matchMixed47% of 2,964 reviews2018
    Dev: Madmind StudioPub: Playway S.A.
    Windows
    Median: 1.1 hrsMean: 11.5 hrs≥1hr: 54%

    Agony 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 28.7%, Gore 23.9%, Horror 15.6%, Sexual Content 11.8%, Psychological Horror 6.1%

    Why You'll Like It: It features extreme gore, nudity, and a focus on visceral, disturbing imagery that matches the mature themes of the seed game.

  32. #32 White Room Protocol
    76% matchMostly Positive78% of 55 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 15.5%, Realistic 12.5%, Dark 8.4%

  33. #33 Presence
    77% 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 42.5%, Gore 20%, Horror 11.9%, Dark 5.5%, Crime 3.6%

  34. #34 Netbreak
    75% 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 22.2%, Nudity 10%, Horror 8.1%, Indie 7%

  35. #35 Revenge Of The Colon
    74% matchVery Positive85% of 416 reviews2023
    Dev: Lilou Studio
    Windows
    Median: 2.5 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 43%, Gore 14.6%, Horror 13.9%, Psychological Horror 10.6%, First-Person 4.9%

  36. #36 For Your Tranquility
    75% matchMixed68% of 192 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 25.9%, Crime 22.5%, Detective 18.9%, Story Rich 11%, Adventure 7.8%

  37. #37 Exorcist Simulator
    74% 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 19.7%, Horror 18.5%, Psychological Horror 15.4%, Realistic 14.5%, First-Person 10.5%

  38. #38 The Works of Mercy
    77% matchMostly Negative40% of 235 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 27.7%, Simulation 24.2%, Horror 15.4%, Nudity 11.3%, Indie 6.6%

  39. #39 Circus of Pain
    73% matchMostly Positive79% of 75 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 27.2%, Horror 19.8%, Psychological Horror 17.7%, Simulation 15%, Dark 9.8%

  40. #40 God's Basement
    73% matchMostly Positive74% of 1,316 reviews2018
    Dev: Erebus
    Windows
    Median: 2.9 hrsMean: 3.7 hrs≥1hr: 70%

    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: Gore 20.3%, Horror 19.7%, Psychological Horror 15.7%, Dark 9.9%, First-Person 9.4%

  41. #41 Find Yourself
    72% matchVery Positive84% of 1,318 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 24.6%, Horror 20.7%, Psychological Horror 12.2%, Realistic 11.5%, Nudity 10.7%

  42. #42 Charon's Staircase
    73% matchMixed62% of 74 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 20.5%, Horror 15.5%, Psychological Horror 14.5%, Nudity 11.7%, Dark 11%

  43. #43 Blood Facsimile
    69% matchVery Positive98% of 54 reviews2026
    Dev: Rene McCarthy
    Windows

    An immersive FPS adventure set in a dark and surreal sci-fi world

    Why similar: Simulation 38.8%, Horror 21.9%, Crime 13.6%, First-Person 13.2%, Indie 5.5%

  44. #44 The Method of Hiding a Body
    70% matchVery Positive91% of 89 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 40.9%, Gore 29.2%, Story Rich 18.4%, Indie 5.7%, First-Person 3%

  45. #45 DETECTIVE - Rainy night
    70% matchMostly Positive75% of 91 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 19.7%, Horror 18.3%, Psychological Horror 16%, Realistic 15%, First-Person 10.1%

  46. #46 Psychopathy Assessment
    70% 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 43.2%, Simulation 17.8%, Horror 9.3%, Psychological Horror 9%, Indie 8.5%

  47. #47 Welcome to the Game II
    71% matchVery Positive84% of 3,469 reviews2018
    Dev: Reflect Studios
    Windows · Mac
    Median: 2.2 hrsMean: 8.6 hrs≥1hr: 70%

    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 14.7%, Psychological Horror 13.1%, Gore 8.4%

  48. #48 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 39.7%, Simulation 17.2%, Horror 11.4%, Psychological Horror 7.1%, Realistic 6.3%

  49. #49 CURE - A Hospital Simulator
    67% matchVery Positive87% of 865 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.7 hrsMean: 8.6 hrs≥1hr: 84%

    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 65.9%, Simulation 14%, Realistic 9.6%, First-Person 7.2%, Atmospheric 3.3%

  50. #50 Do No Harm
    69% matchMostly Positive75% of 918 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.4 hrsMean: 5.7 hrs≥1hr: 75%

    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 66.4%, Psychological Horror 8.3%, Simulation 7.9%, First-Person 5.6%, Dark 5.3%

  51. #51 SIMULACRA
    69% matchVery Positive90% of 4,658 reviews2017
    Dev: Kaigan Games OÜ
    Windows · Mac
    Median: 3.6 hrsMean: 7.6 hrs≥1hr: 71%

    An interactive horror experience of exploring a missing woman’s phone.

    Why similar: Horror 27%, Simulation 23.3%, Psychological Horror 19.2%, Dark 7.9%, Detective 7.3%

  52. #52 UFOPHILIA
    68% matchMostly Positive73% of 88 reviews2026
    Dev: k148 Game StudioPub: JanduSoft
    Windows

    UFOPHILIA is a first-person psychological horror game where you explore areas marked by alien phenomena. Use specialized equipment to detect, identify, and photograph aliens—but do so at your own risk... They are watching you too.

    Why similar: Horror 23.9%, Simulation 18.6%, Psychological Horror 17.8%, First-Person 11.2%, Dark 8.4%

  53. #53 Investigator
    71% matchMixed69% of 1,036 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 34.5%, Simulation 31.3%, Indie 13.7%, Atmospheric 8%, First-Person 5.8%

  54. #54 Nightfall: Escape
    72% matchMostly Negative38% of 60 reviews2016
    Dev: ZeenohPub: Zeenoh Inc.
    Windows · Mac · Linux
    Median: 4.2 hrsMean: 5.4 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 38%, Simulation 22.2%, Horror 19.2%, First-Person 9.6%, Indie 8.4%

  55. #55 Crime Scene Cleaner: Prologue
    64% matchVery Positive95% of 5,373 reviews2024
    Dev: President StudioPub: PlayWay S.A.
    Windows
    Median: 1.2 hrsMean: 4.7 hrs≥1hr: 63%

    When there’s a call, you are the man to clean up after your client’s dirty job. Siding with the mafia is a dangerous game, but they pay well, and you need money, right? So take your mop and better remove those bloodstains quickly before the police come.

    Why similar: Simulation 40.5%, Realistic 18%, First-Person 14.2%, Crime 12.5%, Dark 10.5%

  56. #56 Profession investigator
    67% matchVery Positive99% of 107 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 66.3%, Detective 10.9%, Adventure 8.2%, Indie 6.6%, Story Rich 6.2%

  57. #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 19.2%, Gore 18.2%, Nudity 16.2%, Psychological Horror 13.6%, Indie 11.5%

  58. #58 Lust from Beyond
    66% matchVery Positive81% of 4,414 reviews2021
    Dev: Movie Games LunariumPub: Movie Games S.A.
    Windows
    Median: 4.6 hrsMean: 14.4 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 40.1%, Sexual Content 19.8%, Gore 16.6%, Horror 13.9%, Psychological Horror 4.5%

  59. #59 Conrad Stevenson's Paranormal P.I.
    65% matchVery Positive93% of 981 reviews2023
    Dev: D&A Studios
    Windows
    Median: 2.6 hrsMean: 10.4 hrs≥1hr: 71%

    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 22.3%, Psychological Horror 20.7%, Realistic 16.1%, First-Person 11.4%, Simulation 11%

  60. #60 Welcome to Kowloon
    65% matchVery Positive81% of 1,920 reviews2023
    Dev: a1esskaPub: N4bA
    Windows
    Median: 1.1 hrsMean: 1.9 hrs≥1hr: 55%

    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 22.4%, Gore 21.4%, Psychological Horror 14.9%, Realistic 10.1%, First-Person 8.1%

Modeli
Autopsy Simulator cover art

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