- #1 The Mortuary Assistant
97% matchVery Positive92% of 8,717 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 30.6%, Medical Sim 29.7% ★, Simulation 12.7%, First-Person 6.3%, Realistic 6.1%
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 Crime Scene Cleaner
96% matchOverwhelmingly Positive98% of 34,040 reviews2024
Dev: President Studio
Windows
Median: 14.4 hrsMean: 25.5 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 31.4%, Simulation 31.3%, First-Person 10.2%, Crime 8.7%, 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 Creature Lab
96% matchMixed55% of 407 reviews2023
Dev: Image Power S.A.Pub: CreativeForge Games S.A.
Windows
Median: 2.9 hrsMean: 3.8 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 44.2% ★, Simulation 17.1%, Horror 15.3%, First-Person 8.1%, Dark 5.9%
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 Martha Is Dead
95% matchMostly Positive79% of 3,915 reviews2022
Dev: LKAPub: Wired Productions
Windows
Median: 5.5 hrsMean: 6.6 hrs≥1hr: 89%
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 22.8%, Horror 20.7%, Psychological Horror 19.1%, Dark 9.2%, 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.
- #5 The Outlast Trials
94% matchVery Positive92% of 111,040 reviews2024
Dev: Red Barrels
Windows
Median: 10.2 hrsMean: 35.0 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 19.2%, Gore 15.8%, First-Person 11.3%, Realistic 9%
Why You'll Like It: It features intense gore and medical-themed horror experiments that mirror the disturbing, clinical nature of the seed game.
- #6 Bio Inc. Redemption
94% matchVery Positive87% of 3,210 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 56.4% ★, Gore 17%, Simulation 11.3%, 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.
- #7 Accident
92% matchMostly Positive77% of 1,754 reviews2021
Dev: Duality Games
Windows
Median: 1.2 hrsMean: 2.5 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 50.7% ★, Gore 16.2%, Simulation 12.6%, Realistic 8.2%, 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.
- #8 Surgeon Simulator 2
93% matchMixed43% of 2,597 reviews2021
Dev: Bossa StudiosPub: Infogrames
Windows
Median: 2.0 hrsMean: 4.0 hrs≥1hr: 69%
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 57.3% ★, Gore 21%, 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.
- #9 Scorn
91% matchMostly Positive77% of 19,649 reviews2022
Dev: Ebb SoftwarePub: Kepler Interactive
Windows
Median: 3.4 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 30.9%, Nudity 16.8%, Horror 15.9%, Sexual Content 8.1%, 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.
- #10 SOMA
91% matchOverwhelmingly Positive96% of 52,486 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 28.1%, Horror 20.5%, 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.
- #11 Amnesia: The Dark Descent
90% matchVery Positive95% of 35,628 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 22.6%, Nudity 14.6%, Psychological Horror 10.3%, First-Person 6.9%
Why You'll Like It: A classic in psychological horror that emphasizes vulnerability and atmospheric dread, mirroring the tension found in Autopsy Simulator.
- #12 Visage
89% matchVery Positive84% of 10,917 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 8.6%, 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.
- #13 Reanimation Inc.
89% matchVery Positive84% of 131 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 61.3% ★, Gore 17%, Simulation 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.
- #14 Ambulance Life: A Paramedic Simulator
88% matchMixed49% of 1,317 reviews2025
Dev: Aesir InteractivePub: Nacon
Windows
Median: 2.3 hrsMean: 4.6 hrs≥1hr: 73%
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 56.3% ★, Simulation 19.6%, Gore 9.5%, Realistic 8.7%, Nudity 3.3%
Why You'll Like It: It provides a realistic simulation of emergency medical response, focusing on the procedural aspects of medical care.
- #15 Zoochosis
86% matchMixed61% of 2,383 reviews2024
Dev: Clapperheads
Windows
Median: 3.3 hrsMean: 5.6 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 21%, Simulation 19.2%, Horror 17.3%, Dark 11.7%, First-Person 9.3%
Why You'll Like It: This horror-simulation hybrid requires players to manage a facility while dealing with grotesque, mutated creatures.
- #16 Oxide Room 104
87% matchMixed68% of 261 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 27.2%, Nudity 16.9%, Horror 15.4%, Psychological Horror 10.7%, 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.
- #17 Scrutinized
86% matchVery Positive89% of 1,389 reviews2020
Dev: Reflect Studios
Windows
Median: 2.6 hrsMean: 6.8 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 40.5%, Horror 30%, Dark 9.9%, Detective 7.7%, Indie 5.9%
Why You'll Like It: It blends simulation mechanics with horror, requiring the player to perform investigative tasks while under threat.
- #18 The Cabin Factory
84% matchVery Positive91% of 3,776 reviews2024
Dev: International Cat StudiosPub: Future Friends Games
Windows
Median: 1.0 hrsMean: 1.3 hrs≥1hr: 51%
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 26.6%, Psychological Horror 20.9%, Simulation 18.2%, Realistic 10.4%, First-Person 10.2%
Why You'll Like It: It provides a slow-burn, psychological horror experience that emphasizes immersion and narrative discovery.
- #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 26.5%, Psychological Horror 16.2%, First-Person 14.9%, Realistic 13.9%, Simulation 13.5%
Why You'll Like It: It focuses on the grim, procedural work of handling the deceased in a dark, atmospheric setting.
- #20 Welcome to the Game
85% matchVery Positive84% of 2,591 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 20.1%, Gore 17.7%, Simulation 15.7%, Nudity 13.4%, Psychological Horror 12.5%
Why You'll Like It: A simulation-horror hybrid that requires intense focus and investigation in a dangerous, realistic environment.
- #21 Contraband Police
82% matchOverwhelmingly Positive95% of 25,591 reviews2023
Dev: Crazy RocksPub: PlayWay S.A.
Windows
Median: 8.0 hrsMean: 16.9 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 21.1%, First-Person 16.6%, Story Rich 7.2%, Detective 6.3%
Why You'll Like It: It emphasizes procedural investigation and simulation mechanics in a gritty, realistic setting.
- #22 Phasmophobia
81% matchVery Positive94% of 837,685 reviews2020
Dev: Kinetic Games
Windows
Median: 17.1 hrsMean: 51.5 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 54.8%, Psychological Horror 22%, First-Person 10%, Dark 6.8%, 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.
- #23 Ghost Exorcism INC.
82% 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 41.8%, Dark 17%, Realistic 14.3%, 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.
- #24 Dollmare
79% matchVery Positive94% of 2,143 reviews2024
Dev: Alex GradePub: Almost Done Games
Windows
Median: 3.0 hrsMean: 3.5 hrs≥1hr: 88%
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 27.3%, Horror 23.3%, Psychological Horror 18.1%, 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.
- #25 Agony
83% matchMixed47% of 2,980 reviews2018
Dev: Madmind StudioPub: Playway S.A.
Windows
Median: 1.2 hrsMean: 13.5 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 28.6%, Gore 24%, Horror 15.7%, Sexual Content 11.9%, Psychological Horror 6%
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.
- #26 MADiSON
80% matchVery Positive87% of 3,425 reviews2022
Dev: BLOODIOUS GAMES
Windows
Median: 6.1 hrsMean: 7.1 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 25.2%, Psychological Horror 18.4%, Gore 15.9%, Dark 9.3%, First-Person 9.1%
Why You'll Like It: A psychological horror game that uses a first-person perspective to create a deeply unsettling and realistic experience.
- #27 >observer_
81% matchMostly Positive78% of 5,924 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.
- #28 Still Wakes the Deep
78% matchVery Positive88% of 12,881 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 20.1%, Psychological Horror 15.9%, First-Person 9.5%, Dark 8.7%
Why You'll Like It: An atmospheric horror game that emphasizes isolation and a realistic, grounded setting.
- #29 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 20.7%, Psychological Horror 14%, 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.
- #30 Layers of Fear
78% matchMostly Positive79% of 1,706 reviews2023
Dev: Anshar StudiosPub: Bloober Team SA
Windows · Mac
Median: 4.2 hrsMean: 7.2 hrs≥1hr: 77%
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 28.5%, 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.
- #31 Smile More
76% matchVery Positive96% of 313 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 52.7% ★, Gore 12%, Simulation 11.4%, Horror 11.2%, Psychological Horror 5.8%
- #32 Forensics: Crime Scene Detective
77% matchMixed63% of 309 reviews2026
Dev: Binary ImpactPub: Aerosoft GmbH
Windows
Become a forensic specialist in a realistic crime lab simulator. Investigate crime scenes, collect microscopic evidence, and identify perpetrators in the lab using DNA and digital analysis. Based on the experience and insights of experts from the State Criminal Police Office Rhineland-Palatinate.
Why similar: Simulation 47.9%, Realistic 15.7%, Crime 11%, First-Person 9.5%, Dark 6.4%
- #33 White Room Protocol
75% 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 19.8%, Gore 16.4%, Psychological Horror 15.4%, Realistic 12.6%, Dark 8.3%
- #34 Presence
76% 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 43.1% ★, Gore 19.9%, Horror 11.8%, Dark 5.4%, Crime 3.6%
- #35 Netbreak
74% matchMixed67% of 59 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 34.9%, Simulation 22%, Nudity 10.1%, Horror 8.1%, Indie 7%
- #36 Revenge Of The Colon
74% matchVery Positive85% of 419 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 42.8% ★, Gore 14.8%, Horror 14%, Psychological Horror 10.6%, First-Person 4.9%
- #37 For Your Tranquility
75% matchMixed68% of 193 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 25.8%, Crime 22.3%, Detective 18.9%, Story Rich 11%, Adventure 8%
- #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 27.8%, Simulation 23.8%, Horror 15.3%, Nudity 11.3%, Indie 6.5%
- #39 SIMULACRA
73% matchVery Positive90% of 4,678 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 27.1%, Simulation 23.1%, Psychological Horror 19.3%, Dark 7.9%, Detective 7.3%
- #40 Exorcist Simulator
73% 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 19.5%, Horror 18.5%, Psychological Horror 15.4%, Realistic 14.6%, First-Person 10.5%
- #41 Lust from Beyond
73% matchVery Positive81% of 4,443 reviews2021
Dev: Movie Games LunariumPub: Movie Games S.A.
Windows
Median: 4.6 hrsMean: 14.3 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 40.2%, Sexual Content 19.8%, Gore 16.7%, Horror 13.9%, Psychological Horror 4.4%
- #42 Circus of Pain
71% matchMostly Positive78% of 79 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 27.3%, Horror 19.8%, Psychological Horror 17.7%, Simulation 14.8%, Dark 9.8%
- #43 Necrophosis
70% matchVery Positive90% of 875 reviews2025
Dev: Dragonis AresPub: Dragonis Games
Windows
Median: 2.7 hrsMean: 2.8 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 38.5%, Psychological Horror 34.8%, First-Person 18.9%, Dark 5.6%, Adventure 2.1%
- #44 Find Yourself
71% matchVery Positive84% of 1,326 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 24.4%, Horror 20.8%, Psychological Horror 12.2%, Realistic 11.6%, Nudity 10.8%
- #45 God's Basement
72% matchMostly Positive74% of 1,317 reviews2018
Dev: Erebus
Windows
Median: 2.9 hrsMean: 3.6 hrs≥1hr: 69%
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 20.2%, Horror 19.9%, Psychological Horror 15.7%, Dark 9.8%, First-Person 9.4%
- #46 Psychopathy Assessment
70% matchMostly Positive72% of 144 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 43.5%, Simulation 17.6%, Horror 9.3%, Psychological Horror 9%, Indie 8.4%
- #47 Charon's Staircase
72% matchMixed61% of 77 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 15.5%, Psychological Horror 14.5%, Nudity 11.7%, Dark 10.9%
- #48 Blood Facsimile
68% matchVery Positive98% of 64 reviews2026
Dev: Rene McCarthy
Windows
An immersive FPS adventure set in a dark and surreal sci-fi world
Why similar: Simulation 38.6%, Horror 22.1%, Crime 13.6%, First-Person 13.3%, Indie 5.5%
- #49 The Method of Hiding a Body
69% matchVery Positive91% of 92 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 40.8%, Gore 29.3%, Story Rich 18.4%, Indie 5.7%, First-Person 3%
- #50 DETECTIVE - Rainy night
68% matchMostly Positive74% of 96 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 19.5%, Horror 18.3%, Psychological Horror 16%, Realistic 15.1%, First-Person 10%
- #51 Do No Harm
68% matchMostly Positive74% of 939 reviews2025
Dev: Darts Games
Windows
Median: 2.3 hrsMean: 5.7 hrs≥1hr: 74%
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 8.4%, Simulation 7.8%, First-Person 5.6%, Dark 5.3%
- #52 Welcome to the Game II
69% matchVery Positive84% of 3,523 reviews2018
Dev: Reflect Studios
Windows · Mac
Median: 2.2 hrsMean: 8.6 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 25.5%, Nudity 16.3%, Simulation 14.4%, Psychological Horror 13.1%, Gore 8.4%
- #53 Investigator
71% matchMixed69% of 1,049 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 34.7%, Simulation 31.1%, Indie 13.6%, Atmospheric 7.9%, First-Person 5.8%
- #54 Ghost of Tomorrow: Chapter 1
70% 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%, Horror 11.4%, Psychological Horror 7.1%, Realistic 6.3%
- #55 The Medium
66% matchVery Positive89% of 10,180 reviews2021
Dev: Bloober TeamPub: Bloober Team SA
Windows · Mac
Median: 7.5 hrsMean: 13.2 hrs≥1hr: 82%
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 26.8%, Psychological Horror 17.9%, Gore 16.8%, Dark 9.2%, Sexual Content 8.4%
- #56 Profession investigator
66% matchVery Positive99% of 109 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 66.1%, Detective 11%, Adventure 8.4%, Indie 6.6%, Story Rich 6.2%
- #57 Infliction
67% matchVery Positive81% of 962 reviews2018
Dev: Caustic Reality
Windows
Median: 3.7 hrsMean: 8.9 hrs≥1hr: 89%
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 29.4%, Horror 19.3%, Psychological Horror 14.6%, Realistic 8.5%, First-Person 6.7%
- #58 Night at the Office
66% matchVery Positive82% of 55 reviews2024
Dev: Stanislaw TruchowskiPub: TurnVex
Windows
You work late at the office not long after the death of a colleague. Throughout the night, all sorts of phenomenon begin to terrorize you, slowly uncovering the death of a fellow colleague. Who killed Joseph Anadam and why must you go through this trial to find out?
Why similar: Horror 28.5%, Psychological Horror 21.5%, Realistic 14%, Dark 11.3%, Crime 8.5%
- #59 Unpossess: Exorcism Simulator
65% matchMostly Positive71% of 456 reviews2025
Dev: Chreseeba Games
Windows
Median: 2.0 hrsMean: 2.7 hrs≥1hr: 80%
Unpossess is a 1-4 co-op exorcism simulator game set in the early 1900s. Players take on the role of exorcists responsible for addressing cases of human possession.
Why similar: Horror 25.4%, Psychological Horror 21.6%, Simulation 18.8%, Realistic 16.6%, Dark 12%
- #60 Sanatorium - A Mental Asylum Simulator
65% matchMixed61% of 227 reviews2025
Dev: ZeitglasPub: Shoreline Games
Windows · Mac
The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
Why similar: Medical Sim 67.8% ★, Simulation 13%, Dark 5.9%, Detective 3.8%, Story Rich 3.6%
