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Games Like Autopsy Simulator

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

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 1,516 reviews
Released: 2024-06-06
Developer: Woodland Games
Publisher: Team17 Digital Ltd
Genres: Indie, Simulation
Platforms: Windows
Median playtime: 4.4 hrs
Mean playtime: 4.9 hrs
Players ≥ 1 hr: 81%

Overview

Autopsy Simulator uniquely blends the clinical, methodical nature of forensic pathology with intense psychological horror and realistic anatomical detail. These recommendations focus on games that balance high-stakes simulation mechanics with dark, atmospheric, or visceral horror elements to satisfy your interest in both medical procedures and unsettling narratives.

Similar Games

View all 60 recommendations
  1. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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. #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%

Autopsy Simulator cover art

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