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Games Like BirdsBorough : Town of Alchemy

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Life Sim, Medical Sim, Singleplayer.

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  1. #1 Harvest Health
    97% matchNo user reviews
    Dev: Harvest Health LLC
    Windows · Mac · Linux

    You’ve graduated from Xepheria School of Immunis and inherited your grandfather’s clinic in the Springs Hope Village. Design your own clinic. When you are not fighting bacteria inside the body, mingle with villagers by farming, joining festivals, recruiting friends, raising monsters, and dating!

    Why similar: Medical Sim 30.3%, Farming Sim 16.3%, Life Sim 11.9%, Crafting 9.6%, Sandbox 8.3%

  2. #2 Fire Station Renovation
    96% matchNo user reviews
    Dev: FrogVille Games
    Windows

    FIRE STATION RENOVATION is a renovator simulator for abandoned and forgotten fire stations. Buy old hovels, repaint, redecorate, clean and even build rodent traps and bring the firehouse back to life!

    Why similar: Medical Sim 35.4%, Base Building 12.3%, Life Sim 11.7%, Immersive Sim 11.5%, Building 8.6%

  3. #3 Starsand Island
    95% matchVery Positive87% of 7,209 reviews2026
    Dev: Seed Sparkle Lab
    Windows
    Median: 6.9 hrsMean: 20.8 hrs≥1hr: 88%

    Tired of the city grind? Escape to Starsand Island and embrace the simple joys of country life! Live alongside capybaras, cats, and dogs, reel in a big catch, and explore the enchanting Moonlit Forest. Leave the hustle behind and experience the charm of this seaside paradise.

    Why similar: Farming Sim 19.8%, Life Sim 12.7%, Building 10.8%, Sandbox 10.8%, Crafting 10.4%

  4. #4 Better Me Tree: Boot Camp
    96% matchNo user reviews2024
    Dev: Better Me Tree
    Windows

    Better Me Tree: Boot Camp is a daily self development application and motivator that encourages you to work on bettering your health, personal growth, wellness, inner peace, life goals, purpose, self awareness, accountability and more.

    Why similar: Medical Sim 28.3%, Farming Sim 20.3%, Immersive Sim 11.8%, Life Sim 10.9%, Emotional 9.3%

  5. #5 Herbal Haven
    94% matchNo user reviews
    Dev: Reminiscent Realms Studio LLC
    Windows · Linux

    In this life-sim, you are sent by the adventurer’s guild to run a local infirmary. Explore diverse biomes to gather ingredients, nurture your herbs and concoct remedies to aid your guild. Build relationships with your neighbors and engage in community events.

    Why similar: Medical Sim 32.3%, Farming Sim 17.4%, Life Sim 12.4%, Sandbox 8.5%, Crafting 8.4%

  6. #6 Hospital Renovator
    94% matchNo user reviews
    Dev: GamesUP StudioPub: T-Bull
    Windows

    Become a one-man renovation company and take care of the reconstruction of a ruined hospital! Save a neglected facility and create a fully functional emergency complex. The entire process of cleaning, planning, repairing, and arranging is on your side. Build a dream clinic in the Hospital Renovator!

    Why similar: Medical Sim 45%, Building 11.1%, Life Sim 11%, Sandbox 10.9%, Immersive Sim 7.6%

  7. #7 Sim Hospital
    93% matchMixed56% of 45 reviews2025
    Dev: Dao Studio
    Windows

    Sim Hospital is a simulation game where you build and manage your own hospital. You'll encounter all kinds of interesting patients and events. Improving the skills of your doctors and nurses is just as important!

    Why similar: Medical Sim 40%, Farming Sim 19.9%, Life Sim 11.9%, Building 6.5%, Simulation 6.3%

  8. #8 Bill
    92% matchNo user reviews
    Dev: Marijenburg Games
    Windows

    You are a genius at crafting. He is a stranded Alien baby who crashed in your garden. His survival depends on you! Craft tools and furniture, Upgrade your house, Farm your food, organize, and personalize your home. Help a baby alien to survive on earth and find out more about it

    Why similar: Life Sim 19.1%, Immersive Sim 16.9%, Farming Sim 14.9%, Simulation 12.7%, Crafting 12.1%

  9. #9 凌晨四点的医院
    91% match1 user reviews0% of 1 reviews2023
    Dev: XGame
    Windows

    模拟经营医院游戏

    Why similar: Medical Sim 37.5%, Farming Sim 19.5%, Life Sim 12%, Building 8.2%, Emotional 7.8%

  10. #10 Be My Mom - maternity simulator, take care of your child
    91% matchNo user reviews2026
    Dev: FreeMind S.A.Pub: PlayWay S.A.
    Windows

    Become a mother and experience the best of maternity. The game is for future mothers, so they know what to expect, and also for their partners, so they can experience things their women do. The adventure begins just as you see the pregnancy test is positive.

    Why similar: Medical Sim 40.6%, Life Sim 12.6%, Immersive Sim 12.5%, Emotional 11.7%, Relaxing 5.4%

  11. #11 Smart Lab
    90% matchNo user reviews
    Dev: ZD Games
    Windows

    Smart Lab: Build your lab from the ground up, research new recipes, optimize production chains, and craft valuable products. Produce in batches, improve quality, and sell your results to keep expanding.

    Why similar: Medical Sim 28.4%, Crafting 15.3%, Base Building 14.8%, Life Sim 10.1%, Sandbox 9%

  12. #12 Lifeguard Simulator
    89% matchNo user reviews2026
    Dev: FreeMind S.A.
    Windows

    Guard the beach, react fast, and save lives using quads, jet skis, motorboats, drones, and a helicopter. Patrol the bay, help those in need and uncover a hidden criminal intrigue beneath the waves.

    Why similar: Medical Sim 41.3%, Immersive Sim 12.1%, Life Sim 11.1%, Sandbox 9.9%, Emotional 6.9%

  13. #13 Supermarket Maker
    87% matchNo user reviews
    Dev: El NanPub: La Blen
    Windows

    Build and manage your very own Supermarket and make it success, with good offers and best selected products. Attract more customers with an aggressive strategy and grow to become the best Supermarket in town.

    Why similar: Medical Sim 38.7%, Farming Sim 20.1%, Life Sim 15.2%, Building 12.7%, Simulation 9.5%

  14. #14 Weed Shop 2
    89% matchVery Positive86% of 910 reviews2017
    Dev: ADhD StudiosPub: Weed Games
    Windows · Mac
    Median: 4.5 hrsMean: 23.6 hrs≥1hr: 89%

    Weed Shop 2 is a first person recreational Marijuana dispensary simulator where you'll get to grow the hottest strains, expand your business, hire employees and much more!

    Why similar: Medical Sim 34.3%, Farming Sim 14.8%, Life Sim 11.6%, Immersive Sim 11.2%, Building 9.9%

  15. #15 Ice Rescue Simulator VR
    86% matchNo user reviews
    Dev: Sempiternal Rain
    Windows

    Ice Rescue Simulator VR – a fun ice emergency rescue simulator where a victim’s life is in your hands, and any wrong move can lead to failure!

    Why similar: Medical Sim 62.8%, Sandbox 14.4%, Crafting 13.3%, Simulation 6.2%, 3D 2.4%

  16. #16 Farmington County: The Ultimate Farming Tycoon Simulator
    88% matchMostly Positive72% of 111 reviews2019
    Dev: Grenoble Interactive, LLC
    Windows · Mac

    Farming & town living sim. Develop the farm of your dreams using tools, tractors, trucks & other vehicles. Build cabins, sheds, barns, and more! Hire workers to help out in your farm. Grow thousands of crops, raise hundreds of livestock and explore the world of Farmington County!

    Why similar: Farming Sim 25%, Life Sim 12.9%, Base Building 12.8%, Building 11.6%, Sandbox 8.1%

  17. #17 Paramedics! - EMS Simulator
    86% matchNo user reviews
    Dev: Takendsim
    Windows

    First of its kind emergency medicine simulator, bringing the option for players around the world to try, learn, and experience what it takes to be in emergency medical services, featuring in-depth and real-life systems, and a responsive human body. You choose what protocols to follow.

    Why similar: Medical Sim 45%, Immersive Sim 12.1%, Sandbox 11.5%, Conversation 10.2%, Crafting 9.8%

  18. #18 Psycho Simulator
    85% matchNo user reviews
    Dev: FreeMind S.A.Pub: PlayWay S.A.
    Windows

    30% of our society suffers from psychological problems. Many famous people throughout the history and pop culture were troubled this way and required professional help.

    Why similar: Medical Sim 41.5%, Conversation 11.8%, Life Sim 11.7%, Immersive Sim 11.6%, Relaxing 6.1%

  19. #19 Monastery Builder
    84% matchNo user reviews
    Dev: SolidGames
    Windows

    Become a monk in a medieval European monastery. Be diligent with your duties, and develop and expand your friary. Learn plenty of useful skills and contribute to raising the standard of living for the local community.

    Why similar: Farming Sim 16.2%, Immersive Sim 12.8%, Base Building 12%, Building 11.7%, Sandbox 11.2%

  20. #20 Sprout Valley
    84% matchMostly Positive73% of 121 reviews2023
    Dev: Vadzim LiakhovichPub: RedDeer.Games
    Windows

    Sprout Valley is farming simulator game where you can step back from the busy life and grow the garden of your dreams. Captivating story, hand-crafted experience, cute graphics and many more!

    Why similar: Farming Sim 24.9%, Life Sim 15.3%, Immersive Sim 13.8%, Crafting 10.1%, Building 9.9%

  21. #21 Antidotera
    83% matchNo user reviews
    Dev: Forest Initiative
    Windows

    Dive into the role of a researcher on a dangerous, resource-rich island. Gather rare ingredients, craft life-saving potions, and survive the wild. Uncover secrets and send cures back to the government to combat a deadly epidemic haunting the population.

    Why similar: Medical Sim 34.9%, Crafting 12.3%, Life Sim 11.8%, Immersive Sim 11.6%, Building 9.7%

  22. #22 Store Life Simulator
    82% matchNo user reviews
    Dev: Insight Game StudioPub: Hibull Games
    Windows

    Store Life Simulator is a simulation and management game where you start with a small grocery store and have to expand it until you create a true business empire! Hire employees, manage your stock, serve customers and open new stores while facing the daily challenges of an entrepreneur.

    Why similar: Medical Sim 45%, Life Sim 14.4%, Immersive Sim 14.4%, Simulation 8.1%, Building 5.3%

  23. #23 Pharmacy Simulator
    82% matchMixed60% of 242 reviews2024
    Dev: Altai Entertainment
    Windows

    Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.

    Why similar: Medical Sim 46.9%, Life Sim 16.4%, Immersive Sim 14.8%, Simulation 10.1%, Building 7.2%

  24. #24 Polaria
    81% matchNo user reviews2026
    Dev: Glocal the BONPub: Superjoy Co., Ltd.
    Windows

    Polarium is a relaxing idle game set in the serene world of Antarctica. Discover peaceful marine life, learn about polar ecosystems, and find comfort in nature. Inspired by real research, the game blends healing gameplay with subtle messages on climate and biodiversity.

    Why similar: Medical Sim 45.5%, Farming Sim 24.6%, Simulation 10.3%, Emotional 8.8%, Relaxing 4.3%

  25. #25 东方药药灵-Touhou Herbalist
    81% matchNo user reviews
    Dev: 樱桃樱桃嘤
    Windows

    ​As a young girl from the Human Village of Gensokyo, you will enter Eientei to learn medicine-making. By fulfilling the requests of its peculiar residents, you may receive their Spell Cards as a reward. Use potions and Spell Cards to experience an extraordinary life in Gensokyo!​

    Why similar: Medical Sim 36.8%, Farming Sim 16.5%, Crafting 15.3%, Conversation 9.1%, Relaxing 7.4%

  26. #26 Psyhonds
    79% match5 user reviews80% of 5 reviews2026
    Dev: Meriteri GamesPub: Terrabyte Games
    Windows

    A satirical mental hospital survival simulator: control four unstable characters, craft from junk, forge dubious alliances, communicate with patients and staff, and choose between a quiet life in a ward, a riot, or a risky escape to freedom.

    Why similar: Medical Sim 61.4%, Crafting 12.3%, Life Sim 10.9%, Simulation 6.1%, RPG 3.7%

  27. #27 Garlic Builder
    79% matchVery Positive96% of 204 reviews2024
    Dev: CaveLiquidPub: Gamersky Games
    Windows
    Median: 1.0 hrsMean: 3.3 hrs≥1hr: 54%

    Garlic Builder is a unique building game. As the new builder of the Garlic Family, can you inherit your father's building hammer, take various orders, follow the blueprint, or use your imagination to fulfill the strange needs of your customers?

    Why similar: Building 14.1%, Conversation 13.4%, Crafting 11.8%, Base Building 11.5%, Immersive Sim 10%

  28. #28 Garden Buddies
    80% matchMostly Positive73% of 92 reviews2023
    Dev: JamPicsPub: RedDeer.Games
    Windows

    Unleash your inner gardener and immerse yourself in the serene world of Garden Buddies, cultivating a vibrant flower garden alongside your new friend Mutsy. Discover an enchanting and fulfilling experience to release your stress.

    Why similar: Farming Sim 23.2%, Life Sim 14.5%, Crafting 12.1%, Sandbox 12.1%, Building 11%

  29. #29 Chinese Frontiers
    77% matchMostly Positive75% of 485 reviews2025
    Dev: SolidGamesPub: Big Cheese Studio
    Windows

    Plan, build, and unwind in medieval China. Lead villagers, fine-tune production, and craft iconic Chinese landmarks brick by brick. Roam passes, deserts, and river valleys; farm, cook, and decorate. Master new crafts, earn imperial favor, and turn smart design into lasting legacy.

    Why similar: Farming Sim 18.4%, Crafting 13.7%, Building 11.9%, Life Sim 11.1%, Immersive Sim 11.1%

  30. #30 Heard of the Story?
    78% matchPositive97% of 34 reviews2023
    Dev: Shasaur
    Windows

    Forge a medieval community with intelligent and quirky villagers. Gather resources and transform the village into a town, or simply listen to captivating stories from various simulated and evolving lives. All in a beautiful, relaxing, and immersive fantasy world.

    Why similar: Base Building 15.2%, Life Sim 13.8%, Conversation 13%, Sandbox 11.2%, Building 10%

  31. #31 Plague Doctor: Life in Pestilence
    78% matchNo user reviews
    Dev: PST Games
    Windows

    From an unknown quack to a reputable Plague Doctor, watch the plague unfold before your eyes. Gather ingredients, brew remedies, expand your clinic, and perform surgeries alone or up to 4 player co-op. Will you uphold the Hippocratic Oath... or watch the world rot and darken with every death.

    Why similar: Medical Sim 40.6%, Immersive Sim 11.9%, Crafting 10.9%, Base Building 10.5%, Life Sim 9.3%

  32. #32 Mana Circuit
    77% matchNo user reviews2026
    Dev: Sayberry Labs
    Windows

    Arrive at 'Star's Shelter' to find your grandfather missing. Only a mysterious message awaits on his PC. Repair vine-covered Magitech machines and restore the farm with your chatty robot companion, 'Circuit Mk.0'. Follow the digital trail... and you might just find him.

    Why similar: Farming Sim 26.9%, Life Sim 16.2%, Building 14.4%, Crafting 14.4%, Sandbox 9.3%

  33. #33 Harvest Hills
    75% matchMixed50% of 10 reviews2025
    Dev: Red Beans
    Windows

    Harvest Hills is a charming and relaxing farm simulator that allows you to run your own rancho. Cultivate various crops, take care of animals, and produce homemade products. Sell the goods in the local market to earn money and use it to upgrade or automate the farm.

    Why similar: Farming Sim 23.3%, Immersive Sim 15.3%, Base Building 15%, Building 12.6%, Life Sim 12.3%

  34. #34 Farm in another world
    76% match7 user reviews71% of 7 reviews2023
    Dev: Developer Arycia
    Windows

    Farm in another world tells about the events of a young man born in another world. A World where you can be agriculture, warrior or fisherman! It's up to you to complete this disappearance story! Don't forget to get along with the people in town!

    Why similar: Farming Sim 23.1%, Life Sim 14.2%, Sandbox 13.1%, Immersive Sim 12.4%, Building 9.4%

  35. #35 9 Lives
    74% matchNo user reviews
    Dev: lonelynxdev
    Windows

    After living on a crisis striken city, you receive a letter inviting you to join a cat rescue at the Muur Islands. Grow medicinal plants, craft medicine, diagnose symptoms, establish relationships with the island's inhabitants, explore the island and untangle every mystery it has to offer.

    Why similar: Medical Sim 40.6%, Farming Sim 18.4%, Crafting 10.5%, Life Sim 9.5%, Conversation 9.1%

  36. #36 Bread and Blood
    74% matchNo user reviews
    Dev: Eraslt
    Windows

    Hunt, craft, fight, and survive in the brutal Middle Ages. Rise from a poor peasant to power — or die trying. This is a survival RPG set in medieval Europe.

    Why similar: Farming Sim 26.1%, Life Sim 15.6%, Sandbox 13.8%, Simulation 10.1%, RPG 9.8%

  37. #37 Circadian City
    76% matchMixed59% of 165 reviews2020
    Dev: Nowhere StudiosPub: Way Down Deep
    Windows · Mac

    A life sim game where you play both in the Realworld and the Dreamworld. Your personality is your skill tree.

    Why similar: Farming Sim 23.4%, Life Sim 16.5%, Crafting 12%, Sandbox 12%, Building 9.1%

  38. #38 My Time at Portia
    75% matchVery Positive92% of 44,040 reviews2019
    Dev: Pathea GamesPub: Focus Entertainment
    Windows · Mac
    Median: 6.0 hrsMean: 36.1 hrs≥1hr: 88%

    Start a new life in the enchanting town of Portia! Restore your Pa's neglected workshop to its former glory by fulfilling commissions, growing crops, raising animals, and befriending the quirky inhabitants of this charming post-apocalyptic land!

    Why similar: Farming Sim 26.2%, Life Sim 17.7%, Crafting 15.3%, Building 9.7%, Sandbox 8.6%

  39. #39 Caravan Village: Farming Life
    73% matchNo user reviews2026
    Dev: Corvantia Interactive
    Windows

    Turn a scam into an empire! In Caravan Village, farm crops, raise animals, mine for resources, and renovate abandoned caravans into luxury suites. Recover your grandma's lost cookbook, cook delicious meals, and charm your guests in this open-ended life RPG. Create your own vacation paradise!

    Why similar: Farming Sim 22.3%, Sandbox 17.9%, Crafting 16.5%, Life Sim 15.3%, RPG 7.4%

  40. #40 本草归元录
    71% matchVery Positive81% of 151 reviews2025
    Dev: Orange Paper StudioPub: CC_Games
    Windows

    "Herbals tycoon" is a game that combines ancient style with deep management strategy, bringing players into a mysterious and fantastic world of traditional Chinese medicine. Here, you are not only a healer but also an explorer, manager, and inheritor, writing your own herbal legend every moment.

    Why similar: Medical Sim 47%, Life Sim 14.7%, Sandbox 13.6%, Simulation 6.9%, RPG 6%

  41. #41 Two Point Hospital
    73% matchVery Positive92% of 34,380 reviews2018
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 34.9 hrs≥1hr: 89%

    Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.

    Why similar: Medical Sim 64.7%, Building 14.8%, Simulation 9.7%, Sandbox 7.5%, Singleplayer 1.3%

  42. #42 Daomei Village
    72% matchNo user reviews
    Dev: Gameparic
    Windows

    You have been banished to Daomei Village for your offense. In order to return to the Emperor's favor, you must make an effort. Repair, build, cultivate fields and fight various adversities. Meet new friends and learn their stories. Do whatever it takes not to be banished forever!

    Why similar: Farming Sim 20%, Base Building 13.4%, Life Sim 12.6%, Crafting 11.3%, Sandbox 11.1%

  43. #43 I Am Future: Cozy Apocalypse Survival
    70% matchVery Positive85% of 4,518 reviews2024
    Dev: MandragoraPub: tinyBuild
    Windows
    Median: 8.8 hrsMean: 14.6 hrs≥1hr: 86%

    I Am Future is a relaxing single-player survival game about building a cozy rooftop camp amid a flooded post-apocalyptic city. Set up a farm, go fishing, tinker with gadgets, craft new tools, manage a team of cute robots to automate and expand your base, explore the mysterious world, and chill out!

    Why similar: Farming Sim 19.5%, Life Sim 11.9%, Sandbox 11.8%, Crafting 11.8%, Building 10.9%

  44. #44 Story of Leaves
    71% matchNo user reviews2026
    Dev: Hollow Cat Studio
    Windows

    Start your new life! Build your dream farm, grow crops, craft, mine, fish, and forge heartfelt connection with charming townsfolk. Explore a vibrant world, uncover mysteries, and shape your own unforgettable story in this cozy farming / life sim RPG.

    Why similar: Farming Sim 28.9%, Life Sim 16.5%, Sandbox 10.1%, Crafting 9.4%, Building 8.5%

  45. #45 SUPER BUILD
    73% matchVery Positive82% of 241 reviews2019
    Dev: MOONBEAR
    Windows · Mac

    Build, design, and explore your own fantasy world using over 1000+ items, in this relaxing sandbox game. No missions, no objectives, no timers. Just stress-free building, exploration, and good vibes.

    Why similar: Farming Sim 29.3%, Sandbox 21.9%, Building 15%, Simulation 7.8%, Relaxing 7.8%

  46. #46 Camel Keeper
    70% matchNo user reviews
    Dev: StrawberryElk
    Windows

    Embark on a delightful desert adventure in Camel Keeper, a charming Tamagotchi-inspired simulation where you become the ultimate camel caretaker! 🐪💕

    Why similar: Farming Sim 28.6%, Sandbox 19.7%, Life Sim 17.1%, Base Building 10.7%, Top-Down 6.6%

  47. #47 AFK Journey: Homestead
    69% matchNo user reviews
    Dev: Farlight Games
    Windows

    Welcome to AFK Journey: Homestead! You will explore the magical land of Esperia as the mighty Magister Merlin. Cultivate fields, cook tasty meals, and shape your perfect homestead, all while forging new friendships and uncovering captivating stories in the vast world!

    Why similar: Farming Sim 21.6%, Building 15.2%, Life Sim 12.8%, Simulation 11.1%, Crafting 10.9%

  48. #48 Dr Greenstuff
    72% matchVery Positive87% of 148 reviews2018
    Dev: Black DiskettePub: Black Diskette Studio
    Windows

    Discover the life of Dr Greenstuff, grow marijuana, coca, make meth', drugs and more to keep your legal/illegal business running.

    Why similar: Medical Sim 72.5%, Simulation 11.6%, Sandbox 11.5%, Indie 4.4%

  49. #49 Insurance Claim SIM
    69% matchNo user reviews2026
    Dev: SunsixStudios
    Windows

    You're an insurance investigator. Review evidence, spot fraud, make decisions. Every case is a puzzle — approve, reject, or negotiate. Limited energy, a ticking clock, and your reputation on the line

    Why similar: Medical Sim 48.2%, Life Sim 16.4%, Immersive Sim 14.9%, Simulation 10.3%, Conversation 7.5%

  50. #50 Roots of Pacha
    68% matchVery Positive94% of 4,347 reviews2023
    Dev: Soda Den
    Windows · Mac · Linux
    Median: 7.6 hrsMean: 21.8 hrs≥1hr: 89%

    The charming and relaxing stone-age farming sim where you live in a thriving community exploring the wonderful world of Pacha. Discover "ideas," domesticate crops, befriend animals, and help your village grow. Play co-op with friends or explore the early days of civilization in single-player.

    Why similar: Farming Sim 22.4%, Life Sim 13.3%, Crafting 11.9%, Immersive Sim 10.5%, Building 10.3%

  51. #51 Animula Nook
    69% matchNo user reviews
    Dev: LilliLandia Games
    Windows

    Shrink down and reimagine your desk as a whimsical world in Animula Nook, a cozy miniature life sim. Craft your homes from odds and ends, grow giant crops, style your OOTD, and explore the enchanting Wupa Woods. Just remember, Minies are always by your side.

    Why similar: Farming Sim 20%, Life Sim 13.7%, Crafting 12.6%, Immersive Sim 12.6%, Sandbox 11%

  52. #52 Outpost On Syrinx
    68% matchMostly Positive77% of 22 reviews2024
    Dev: Polychrome Games
    Windows

    Establish an Outpost on a wondrous alien world. Harvest, craft, build a base for humanity, uncover alien mysteries, and explore strange new lands.

    Why similar: Base Building 16.8%, Immersive Sim 16.4%, Sandbox 16%, Crafting 15.4%, Building 15.2%

  53. #53 中医模拟传承人
    68% matchPositive86% of 14 reviews2024
    Dev: guizhi0011
    Windows

    A game where everyone can learn traditional Chinese medicine.

    Why similar: Medical Sim 63.1%, Life Sim 15.7%, Simulation 12.2%, Casual 4.2%, Indie 3.3%

  54. #54 Shroomlings and the Sporefather
    67% matchNo user reviews
    Dev: avowrotPub: LilyChicken
    Windows

    Shroomlings is a peaceful survival-craft game about building, exploring, and automating life on a remote island. Gather resources, craft machines, and shape the world at your own pace — no combat, no rush, just you and the Shroomlings.

    Why similar: Farming Sim 30%, Sandbox 17%, Building 10.7%, Crafting 9.3%, Simulation 8.4%

  55. #55 Made in Melostead
    67% matchNo user reviews
    Dev: CherryCapra
    Windows

    Return to your hometown to run your shop by fulfilling commissions and selling wares. Choose your path as a blacksmith, alchemist, or woodworker and revive Melostead as you befriend neighbors, reform trade routes, and explore the world for exotic materials in this fantasy-inspired crafting sim RPG!

    Why similar: Crafting 18.1%, Life Sim 18.1%, Building 15.7%, Sandbox 14.9%, Simulation 8.9%

  56. #56 My Universe - Pet Clinic Cats & Dogs
    70% matchMixed62% of 29 reviews2020
    Dev: It Matters GamesPub: Microids
    Windows

    Discover the veterinary profession and help cats and dogs that need you. An injury, fever, an animal that refuses to eat: it’s up to you to act!

    Why similar: Medical Sim 64.3%, Life Sim 11.6%, Simulation 11.4%, Relaxing 6.5%, Casual 4.8%

  57. #57 Pentamania: Alchemy Madness
    66% match3 user reviews67% of 3 reviews2025
    Dev: Athmyx
    Windows

    Step into a VR alchemy workshop, gather rare ingredients, and combine them with cauldrons, and magical machines to brew fantastical potions. Experiment, discover, and deliver your creations in an immersive fantasy experience!!

    Why similar: Medical Sim 53.5%, Immersive Sim 16.7%, Simulation 11.7%, Crafting 9.2%, Casual 6.5%

  58. #58 Medical verdict
    71% matchMixed57% of 53 reviews2018
    Dev: Volokitin Andrey
    Windows

    Here is a fun simulator of passing a medical examination in the Chelyabinsk clinic with realistic graphics and interesting gameplay! Take the coronavirus test! Collect as many virtual health points as you can, but remember ... this is just a game!

    Why similar: Medical Sim 79.4%, Simulation 11%, Casual 5.4%, Indie 4.2%

  59. #59 《Travel cat : Adventure Island》旅行貓貓~探險之島
    67% matchNo user reviews
    Dev: CWBCT Studio
    Windows

    《Cat X Island X Farm Life》 Build your farm island, Grow crops and animals, Explore the island , Mining for Gold and Minerals , Gather resources , Exchange furniture.

    Why similar: Farming Sim 23.4%, Sandbox 15.2%, Base Building 13.8%, Building 11.5%, Life Sim 10.4%

  60. #60 Timber Life
    67% matchNo user reviews
    Dev: Czardus Studios
    Windows

    Build and customize your homestead of timber, crops, and animals, while you manage the eco diversity of a small town. Go off exploring and foraging in the woods while evading predators. Craft goods and get to know the local townsfolk in this wholesome and cozy farming life sim.

    Why similar: Farming Sim 31.3%, Life Sim 16.8%, Crafting 10.5%, Building 9.5%, Simulation 8.9%

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Games Like BirdsBorough : Town of Alchemy

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