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Games Like Blackout Hospital

60+ similar titles based on shared tags and player behavior. Themes include Psychological Horror, Story Rich, Horror, 2D.

Blackout Hospital header art

When the power goes out while working night shift in the hospital, the emergency lights come on with an eerie glow...

Reviews: Very Positive — 96% — of 167 reviews
Released: 2023-02-17
Developer: arcadekitten
Genres: Adventure, Free To Play, Indie, RPG
Platforms: Windows

Overview

Blackout Hospital blends a cute, cartoony anime aesthetic with turn-based tactical RPG mechanics and eerie, puzzle-driven exploration. These recommendations focus on games that capture this specific juxtaposition of charming visual styles with unsettling psychological or survival-horror themes, prioritizing titles that utilize RPG Maker or 2D adventure mechanics.

Similar Games

View all 59 recommendations
  1. #1 Ib
    97% matchOverwhelmingly Positive99% of 5,037 reviews2022
    Dev: kouriPub: PLAYISM
    Windows
    Median: 3.4 hrsMean: 16.4 hrs≥1hr: 82%

    A 2D exploration adventure game set in a creepy, mysterious art gallery.

    Why similar: Anime 14.5%, RPG 13.7%, Puzzle 13.3%, Horror 12.8%, Pixel Graphics 11.7%

    Why You'll Like It: A classic 2D horror-adventure game that perfectly balances puzzle-solving with an unsettling, surreal atmosphere.

  2. #2 Paper Lily - Chapter 1
    96% matchOverwhelmingly Positive99% of 8,133 reviews2024
    Dev: Leef 6010
    Windows
    Median: 4.1 hrsMean: 8.3 hrs≥1hr: 76%

    Paper Lily is an RPG horror game in which you can solve puzzles in different ways. Explore a hidden world, meet strange characters, and guide Lacie as she attempts to find answers about her unusual condition.

    Why similar: Anime 16.1%, RPG 12.2%, Pixel Graphics 11.6%, Puzzle 10.6%, Horror 8%

    Why You'll Like It: A highly atmospheric 2D adventure that mirrors the cute-yet-disturbing aesthetic and puzzle-centric gameplay of the seed.

  3. #3 Project Kat - Paper Lily Prologue
    96% matchOverwhelmingly Positive99% of 5,767 reviews2021
    Dev: Leef 6010
    Windows

    Project Kat is a short, unconventional RPG horror game in which there is always another way. Solve puzzles, make friends (or not), and guide Kat as she attempts to uncover the mystery behind a strange golden letter.

    Why similar: Anime 17.4%, RPG 11.1%, Pixel Graphics 10.9%, Puzzle 10.4%, Horror 8%

    Why You'll Like It: This prequel offers a tight, puzzle-focused experience that captures the same eerie, anime-inspired 2D horror feel.

  4. #4 Mad Father
    95% matchOverwhelmingly Positive97% of 6,404 reviews2016
    Dev: senPub: PLAYISM
    Windows
    Median: 3.8 hrsMean: 7.4 hrs≥1hr: 86%

    Witness the tale of a most foolish family. A remake of the classic horror exploration game makes its way to Steam.

    Why similar: Anime 25.9%, Horror 21.3%, Pixel Graphics 13.4%, Puzzle 11.7%, 2D 8.3%

    Why You'll Like It: This RPG Maker title features a young protagonist exploring a dangerous, horror-filled environment with a focus on puzzles and narrative.

  5. #5 The Witch's House MV
    94% matchOverwhelmingly Positive95% of 3,881 reviews2018
    Dev: FummyPub: DANGEN Entertainment
    Windows · Mac
    Median: 2.8 hrsMean: 9.9 hrs≥1hr: 85%

    A young girl, Viola, is drawn inexorably to a mysterious manor that seems to change behind her back. It is a place of pain, turmoil and death. Plumb its detestable depths and abominable history. Untangle riddles that bar your perilous path. And flee the hellish halls of The Witch’s House.

    Why similar: Horror 31.5%, RPG 13.2%, Pixel Graphics 13.1%, Anime 10%, Puzzle 8.9%

    Why You'll Like It: A quintessential 2D horror-puzzle game that uses a deceptive art style to deliver intense, trap-filled gameplay.

  6. #6 Midnight Syndrome
    94% matchVery Positive99% of 87 reviews2024
    Dev: ナツミカン
    Windows

    A summer night consumes the girls... Exploration type horror ADV game

    Why similar: Anime 21.2%, Horror 16.5%, Cute 13.4%, Pixel Graphics 12.2%, Mystery 11.6%

    Why You'll Like It: A 2D adventure game that focuses on exploration and mystery, capturing the night-shift tension of the seed game.

  7. #7 Night Loops
    93% matchVery Positive89% of 157 reviews2023
    Dev: JiaquariumPub: indie.io
    Windows · Mac
    Median: 3.2 hrsMean: 3.9 hrs≥1hr: 90%

    Journey through the psyche… Welcome to the Seaside Hotel, where the final hour of your night shift awaits. Tend to guests, explore their dreams, and lose your sense of Self – time and again. In this dark, labyrinthine adventure, unravel the path to the truth below.

    Why similar: Anime 18.9%, RPG 15.1%, Horror 12.8%, Pixel Graphics 12%, Puzzle 10.2%

    Why You'll Like It: This game provides a strong psychological horror experience with pixel graphics that lean into the eerie, story-rich exploration found in the seed.

  8. #8 OMORI
    91% matchOverwhelmingly Positive97% of 85,929 reviews2020
    Dev: OMOCAT, LLC
    Windows · Mac
    Median: 10.9 hrsMean: 24.5 hrs≥1hr: 84%

    Explore a strange world full of colorful friends and foes. When the time comes, the path you’ve chosen will determine your fate... and perhaps the fate of others as well.

    Why similar: RPG 18.4%, Pixel Graphics 17.8%, Horror 12.5%, Colorful 9.1%, Anime 8.9%

    Why You'll Like It: While more expansive, this RPG captures the deep psychological themes and 2D anime style that contrast with its darker, surreal world.

  9. #9 异化之恶〇Abnormal Treatment
    92% matchOverwhelmingly Positive97% of 3,566 reviews2019
    Dev: Eternal Dream
    Windows

    Strange events occur at a sanatorium for those with unusual abilities. Follow clues, solve puzzles, and uncover the truth. What will be released when all secrets are revealed? Goodness? Or… pure ”EVIL”?

    Why similar: Anime 18.1%, RPG 15.7%, Puzzle 12.2%, Cute 11.8%, Horror 10.3%

    Why You'll Like It: An RPG Maker title that utilizes a cute aesthetic to mask its darker, horror-themed narrative and exploration.

  10. #10 OFF
    89% matchOverwhelmingly Positive97% of 2,817 reviews2025
    Dev: Mortis GhostPub: Fangamer
    Windows · Mac · Linux
    Median: 3.6 hrsMean: 5.5 hrs≥1hr: 73%

    “I’m the Batter. I’ve been entrusted with a sacred mission.” -- One of the most influential RPGs of the last 20 years is finally coming to Steam. Take control of the Batter as he seeks to purify an uncanny and hopeless world haunted by specters, guided by a cryptic, grinning cat called The Judge.

    Why similar: RPG 37.6%, Pixel Graphics 20.2%, 2D 13%, Puzzle 11.2%, Atmospheric 6.3%

    Why You'll Like It: A cult-classic surreal RPG that features unique 2D art and turn-based combat, perfect for fans of weird, atmospheric games.

  11. #11 Last Light
    91% matchVery Positive83% of 189 reviews2021
    Dev: Team Corn FieldPub: HIKE Inc.
    Windows

    En route to a scare game, Lumi realizes that she is suddenly alone. Then, appears the old abandoned hospital... Explore throughout the tragedy-stricken hospital. Search for the student IDs of Lumi's classmates. And find out what really happened. Maybe all you need is the courage to "flee?"

    Why similar: Cartoon 28.3%, Horror 17.7%, Cute 12.7%, Adventure 11.7%, Cartoony 11.2%

    Why You'll Like It: This title offers a similar blend of exploration and psychological horror with a focus on a female protagonist navigating a dark environment.

  12. #12 Corpse Party
    90% matchVery Positive89% of 1,369 reviews2016
    Dev: GrisGrisPub: XSEED Games
    Windows · Linux
    Median: 3.5 hrsMean: 17.3 hrs≥1hr: 81%

    A group of friends unknowingly perform an occult ritual that traps them in an otherworldly elementary school. Here, the vengeful spirits of young children threaten their lives and their sanity, and the only hope of survival is to uncover the chilling details behind the murders of those trapped before them...

    Why similar: Anime 27.7%, Horror 26.5%, RPG 14.1%, Pixel Graphics 8.6%, Adventure 7.4%

    Why You'll Like It: A foundational anime-style horror RPG that focuses on survival and narrative-driven exploration in a trapped environment.

  13. #13 Illusion Carnival
    87% matchOverwhelmingly Positive98% of 6,466 reviews2024
    Dev: KiZ
    Windows · Mac

    A lost soul wanders through a whimsical, eerie pop-up book like amusement park. Dive into fun-filled stages, encounter unique characters, fend off spirit erosion, and uncover the park's hidden secrets. The enchanting yet dark Illusion Carnival begins now.

    Why similar: RPG 16.4%, Anime 15.7%, Puzzle 15.7%, Stylized 15.1%, Cute 13.7%

    Why You'll Like It: This RPG features a cute, stylized aesthetic that hides a deeper, unsettling psychological horror narrative.

  14. #14 Cursed Mansion
    89% matchVery Positive90% of 68 reviews2023
    Dev: Dragon EmperorsPub: Nuon Games
    Windows

    Rose must escape the Cursed Mansion - a demonic space that preys and feeds on fear and despair. In this horror RPG you'll solve puzzles and learn the mansion’s history. Mystery, malignant spirits, and misery everywhere. Cursed Mansion brings an eerie atmosphere which leaves one with goosebumps.

    Why similar: Horror 11.6%, Anime 11.2%, Mystery 10.9%, Puzzle 10.2%, RPG 10.1%

    Why You'll Like It: A horror-adventure game with multiple endings that emphasizes exploration and puzzle-solving in a confined, dangerous space.

  15. #15 Subway Midnight
    88% matchMostly Positive79% of 1,242 reviews2021
    Dev: Bubby DarkstarPub: Aggro Crab
    Windows
    Median: 2.0 hrsMean: 4.1 hrs≥1hr: 67%

    Board the train! Run away from a weirdo! Solve some puzzles! Make friends with some ghosts! Try not to become a ghost yourself!

    Why similar: Psychedelic 19.8%, Cartoony 10.7%, Horror 10.3%, Puzzle 10.1%, Colorful 9.6%

    Why You'll Like It: While more psychedelic, its colorful, stylized 2D horror aesthetic provides a similar visual experience to the seed.

  16. #16 Hazy Mind
    86% matchVery Positive86% of 318 reviews2024
    Dev: betetiro
    Windows · Mac · Linux

    You can't remember anything, and all you can see is HER. Delve into your story and uncover the truth behind what happened to you and your parents.

    Why similar: Psychedelic 27.9%, Anime 17.2%, Adventure 9.6%, Horror 9.5%, Choices Matter 9.2%

    Why You'll Like It: A visual-novel-adventure hybrid that explores psychological themes through a surreal, colorful lens.

  17. #17 12 Hours to Die
    85% matchMostly Positive73% of 226 reviews2020
    Dev: Wesley ReitsmaPub: Westeford
    Windows · Mac · Linux

    A mystery visual novel about six students forced to play a 12-hour long killing game.

    Why similar: Puzzle 21.2%, Anime 20.6%, Mystery 19.8%, Adventure 13%, Stylized 11.6%

    Why You'll Like It: A mystery-focused adventure game that relies on puzzle-solving and narrative choices to drive the tension.

  18. #18 TEST TEST TEST
    82% matchVery Positive92% of 991 reviews2024
    Dev: MojikenPub: Toge Productions
    Windows
    Median: 54 minMean: 1.8 hrs≥1hr: 47%

    Escape a time loop as an overworked office employee by solving cryptic puzzles with alternate reality game elements.

    Why similar: Cartoony 16.1%, Anime 15.4%, Puzzle 15.1%, Cute 11.4%, Pixel Graphics 9%

    Why You'll Like It: A 2D puzzle-detective game that uses a cute, top-down perspective to explore mysterious scenarios.

  19. #19 Fear in Hospital
    86% matchMixed48% of 504 reviews2019
    Dev: IO Games
    Windows

    Fear in Hospital is a short survivor horror in hospital where you should find a occult path to escape alive!

    Why similar: Psychedelic 24%, Horror 23.2%, Puzzle 22.4%, Adventure 13.7%, Atmospheric 13.2%

    Why You'll Like It: A free-to-play horror title that centers entirely on the hospital setting, providing a similar atmosphere to the seed.

  20. #20 Keep the Lights On
    83% matchVery Positive90% of 51 reviews2023
    Dev: Light the Lantern Studios
    Windows

    Keep the Lights On is an atmospheric horror game where you step in the shoes of Edmund Rosental, a private detective, who is tasked with investigating an old abbey and the mystery surrounding it. Will he be able to keep the lights on or will he succumb to the darkness

    Why similar: Adventure 20%, Horror 18.5%, Mystery 13%, 2D 11%, Atmospheric 10.7%

    Why You'll Like It: A 2D platformer-adventure that emphasizes the fear of the dark and atmospheric exploration in a confined setting.

  21. #21 Escape from the hospital
    84% matchMostly Positive71% of 122 reviews2020
    Dev: Kiobe
    Windows · Mac · Linux

    Escape from the hospital is a small quest puzzle. You find yourself in an abandoned hospital for unknown reasons and you have no choice but to start looking for a way out. On your way you will meet various monsters and not difficult puzzles. The playing time is about 30-40 minutes.

    Why similar: Anime 29%, Adventure 28.5%, Puzzle 22.9%, 2D 11.7%, Linear 7.8%

    Why You'll Like It: A direct thematic match that focuses on the puzzle and adventure elements of navigating a hospital environment.

  22. #22 Black Chapter
    84% matchVery Positive93% of 55 reviews2020
    Dev: Spire Studio
    Windows

    Your class goes on a field trip to Durhal Cathedral before things take an unexpected turn. Solve the mystery before you and your friends perish!

    Why similar: Anime 21.1%, Mystery 16.6%, RPG 16.5%, Horror 15%, 2D 7.6%

    Why You'll Like It: An anime-styled RPG that focuses on mystery and horror elements, fitting the thematic profile of the seed game.

  23. #23 A Random Maze 某个迷宫
    82% matchOverwhelmingly Positive96% of 522 reviews2021
    Dev: 幻想博物馆(Utopia Museum)
    Windows

    一个忘记自己姓名与过去的人,在突然出现的神秘人物的帮助下,从一个空无一人的医院开始探索自己的过去。只有取回真实,才能从这里离开,即使……真相不像你所期待的那样,他也依然盼望着他的未来。

    Why similar: Adventure 31.5%, RPG 13.1%, Puzzle 11.4%, Cartoony 11%, Stylized 9.3%

    Why You'll Like It: A detective-themed RPG that focuses on atmospheric exploration and multiple endings, similar to the puzzle-adventure nature of the seed.

  24. #24 Break Wolf
    81% matchVery Positive99% of 156 reviews2025
    Dev: RE Atelier
    Windows

    "Have we all been acting waywardly?" An Adventure RPG that deals with the life and death of wayward humans, striving to escape a syndicate that creates monsters.

    Why similar: Anime 20.2%, Cute 13%, Choices Matter 12.9%, RPG 12.5%, Atmospheric 11.2%

    Why You'll Like It: A dark, story-rich RPG that uses atmospheric 2D exploration to deliver a tense, choice-driven experience.

  25. #25 He Needs His Medicine
    81% matchMostly Positive79% of 1,521 reviews2021
    Dev: Euphoric Brothers
    Windows · Mac · Linux
    Median: 18 minMean: 1.8 hrs≥1hr: 10%

    You have been dispatched for a 911 call. From the moment you step inside the apartment, you realize something is really wrong with the place. You are gonna make Him the last dosage. He needs his medicine.

    Why similar: Horror 19.1%, RPG 16.1%, Mystery 13.6%, Puzzle 11.6%, Choices Matter 10.9%

    Why You'll Like It: A short, indie horror-adventure that captures the frantic, medical-themed tension of the seed game.

  26. #26 白昼梦 · 心象病院
    79% matchVery Positive84% of 232 reviews2024
    Dev: 林檎树Pub: Eternal Dream
    Windows

    This is a pixel style puzzle game, including a certain micro-horror elements. Truth is blind love. Retrieve your memory and escape from this horrible hospital.

    Why similar: Puzzle 15.4%, Pixel Graphics 13.5%, Mystery 13.3%, RPG 12.6%, Horror 11.4%

  27. #27 Subway Exorcist Girl
    78% matchVery Positive83% of 304 reviews2025
    Dev: 纤指游戏Pub: Delicate Fingers
    Windows

    A subway train plagued by strange occurrences. A part-time exorcist girl arrives to confront the supernatural chaos, with the unknown ahead.

    Why similar: Horror 15.3%, Cartoony 14.4%, Anime 14.1%, Puzzle 13.8%, Mystery 13.4%

  28. #28 The Monstrous Horror Show
    79% matchVery Positive91% of 287 reviews2023
    Dev: kaniheadcrabPub: OTAKU Plan
    Windows

    Four girls find their way into an abandoned hospital, each for her own reasons. Will they manage to unravel the dark secrets hiding within, escape safely, and return to their normal, peaceful lives?

    Why similar: Puzzle 18%, Anime 17.2%, RPG 13.6%, Horror 11.8%, Cute 7.9%

  29. #29 Field Hospital: Dr. Taylor's Story
    80% matchVery Positive90% of 106 reviews2020
    Dev: Gard Interactive
    Windows · Mac

    Field Hospital is a text-based bureaucratic detective game about hard decisions. Decide who to treat and whom to refuse. Face consequences. Study patients’ info and read their stories. Investigate the tangled case of Dr. Taylor.

    Why similar: Puzzle 27.4%, Choices Matter 20.1%, Atmospheric 16.6%, 2D 14.9%, Multiple Endings 13.9%

    Why You'll Like It: This game leans into the hospital setting, using a choose-your-own-adventure format to explore life-sim and narrative elements.

  30. #30 Ticy Adventure Club
    76% matchOverwhelmingly Positive98% of 3,234 reviews2022
    Dev: YEZHI
    Windows

    本作是2d剧情向角色扮演恐怖游戏。在本作设定中,玩家将扮演灵异探险社的社员,分工调查被委托的事件,探索场景,寻找线索,并最终解决委托中灵异作祟的问题。

    Why similar: RPG 18.1%, Cartoony 12.9%, Anime 12.6%, Cute 11.9%, Horror 11.5%

  31. #31 Nightmare Zapping
    78% matchVery Positive99% of 74 reviews2023
    Dev: Maldo19
    Windows

    A horror channel browsing game where each channel holds a different nightmare to experience, explore them and find out the truth about what has happened in a small town where the inhabitants have disappeared.

    Why similar: Anime 20.5%, Horror 16.6%, Pixel Graphics 15.4%, Mystery 12.7%, 2D 9.9%

  32. #32 Dark Light
    77% matchVery Positive94% of 53 reviews2024
    Dev: UsagygyPub: ZNT Productions
    Windows

    Mio is a young girl surrounded by death, and after an unexpected accident, she finds out where people go after they die. Maybe Heaven, or Hell...or an Underworld full of demons and mysteries.

    Why similar: Cartoon 25%, Cartoony 17.4%, Pixel Graphics 16.7%, Choices Matter 11.4%, Adventure 10.4%

  33. #33 廃病院探索
    77% matchVery Positive81% of 86 reviews2023
    Dev: カニお@VtuberPub: vkanio_game
    Windows

    This is a horror game that asks a friend to find out what happened in an abandoned hospital.

    Why similar: Horror 60.6%, Atmospheric 27.7%, Multiple Endings 11.7%

  34. #34 Midnight Witch
    76% matchVery Positive93% of 345 reviews2023
    Dev: Crimson Moon Studio
    Windows

    Your average student life quickly descents into horror as a mysterious witch takes over the college... Can you save the girl you love? Or even make it out alive?

    Why similar: Anime 37.3%, Horror 19.3%, Mystery 18.8%, Multiple Endings 10.8%, Choices Matter 9%

  35. #35 贝如塔医院 Beta Hospital
    75% matchVery Positive84% of 371 reviews2025
    Dev: 逃跑灵羊工作室
    Windows

    《贝如塔医院》是一款以荒废医院为主题的恐怖游戏,你将以第一人称视角,前往贝如塔医院寻找自己失踪的妻子——伊纳,但在医院中却遇到一些不太寻常的事件...

    Why similar: Puzzle 26.5%, Horror 22.2%, RPG 20.4%, Linear 11.1%, Mystery 10.8%

  36. #36 Trapped with Jester
    75% matchVery Positive94% of 1,481 reviews2022
    Dev: AntaPub: Neoclassic Games
    Windows · Mac · Linux

    An unusual horror-themed Visual Novel about waking up in a carriage with a stranger… Whatever could go wrong?

    Why similar: Anime 16.3%, Horror 15.7%, Cute 14.9%, 2D 10.4%, Mystery 9.8%

  37. #37 BLUE NIGHT LAUNDROMAT
    74% matchVery Positive84% of 50 reviews2024
    Dev: polte
    Windows

    A short 2D exploration adventure in a retro style! Explore a laundromat in the middle of the night and try to clear it!

    Why similar: Pixel Graphics 25.6%, Cute 17.6%, Atmospheric 16.7%, Choices Matter 16.2%, 2D 15.6%

  38. #38 Glassy Stare
    72% matchVery Positive90% of 70 reviews2026
    Dev: ghost funeralPub: Nikita Kryukov
    Windows

    A story-driven psychological experience where memory fades, silence deepens, and something waits in the dark.

    Why similar: Psychedelic 52.2%, 2D 18.5%, Stylized 12.7%, Pixel Graphics 11.9%, Story Rich 4.7%

  39. #39 Mr. Saitou
    73% matchVery Positive96% of 496 reviews2023
    Dev: Laura Shigihara
    Windows · Mac · Linux

    A short game about an average white-collar worker who struggles to find meaning in a life full of constant overtime and isolation. After an accident lands him in the hospital, Mr. Saitou is spirited away to a strange fantasy world where an unexpected friend takes him on a life-changing adventure.

    Why similar: Anime 18.1%, RPG 17%, Puzzle 14%, Pixel Graphics 12.5%, Cute 9.9%

  40. #40 Lights Off!
    73% matchVery Positive85% of 1,843 reviews2022
    Dev: TheDollarGameStore
    Windows

    Play through a common childhood fear about turning the lights off and going to bed.

    Why similar: Horror 50%, Puzzle 22.8%, Adventure 21.4%, Linear 5.8%

  41. #41 Overtime Anomaly
    71% matchVery Positive84% of 75 reviews2025
    Dev: BiteMe Games
    Windows

    You're working overtime again in your dead-end job, whilst your boss is on vacation. However, strange things are happening throughout the office. Complete your daily work tasks, explore your office, report any anomalies you may find, and you may just find yourself getting a promotion...

    Why similar: Mystery 25.1%, Atmospheric 15.3%, Adventure 15.2%, Puzzle 14.8%, Horror 14.1%

  42. #42 This is Interesting
    70% matchVery Positive99% of 79 reviews2025
    Dev: Scott Jund
    Windows

    This is Interesting is a psychological horror mystery based game with roguelite elements. You are being watched, and you aren't really sure why. Delve through the depths of memory to uncover the mystery behind the gray purgatory you find yourself in.

    Why similar: RPG 18.1%, Puzzle 17.1%, Mystery 14%, Horror 10.6%, Atmospheric 8.5%

  43. #43 night nite
    72% matchVery Positive91% of 75 reviews2023
    Dev: LuuuLuuuL
    Windows

    "Night Nite" is a horror comedy adventure game set in modern times. One day, mysterious events begin to unfold around you. What could be the true identity behind these occurrences?

    Why similar: Cute 26.9%, Adventure 19.5%, Anime 13.2%, Horror 12.4%, Atmospheric 10.8%

  44. #44 Free Will
    69% matchVery Positive97% of 323 reviews2024
    Dev: Kipps In A BoxPub: Meowdy
    Windows

    Free Will is a 2D psychological puzzle RPG where the puzzles happen outside of the game. Dig deep into the system code to fix the corruption, and uncover information that might be better off hidden.

    Why similar: RPG 28.2%, Puzzle 23.7%, Horror 10.5%, Choices Matter 8.7%, Pixel Graphics 7%

  45. #45 Outcore: Desktop Adventure
    67% matchOverwhelmingly Positive97% of 17,301 reviews2022
    Dev: Doctor Shinobi
    Windows

    All you wanted was a nice game. But now you find yourself opening Windows apps like Paint & Notepad to solve puzzles, and searching for files on your computers that you didn't put there... Who is she? Why did she appear on your desktop? Let's dive into her memories and find out.

    Why similar: Puzzle 16.4%, Adventure 13.8%, Cute 13%, Pixel Graphics 12%, Colorful 11.9%

  46. #46 At Home Alone
    71% matchVery Positive85% of 1,891 reviews2018
    Dev: 阿正不经Pub: 0Cube
    Windows

    This is a recreational healing Mini-plot game explored at home. Players will play and wander around the house from the perspective of a little girl. What will she do when she is alone? What strange stories will happen in the process, and in the process of exploration, you may find some strange secrets....

    Why similar: Anime 28.5%, Horror 25.5%, RPG 17.2%, Cute 11.1%, Pixel Graphics 7.9%

  47. #47 SkullX: Aibohphobia
    68% matchVery Positive93% of 81 reviews2025
    Dev: SkullX
    Windows · Mac · Linux

    You were hired to extract a bioengineer. Now your team is cut off, your comms are dead, and you're surrounded by something wearing human skin. Hold the line, make the calls, and survive the night in this choice-driven visual novel with turn-based combat.

    Why similar: RPG 32.2%, Adventure 17.7%, 2D 12.9%, Choices Matter 11.6%, Multiple Endings 8.7%

  48. #48 Cthulhu Mythos ADV Lunatic Whispers
    71% matchMostly Positive73% of 99 reviews2022
    Dev: Gotcha Gotcha Games
    Windows

    Immerse yourself in the captivating world of the Cthulhu Mythos with this 2D visual novel game featuring a thrilling TRPG-based experience! Roll the dice and use your skills and luck to escape the abandoned hospital, while experiencing the cosmic terror.

    Why similar: Anime 25.8%, Mystery 19.9%, Horror 16.7%, Adventure 11.6%, 2D 11.2%

  49. #49 Contraindication
    67% matchVery Positive99% of 68 reviews2025
    Dev: Static Remains
    Windows

    Your end is my beginning. A short psychological visual novel with exploration and puzzle elements... it already lays shattered.

    Why similar: RPG 22.9%, Anime 21%, Psychedelic 20.6%, Colorful 11.9%, 2D 9.4%

  50. #50 DYSTHANASIA
    66% matchVery Positive90% of 301 reviews2025
    Dev: Madowaku KoboPub: Eroge Japan
    Windows

    You awaken in a cold unfamiliar building crawling with grotesque creatures. Stave off terror using your wits and anything you can find, then try to make it out alive in this highly atmospheric environmental horror game.

    Why similar: Anime 28.7%, Puzzle 20.4%, Horror 19.8%, Mystery 13.2%, Atmospheric 11.7%

  51. #51 Train of Afterlife
    74% matchMixed51% of 183 reviews2015
    Dev: Zeiva Inc
    Windows
    Median: 2.3 hrsMean: 3.4 hrs≥1hr: 97%

    Train of Afterlife is a mystery, psychological, horror Visual Novel.

    Why similar: Anime 37.7%, Adventure 24.2%, Mystery 14%, Choices Matter 8.6%, Atmospheric 6.8%

  52. #52 Bulb Boy
    70% matchVery Positive86% of 2,046 reviews2015
    Dev: Bulbware
    Windows · Mac
    Median: 2.8 hrsMean: 6.6 hrs≥1hr: 83%

    One gloomy night, Bulb Boy wakes suddenly from a frightening nightmare to discover that evil has overshadowed the Bulbhouse. His family has disappeared and there are horrid monsters lurking in the shadows. Gather the courage and use his glass head to save everything he loves.

    Why similar: Horror 31.6%, Adventure 25.5%, Puzzle 20.4%, Cute 10.5%, Atmospheric 6.8%

  53. #53 Trick & Treat
    69% matchOverwhelmingly Positive96% of 2,403 reviews2016
    Dev: Rabbiton
    Windows
    Median: 1.5 hrsMean: 10.1 hrs≥1hr: 66%

    Trick or treating in a vampire's house.Trick & Treat is a light-hearted Halloween adventure. It's about exploring and solving puzzles in a spooky atmosphere. There will be some horror elements, romance, many bad ends and a happy ending of true love.

    Why similar: Horror 18%, Anime 17.4%, Pixel Graphics 16.2%, RPG 15.2%, Puzzle 11.7%

  54. #54 Dark Nights
    67% matchVery Positive92% of 407 reviews2022
    Dev: Pinlin
    Windows · Mac · Linux

    Nothing is as it seems.

    Why similar: Anime 25.8%, Mystery 21.6%, Horror 13.9%, Adventure 13.1%, Choices Matter 11%

  55. #55 Sinking Inn
    69% matchVery Positive91% of 54 reviews2021
    Dev: Open Alpha
    Windows · Mac

    A small, lonely boy on a hopeful quest navigates through a dark and dreary motel. Dive into its mysterious, eerie atmosphere and find your way through the motel's strange puzzles, as it becomes increasingly clear that reality is not as it seems.

    Why similar: Cartoon 24.1%, Psychedelic 17.4%, Cartoony 16.6%, RPG 15.4%, Puzzle 14.3%

  56. #56 Eremidia - Archivist's Curse
    68% matchVery Positive94% of 64 reviews2022
    Dev: Crescent SunPub: YSY Softworks
    Windows

    Archivist's Curse brings you into an otherworldly harbor of knowledge: The Great Library, although unfortunately, you ended up in the dangerous section of the complex called Hall of Pawnsmoor.

    Why similar: Anime 31.1%, RPG 29.1%, Adventure 14.3%, Pixel Graphics 11.4%, 2D 9.2%

  57. #57 Uh Oh!
    65% matchVery Positive86% of 90 reviews2025
    Dev: Wumbo Workshop LLC
    Windows · Mac

    Play through three VHS tapes, uncovering the mystery of a decrepit facility, eluding tormented beasts, and discovering the truth of the chosen one.

    Why similar: Horror 24.4%, Puzzle 23.2%, Mystery 15.9%, Adventure 13.5%, Choices Matter 8.8%

  58. #58 a pet shop after dark
    67% matchVery Positive89% of 399 reviews2022
    Dev: npckc
    Windows · Mac · Linux

    PETSITTER WANTED. A horror point-and-click adventure game. Water the plants, feed the pets, and DON'T turn off the lights.

    Why similar: Puzzle 18.3%, Horror 17.1%, Cartoony 15.4%, Cute 11.3%, Mystery 9.4%

  59. #59 Quiet is the Eyes
    65% matchVery Positive96% of 217 reviews2023
    Dev: Rachel PerryPub: USC Games
    Windows

    All your coworkers are gone and the halls are quiet, except for the pitter-patter of rain on the window. Explore a desolate laboratory as a creature stalks you, always watching. Run and hide as you solve puzzles and learn more about what happened to the facility and its secrets.

    Why similar: Puzzle 24.2%, Horror 19.8%, Mystery 19.4%, 2D 13.4%, Atmospheric 13.4%

Blackout Hospital cover art

Games Like Blackout Hospital

Based on tag similarity + player behavior
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