Games Like BM General Hospital

This is an 18+banned maid cafe simulation management game. The game controls the protagonist's movements through the directional keys on the keyboard or the left mouse button, and interacts with the scene through the space bar. You will play the role of a maid cafe manager, managing a cafe.

Why similar: Crime 19.8%, Sexual Content 14.9%, Hentai 12.5%, RTS 11.5%, Strategy RPG 10.8%

Why You'll Like It: Shares the same developer style and core management loop as the seed game but shifts the setting to a cafe.

This is an 18+banned game development simulation management game. You will play the role of an entrepreneur and start a game company from scratch.

Why similar: Crime 20.2%, Sexual Content 20%, RTS 15.8%, Hentai 10.5%, Simulation 9.5%

Why You'll Like It: Another title from the same developer that maintains the signature simulation and adult-content blend.

authentic Visual Novel. Enter the specialized world of the 'Hospital'—a setting loved by many—specifically the exclusive VIP Floor. Here, you will experience a thrilling and deep relationship with a captivating nurse heroine, 'Leah', through the eyes of 'Ethan'.

Why similar: Sexual Content 31.2%, Mature 22.8%, Hentai 19.7%, Dating Sim 11.7%, Simulation 6.1%

Why You'll Like It: It captures the specific medical-nurse aesthetic while focusing on adult-themed dating and management interactions.

Step into the world of medical drama and naughty secrets in SEX Hospital 💦 – an adult visual novel fantasizing about a hospital filled with steaming hot staff. Can you balance your work duties while exploring the personal lives of your colleagues and trying to solve the mystery of a new virus?

Why similar: Medical Sim 47.5% ★, Sexual Content 18.1%, Hentai 17.1%, Dating Sim 9.5%, Nudity 4.2%

Why You'll Like It: A direct thematic match that focuses heavily on the hospital setting combined with explicit adult content.

《Immoral-Bathhouse》is a management game with mini-games where you renovate a failed soapland into a bathhouse to repay your father's mafia debt. Meet seven female customers and balance life as a bathhouse owner and a man pursuing romance while racing to pay off the debt.

Why similar: Sexual Content 25.5%, Hentai 23%, Base Building 17.7%, Dating Sim 11.6%, RPG 6.6%

Why You'll Like It: Features a similar management-focused gameplay loop centered around running a facility with adult themes.

repairing utilities, cleaning, and taking out the garbage! These are the essential skills for a dormitory manager! Of course, there are also mundane tasks like Yet, they can't deter you from living with cute college girls, obtaining valuable information from the dormitory, and wooing your tenants!

Why similar: Sexual Content 35.2%, Hentai 27.8%, Crime 17%, Nudity 5.4%, Dating Sim 5.2%

Why You'll Like It: Focuses on the management of a facility with adult-themed interactions, mirroring the organizational aspect of the seed game.

Behold! A game that is brimming with domination, humiliation, and bodily transformation. Oh, but there's more... brainwashing, tentacles, breast mutation, futanari, and lots of alien and parasitic sex!

Why similar: Sexual Content 39.8%, Hentai 22.7%, Base Building 14.6%, RPG 9.4%, Simulation 6.2%

Why You'll Like It: Offers base-building and management mechanics wrapped in a mature, NSFW-focused RPG experience.

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 74.8% ★, Simulation 9.2%, City Builder 7.8%, Building 6.7%, Indie 1.6%

Why You'll Like It: Provides the most authentic medical management simulation experience for players who enjoy the administrative side of the seed game.

Build your own theme hospital! Here, you might meet patients with a lot of hair, or no hair; strange aliens, evil guy, super hero…

Why similar: Medical Sim 75.7% ★, Simulation 15.5%, Indie 4.9%, RPG 3.9%

Why You'll Like It: A casual, strategy-focused hospital management game that emphasizes facility growth and patient care.

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 76% ★, Simulation 12.8%, Building 7.8%, City Builder 1.9%, Indie 1.3%

Why You'll Like It: The gold standard for hospital management games, offering deep, satisfying simulation mechanics that inspired the genre.

AV production simulation game you can freely film, edit, and sell your creations! Work with charming heroines to produce top-tier masterpieces, boost your reputation, and grow your sales. Striving to pay off your debts, take on the fiery challenge of reaching the top of the industry as a director!

Why similar: Sexual Content 35.9%, Hentai 24.1%, Mature 13.6%, Simulation 9.7%, Dating Sim 8.7%

Why You'll Like It: A simulation game that focuses on managing a production studio with explicit adult content.

This is a simulation game with strong erotic elements. You play as an underworld member aiming to earn 10 million yen in 30 days for a promotion. Manage a massage parlor by day, promote it at night, and date other characters. Gameplay includes parlor management and pinball battles.

Why similar: Sexual Content 31.4%, Hentai 21.2%, Mature 15.5%, Simulation 10.2%, Dating Sim 9.3%

Why You'll Like It: Combines facility management with mature, adult-oriented narrative content.

A busty brothel management sim featuring voluptuous heroines, animated H-scenes, and multiple endings driven by lewdness and desire.

Why similar: Sexual Content 31.9%, Hentai 19.3%, Simulation 18.6%, Anime 8.8%, Mature 7.7%

Why You'll Like It: Focuses on managing a property and its inhabitants with a heavy emphasis on simulation and adult content.

Experience something novel, bursting with extraordinary phenomena and strange situations in your hospital! Only you have the power to make the best decisions and to make your hospital the most popular one! But beware: Several events will add some spice to your life! Embark on the career of your life!

Why similar: Medical Sim 88.4% ★, Simulation 11.6%

Why You'll Like It: A straightforward management simulation that focuses on the day-to-day operations of a medical facility.

This is a simulation-style erotic game with humorous elements incorporated.

Why similar: Sexual Content 32%, Hentai 21.4%, Dating Sim 15.9%, Simulation 12.8%, RPG 8.4%

Why You'll Like It: Shares the simulation and management structure while maintaining a mature, adult-oriented focus.

Massage a slimy moving character with Live2D using simple mouse operations! Your massage will make her body and soul fall in pleasure!

Why similar: Sexual Content 31.8%, Hentai 24.4%, Medical Sim 18.1% ★, Simulation 8.8%, Mature 8.7%

Why You'll Like It: Focuses on service-based management and adult-themed interactions in a professional setting.

This is a dating sim adventure game that takes place in a gentlemen's haven called "Bunny Garden". At "Bunny Garden", you can enjoy drinking with the adorable staff, and develop relationships. Forget about your daily stress and enjoy to your heart's content. Your choices will shape the narrative.

Why similar: Sexual Content 31.5%, Mature 21.2%, Hentai 21.2%, Dating Sim 17.8%, Nudity 4.3%

Why You'll Like It: A management and dating simulation that features high-quality 3D models and mature themes.

As the owner, build the ultimate inn! Countless naughty encounters with the female adventurers staying at your inn!

Why similar: Sexual Content 52.1%, Simulation 17.3%, RPG 12.5%, Hentai 10%, Nudity 5.8%

Why You'll Like It: A management simulation that focuses on running an inn with RPG and adult-themed elements.

Follow Asuka Osachi, a ditzy girl training to become a nurse at Teito Nursing School. Experience her story with her classmates as they discover love, medicine, and adulthood.

Why similar: Sexual Content 37.7%, Dating Sim 26.4%, Simulation 13.4%, Anime 12.6%, Choices Matter 9.1%

Why You'll Like It: A visual novel that explores the medical profession through a mature, character-driven lens.

Meet cheerful Kaori Sawai, fresh out of nursing school, as she joins Yurigahama Hospital. Surviving a near death experience as a child left her with a desire to become a nurse and "healing hands" that let her relieve pain in patients just by touching them.

Why similar: Sexual Content 36.4%, Dating Sim 20.8%, Anime 17.8%, Choices Matter 14.9%, Simulation 9.1%

Why You'll Like It: Focuses on the life and relationships of a nurse, providing a narrative-heavy medical experience.

As the manager of Dusk Pub, you have to put in a lot of efforts to run your own worn-down bar and expand your business to other parts of the land Brendt. Meet a variety of cute girls and recruit them as servers, helping them develop their business talent and know them inside out.

Why similar: Sexual Content 36.9%, Hentai 35.1%, Nudity 8.4%, Simulation 6.4%, Dating Sim 6.1%

Why You'll Like It: Provides a management-focused experience centered around running a business with adult content.

Experience two different stories with two different heroines in this love-filled idol management game! Complete with Live 2D-animated H-Scenes!

Why similar: Sexual Content 28%, Hentai 26.3%, Dating Sim 14.6%, Simulation 10.4%, RPG 8.1%

Why You'll Like It: A management-heavy simulation game that incorporates adult themes and RPG progression.

You're a prison officer in an experimental woman's prison. You must satisfy their every need... even their sexual desires must be tended to! Be careful though. If there are enough complaints against you, you may be transferred to the men's :male_sign: prison!?

Why similar: Sexual Content 32.5%, Mature 24.5%, Hentai 24.4%, Nudity 6.9%, Dating Sim 6.1%

Why You'll Like It: A facility management game that explores mature themes within a confined, simulation-based environment.

A dungeon escape, action game. Play as a captured human forced to work for demons, but one day you decide to make a mad dash for freedom!

Why similar: Sexual Content 38.9%, Hentai 23.3%, Mature 15.9%, RPG 8.9%, Nudity 6.2%

Why You'll Like It: Combines resource management and facility expansion with adult-themed simulation elements.

Summon, consult, and train procedurally generated monster girls in this dungeon roguelite. Evaluate the strengths and weaknesses of different monster types as you prepare the ultimate team to defeat dangerous enemies and collect powerful artifacts. (Game is SFW)

Why similar: RPG 55.9%, Anime 41.9%, Singleplayer 2.2%

Why You'll Like It: Features management mechanics where you oversee a facility populated by unique characters with mature themes.

In this second-hand electronics shop, every discarded device holds unspeakable secrets. You will unlock privacy, manipulate information, and even use “special transactions” to make them submit to your terms… This is a game of desire and control—are you ready to make the trade?

Why similar: Sexual Content 34.7%, Hentai 30.1%, Dating Sim 8.7%, Simulation 7.4%, Nudity 6.2%

In this delivery-themed, 2D pixel action adventure, you play as a delivery man doing food runs and completing extra missions. Meet women and enjoy some "benefits" that make this a man's dream job!

Why similar: Sexual Content 40.4%, Hentai 21.9%, Simulation 8.3%, Dating Sim 8.2%, Mature 6.5%

Why You'll Like It: Focuses on logistics and service management with a strong emphasis on adult-themed content.

You mysteriously find yourself in another world and, as a lover of sex toys, you decide to jump on a business opportunity to start a new life. Run a sex shop with a haughty heiress and hot employees from a variety of races, and make this the best sex shop in the (other) world!

Why similar: Sexual Content 29.8%, Hentai 26.3%, Base Building 11.3%, Dating Sim 10.5%, Simulation 6.9%

Super Idol is a first-person simulation game that tells the story of the hidden rules of the music industry. Players take on the role of a music producer, and together with his sister, a singer, they made their way into the music industry.

Why similar: Sexual Content 26%, Hentai 24.5%, Strategy RPG 12%, Dating Sim 11.6%, Simulation 8.3%

Why You'll Like It: A management simulation that focuses on the career development of characters with adult-themed content.

An adult strategy game set in a modern city. Fired from your job, you’re suddenly tasked by your estranged uncle to reclaim his fallen underworld empire. Build relationships with 12 women, retake territories, expand your power, and rise as the true ruler of Shining Town.

Why similar: Crime 25.7%, Sexual Content 21.2%, Hentai 20.8%, Strategy RPG 14.3%, RPG 6.3%

3D hypnotic training simulation game. Using a hypnosis application, you will train an idol girl to make her lewd by doing sexual things, and aim for your lover

Why similar: Sexual Content 30.8%, Hentai 25%, Mature 20.3%, Simulation 9.2%, Nudity 6.1%

The goal of this game is to build a tall Ascension Tower. Making the goddess experience "pleasure" is also a main objective. Players can see different appearances of the goddess when selecting skills, at the end of the game, and upon reaching high altitudes.

Why similar: Mature 20.9%, Sexual Content 20.6%, RTS 19.8%, Hentai 19.4%, Building 5.6%

Control the confident, sexy Karryn as she becomes the new Chief Warden in the notorious all-male prison in this RPG. Go manage the prison and its inmates, but can you also manage Karryn's ever rising desires? Experience the true adult game that fully marries adult elements into all gameplay!

Why similar: Sexual Content 47.7%, Hentai 33.3%, Nudity 7.3%, Strategy RPG 4.3%, RPG 3.3%

「Incubus」 is a 2D simulation game.

Why similar: Sexual Content 36.6%, Mature 23.4%, Hentai 22.2%, Simulation 7.3%, Nudity 6.8%

Live at your aunt's house in the countryside during the summer! From having a small chat to taking a bath together, raise Affection Level to unlock more interactions! She may not let you kiss her at first, but eventually......♡

Why similar: Sexual Content 26.1%, Hentai 19.7%, Mature 19%, Simulation 12%, Dating Sim 9.3%

Yuto Fujimoto is a restless shut-in with a knack for computers and a love for idols. Reluctantly, he takes a job as a censor for a major social media platform—anything to keep the lights on.

Why similar: Sexual Content 42.5%, Hentai 32.3%, Nudity 5.9%, Dating Sim 5.1%, RPG 4.7%

The government has created new laws supporting a system of "breeding officials" in order to deal with the declining birthrate. Breeding officials are free to impregnate those who request to be inseminated! Do your best to solve the issue of the declining birthrate!!

Why similar: Sexual Content 50.8%, Hentai 25.5%, Simulation 13.2%, Nudity 7.6%, Indie 2.7%

You have become a manager at a VTuber production by a twist of fate, tasked with the important mission of nurturing three VTubers. In order to help them reach the pinnacle of the VTuber world, you not only need to carefully manage their schedules but also fulfill their various ♂ needs...!?

Why similar: Sexual Content 32.4%, Hentai 28.1%, Dating Sim 10%, Nudity 7.1%, Simulation 7%

Take charge of a WW1 field hospital on the Western Front, and make all the decisions necessary to help the soldiers recover and to support the war effort. In this narrative management game, you are the last bastion of humanity.

Why similar: Medical Sim 46.6% ★, RTS 17.9%, Base Building 11.4%, Strategy RPG 11.4%, Building 4.9%

Hentai Sexy Nurses - is the simplest 2D puzzle the final goal of which to give you pleasure!

Why similar: Mature 24.6%, Sexual Content 24.2%, Hentai 23.1%, Simulation 10.7%, Anime 7.5%

Become the manager of your very own hotel from another world! Gather resources, play fun mini-games, expand your establishment, and keep your guests entertained. Build your reputation and create the ultimate otherworldly getaway!

Why similar: Sexual Content 37%, Mature 31.6%, Simulation 14%, Anime 9%, Nudity 8.2%

Pay back your debt to the Grim Reaper in this management simulation game! You're a monster trainer in an up-and-coming nightclub where the lovely ladies of the night are enslaved monster girls trained by you. Win your freedom back no matter what it takes!

Why similar: Sexual Content 36%, Hentai 21.2%, Mature 20.2%, Simulation 11.6%, Nudity 6%

This is a very conscience strategy game

Why similar: Sexual Content 39.3%, Mature 27.7%, Hentai 10.5%, Nudity 9.8%, Anime 5.5%

One day, Sinano also realized that she was a member of the sexual relief department and began to face it calmly. Using my own position, I began secret sexual relief department work with my junior colleagues in the office at night...

Why similar: Sexual Content 49.9%, Hentai 34.4%, Nudity 9.4%, RPG 3.3%, Anime 3.1%

Orc Massage is a 3D adult simulation game. You play as an honest Orc who is trying to make a living with his business, but his monster girl clients have a bad habit of getting turned on by his "handy work". Will he stay professional or be seduced by his clients? That is all on you!

Why similar: Sexual Content 44%, Hentai 29.5%, Nudity 8%, Simulation 6.1%, Dating Sim 5.7%

A citybuilder where you collect your citizens. Capture monstergirls, craft their gear, and enact laws to turn them into compliant workers or fighters. Grow your colonies across 12 islands to fulfill the unique needs of your monstergirls. Or turn them all into unpaid interns and go humanity first.

Why similar: City Builder 31.6%, Simulation 28.1%, Building 17%, Sexual Content 12.2%, RPG 10.2%

An simulation game about reuniting with your childhood friend,and spending your summer vacation having her.

Why similar: Sexual Content 37.5%, Hentai 24%, Mature 18.7%, Nudity 6.3%, Simulation 5.7%

Manage population's mood, gold and rations. Figure out ways to optimize cell placements for efficiency. Grow and decorate your nest into a multi layer, self sustaining factory.

Why similar: Sexual Content 50%, Hentai 30.3%, Nudity 6.9%, City Builder 5.1%, Building 4.4%

An adult touch simulation game. -- You are in a political crisis after taking advantage of the king's illness to run the government as you see fit. Fortunately, you come across a mysterious ring that has the power to ensnare the hearts of others, which alters your destiny.

Why similar: Sexual Content 34.7%, Hentai 27.6%, RPG 12.2%, Mature 9.7%, Anime 7%

Idol Manager is a business sim about conquering the entertainment industry using any means you deem necessary.

Why similar: Sexual Content 30.2%, Simulation 26.1%, Anime 16.6%, Hentai 14.4%, Indie 5.4%

When tasked to build a flying city, it's up to you to rake in all the money you'll need! Recruit travelers and adventurers to help your city flourish!

Why similar: Sexual Content 48.6%, Simulation 38.2%, Indie 13.2%

Dive into a chaotic, lewd 2D lab simulator! Type words to create objects, experiment freely, and watch unpredictable reactions. Fast-paced, playful, and fully interactive—an adult-only sandbox of wild scientific fun.

Why similar: Medical Sim 49.2% ★, Sexual Content 17.1%, Hentai 16.5%, Simulation 7.2%, Nudity 4.1%

Congratulations! You've been hired as manager of HR for a successful corporation! Just what does your new job entail, though? Well, your new workplace's rules are a little... out there. In fact, to do your job well, you just might have to get a little intimate with your new coworkers...

Why similar: Sexual Content 31.2%, Hentai 23.6%, Mature 21.6%, Dating Sim 12.5%, Nudity 6.7%

“With the Devilish Her…” is a cohabitation romance simulation game. You will spend three weeks living together with your friend’s younger sister, Marina. Her alluring charm will draw you into a heart-pounding shared life filled with temptation!

Why similar: Sexual Content 29.5%, Hentai 18.4%, Dating Sim 12%, Mature 9.4%, Simulation 8.9%

SEX Prison [18+] is a casual game with original puzzle mechanics based on runners. Alongside it, this game features a fascinating storyline in the unique setting of Prison.

Why similar: Crime 23.7%, Sexual Content 17.1%, Mature 16.5%, Hentai 16.4%, Dating Sim 11.5%

Welcome to the captivating world of "Sex Hotel Simulator," where you'll take on the role of a brothel owner and elevate it to the pinnacle of fame and success!

Why similar: Sexual Content 39.8%, Dating Sim 23.6%, Simulation 13.4%, Nudity 8.9%, RPG 7.9%

Hot Therapy is a sex game where you design the beautiful women of your dreams, invite them to your office, heal them and having exciting moments with them. Enjoy being a strong and charming therapist!

Why similar: Sexual Content 39%, Hentai 26.5%, Simulation 10.1%, Anime 7.8%, Nudity 7.3%

Elves’ Sex Farm is a farming game that combines eroticism and business management in a fantasy world where you live a sex-filled life. Earn a fortune, collect more women, develop your home.

Why similar: Sexual Content 42.7%, Base Building 18.5%, Hentai 15.3%, Nudity 8.3%, Building 6.6%