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Games Like BtMG

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Immersive Sim, 3D, First-Person.

Similar Games

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  1. #1 Emergency Buddies
    97% matchNo user reviews
    Dev: Gestalt StudioPub: Polden Publishing
    Windows

    Emergency Buddies is a co-op ambulance sim for up to 4 players about the world's least qualified paramedic crew. Grab a call, floor it across town, and haul your patient to the hospital – alive, ideally! Drive fast and careful, trying to keep patients breathing.

    Why similar: Medical Sim 39.8% ★, Automobile Sim 21.6%, Immersive Sim 12.8%, Team-Based 10.1%, Simulation 4.7%

  2. #2 Plague Doctor: Medieval Apothecary
    96% matchNo user reviews
    Dev: Immersion Interactive
    Windows

    In a city where death lingers in the air, you are the last one who can resist it. Put on the plague doctor’s mask and fight the plague before it reaches you.

    Why similar: Medical Sim 35.5% ★, Outbreak Sim 32.6% ★, Immersive Sim 11.3%, Simulation 8.2%, First-Person 4.2%

  3. #3 Rescue Operations Simulator
    96% matchNo user reviews
    Dev: Monuments Games
    Windows

    Rescue Operations Simulator is a game where you play the role of USAR (Urban Search and Rescue) member and a team leader. You will arrange and execute rescue operations from real life catastrophic events that shocked and changed the whole world.

    Why similar: Outbreak Sim 30.7% ★, Medical Sim 29.3% ★, Life Sim 12.4%, Immersive Sim 10.2%, Realistic 6.5%

  4. #4 CURE - A Hospital Simulator
    95% matchVery Positive88% of 1,000 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.9 hrsMean: 10.1 hrs≥1hr: 87%

    Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!

    Why similar: Medical Sim 27% ★, Outbreak Sim 25.5% ★, Life Sim 9.5%, Immersive Sim 9.5%, Online Co-Op 9%

  5. #5 Ambulance Life: A Paramedic Simulator
    94% matchMixed49% of 1,337 reviews2025
    Dev: Aesir InteractivePub: Nacon
    Windows
    Median: 2.2 hrsMean: 4.6 hrs≥1hr: 72%

    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 39.7% ★, Automobile Sim 19.7%, Realistic 10.4%, Simulation 8.9%, Immersive Sim 7.6%

  6. #6 Fire Station Renovation
    94% 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 34% ★, Immersive Sim 14%, Life Sim 13.9%, Automobile Sim 12.1%, Realistic 8.9%

  7. #7 Fire Rescue Squad
    93% matchNo user reviews
    Dev: NPC GamesPub: Creative Forge
    Windows

    Fire Rescue Squad. An action game, a simulator from a first-person perspective, in which the player participates in firefighting actions, divided into several missions.

    Why similar: Outbreak Sim 28.2% ★, Medical Sim 28% ★, Life Sim 11.7%, Immersive Sim 9.8%, Realistic 6.2%

  8. #8 Cog Railway Simulator
    92% matchNo user reviews
    Dev: oldFox-Interactive
    Windows

    Operate a historic Austrian rack railway in a detailed steam locomotive simulator. Work together as driver and fireman, manage steam, water, fire and brakes, and master steep mountain routes where teamwork and precise control matter.

    Why similar: Automobile Sim 35%, Immersive Sim 16.3%, Team-Based 12.9%, Simulation 11.6%, Realistic 9%

  9. #9 No Emergency: Pestilence
    91% matchNo user reviews2026
    Dev: 20 July
    Windows

    No Emergency: Pestilence plunges players into the epicenter of a mysterious epidemic, where every arriving patient could be carrying a mutating pathogen, and a single mistake in a prescription turns the cure into poison.

    Why similar: Medical Sim 39.9% ★, Outbreak Sim 36.4% ★, Simulation 10%, First-Person 3.9%, Online Co-Op 3.7%

  10. #10 Pharmacy Simulator
    91% matchMixed59% of 258 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 40.4% ★, Life Sim 17.5%, Immersive Sim 15.7%, Simulation 10.8%, Realistic 7.6%

  11. #11 Violent Sky
    90% matchNo user reviews2027
    Dev: StormTrack Studio
    Windows

    Chase, forecast, and document powerful storms in an open world of cities, suburbs, rural communities, and open plains. Track developing weather, capture dangerous events, and survive tornadoes, hail, and destructive winds.

    Why similar: Outbreak Sim 32.3% ★, Automobile Sim 27.3%, Immersive Sim 12.4%, Simulation 8.8%, Realistic 8.2%

  12. #12 Driving Life
    89% matchMixed56% of 195 reviews2025
    Dev: Chrysopy GamesPub: PlayWay S.A.
    Windows

    Driving Life is a hardcore driving survival game set in rural America. Earn money by driving manual cars, vans, and trucks, transport tourists, pay rent, buy fuel, and survive on a tight budget. Every dollar counts - spend wisely or go broke!

    Why similar: Automobile Sim 33.7%, Life Sim 16.7%, Immersive Sim 15.7%, Realistic 11%, Simulation 6.7%

  13. #13 Indian Mechanic Simulator
    89% matchNo user reviews
    Dev: AM PlayhousePub: PlayWay S.A.
    Windows

    Fix punctures, repair engines, wash, paint, and restore scooters, cars, and more in Indian Mechanic Simulator. Experience authentic street-side repairs and become the most trusted mechanic in town!

    Why similar: Automobile Sim 42.2%, Immersive Sim 14.9%, Realistic 14.2%, Life Sim 12.2%, Simulation 10.5%

  14. #14 Auto Sale Life
    88% matchMostly Positive70% of 733 reviews2025
    Dev: OTTO GamesPub: GrabTheGames
    Windows
    Median: 3.1 hrsMean: 5.8 hrs≥1hr: 67%

    Build an automotive empire. Buy, sell, and customize cars to create your own brands and showrooms. Become a shrewd entrepreneur in this immersive car trading and customization game.

    Why similar: Automobile Sim 38%, Life Sim 18.9%, Immersive Sim 14.8%, Simulation 13.2%, Realistic 9.9%

  15. #15 Sense Cook
    87% matchNo user reviews
    Dev: Dionysoft
    Windows

    Have you ever cooked like this? Try to rule the kitchen with three characters who can't see, hear or speak! Sense Cook is a chaotic and fun cooking game for co-op play with friends. With teamwork, manage the chaos and prepare delicious meals!

    Why similar: Party-Based RPG 30.5%, Immersive Sim 19.5%, Team-Based 16.3%, Simulation 14.2%, Online Co-Op 7%

  16. #16 Slav Junkie Simulator
    86% matchMixed61% of 33 reviews2024
    Dev: Eathrabaria
    Windows

    You live in a small soviet slav eastern european cyberpunk city. You have severe heroin addiction that you need to sustain. Heroin is very expensive and earnings in a rural city are very small, barely enough for survival. Survive one week.

    Why similar: Medical Sim 41.2% ★, Life Sim 16.1%, Immersive Sim 14.1%, Realistic 9.6%, Simulation 7.6%

  17. #17 Turbulence - Airplane Survival Simulator
    86% matchNo user reviews
    Dev: True GamesPub: Idea Labs
    Windows

    When your airplane enters a massive storm, you aren’t a passenger anymore. You are a survivor. Trapped at 35,000 feet, you need to keep a cool head and act fast to live through the crisis. Can you make it to a happy landing?

    Why similar: Outbreak Sim 37.5% ★, Medical Sim 36.4% ★, Immersive Sim 11.1%, Simulation 11%, First-Person 4%

  18. #18 Endless Casual Drive
    85% matchMixed67% of 27 reviews2024
    Dev: MorningHeart
    Windows

    This is an immersive leisure solo journey. All you have to do is focus on driving and enjoy driving. Slowly gain peace and return to yourself in the white noise brought by the engine and the environment.

    Why similar: Automobile Sim 37.8%, Life Sim 17.4%, Immersive Sim 13.5%, Realistic 9%, Simulation 7.3%

  19. #19 Car Wash Game for Kids and Toddlers
    84% match2 user reviews50% of 2 reviews2024
    Dev: McPeppergames
    Windows

    The ultimate cars game for kids and preschool children. Featuring a lot of different cars and vehicles and lots of tools to choose from for cleaning cars and even make cars dirty again. A perfect family friendly game for all children, kids, toddlers. Very cute car wash!

    Why similar: Medical Sim 38.7% ★, Automobile Sim 34.1%, Life Sim 16.1%, Simulation 11.2%

  20. #20 Welding Simulator
    84% matchNo user reviews
    Dev: DM Soft
    Windows

    Welding Simulator puts you in the shoes of a welder mastering real techniques like MMA, MIG, and TIG. Cut and join metal to build everything from tables to go-karts. Upgrade your workshop, take on challenging projects, and grow your career to become a true welding pro!

    Why similar: Automobile Sim 34.3%, Immersive Sim 22.9%, Life Sim 16.2%, Realistic 8.6%, Simulation 8.5%

  21. #21 Symptoms of Infection
    82% matchNo user reviews91% of 69 reviews2026
    Dev: ORB Research & Broadcasting
    Windows · Linux

    Examine and test patients for common and novel infections using sophisticated medical instrumentation. Isolate and treat infected patients. Discover the wonders, mysteries, and horrors of medical science. Rumors of mysterious diseases and human experimentation are unconfirmed.

    Why similar: Outbreak Sim 46.8% ★, Medical Sim 24.9% ★, Immersive Sim 10.5%, Simulation 9.3%, Life Sim 8.5%

  22. #22 Donor Clinic Simulator
    83% matchNo user reviews
    Dev: 2 Stula Games
    Windows

    Manage your own reproductive medicine clinic! Choose donors based on their physical traits, research the effectiveness of biomaterials, upgrade the donor room, improve your laboratory, purchase new equipment, and help couples have a baby and become happy parents!

    Why similar: Medical Sim 47.2% ★, Simulation 13.3%, Immersive Sim 10.2%, Life Sim 9.5%, Realistic 9.4%

  23. #23 Train Planet
    82% matchNo user reviews
    Dev: Fishing Planet LLC.
    Windows

    Welcome to Train Planet, the ultimate locomotion simulation game that allows you to immerse yourself in the captivating world of trains! Get ready to experience the thrill of being a train operator as you embark on a journey across a vast and diverse virtual landscape.

    Why similar: Automobile Sim 41.7%, Immersive Sim 19.7%, Simulation 15.1%, Realistic 13.7%, 3D 6.2%

  24. #24 Bus Station Simulator
    81% matchNo user reviews2027
    Dev: Anshar StudiosPub: Garage Monkeys
    Windows

    In Bus Station Simulator, take over a forgotten bus station and bring it back to life - solo or in co-op! Take care of passengers, your fleet, and the infrastructure as you transform a rundown terminal into the beating heart of Winston Springs.

    Why similar: Automobile Sim 36.7%, Life Sim 17.5%, Immersive Sim 16.1%, Simulation 11.2%, Realistic 9%

  25. #25 Store Life Simulator
    81% matchNo user reviews
    Dev: Insight Game StudioPub: Hibull Games
    Windows

    Store Life Simulator is a management simulator where you start with a small store and build your own retail empire. Manage products and prices, restock shelves, serve customers, hire employees, expand your store, and open new locations.

    Why similar: Medical Sim 41.4% ★, Immersive Sim 16.7%, Life Sim 16.4%, Simulation 9.3%, First-Person 8.2%

  26. #26 Breeding Hospital
    80% match3 user reviews67% of 3 reviews2025
    Dev: びゅびゅ丸★
    Windows

    This is a hospital simulator for those aged 18 and over. You can have various experiences with multiple female nurses. The nurses will satisfy your sexual desires according to your choices. However, if you impregnate a girl, the nurse will bear all the responsibility.

    Why similar: Medical Sim 53% ★, Immersive Sim 15.7%, Life Sim 13.6%, Nudity 7.3%, Simulation 6.5%

  27. #27 Parking Attendant Simulator
    79% matchNo user reviews
    Dev: Drakspire Interactive
    Windows

    Inherit a run-down parking lot from a relative and turn it into a mass-transit hub for all classes of people. Extend and upgrade services to attract new customers and keep their precious vehicles safe.

    Why similar: Automobile Sim 37.1%, Immersive Sim 17.4%, Capitalism 13.3%, Realistic 11.4%, Simulation 9%

  28. #28 Ice Truckers
    78% matchNo user reviews
    Dev: Chronos NorthPub: Aerosoft Gmbh
    Windows

    Take control of powerful trucks on a remote arctic island, and deliver cargo safely to its destination, while facing the harshest weather conditions in this immersive transportation simulation!

    Why similar: Automobile Sim 41.7%, Immersive Sim 17.8%, Simulation 14.6%, Realistic 10.8%, Third Person 6.7%

  29. #29 Ambulance Emergency Simulation
    79% matchPositive91% of 23 reviews2022
    Dev: Soner Çakır
    Windows

    New case information is constantly coming from your radio, you should pick up the patient and take him to the Hospital as soon as possible.

    Why similar: Medical Sim 35.6% ★, Automobile Sim 29.9%, Life Sim 16.5%, Simulation 12.1%, 3D 3.9%

  30. #30 Supermarket Maker
    77% 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 36.8% ★, Outbreak Sim 30.8% ★, Life Sim 17.9%, Simulation 11.3%, 3D 3.3%

  31. #31 Car Wash Together: Prologue - Early Days
    77% matchNo user reviews2026
    Dev: Hypnotic AntsPub: Garage Monkeys
    Windows

    A free introduction to the full version of Car Cleaner Simulator is your chance to make dreams come true in a fabulously clean business. Run a car wash for Clever Emma in Winston Springs.

    Why similar: Automobile Sim 37.5%, Life Sim 17.7%, Immersive Sim 16%, Simulation 13.2%, Online Co-Op 6.2%

  32. #32 Big Bad Pharma
    75% matchPositive83% of 114 reviews2026
    Dev: Middlewood Studio
    Windows

    A cosy first-person pharmacy sim with a wicked streak. 12,792 items. One unbelievable mess. Stock the shelves, buy the upgrades, and climb a corporate ladder that probably shouldn't exist. Then try not to think too hard about what's at the top.

    Why similar: Medical Sim 41.9% ★, Life Sim 19.7%, Immersive Sim 16.6%, Simulation 13.1%, First-Person 4.6%

  33. #33 MediSim: Emergency Response
    76% matchNo user reviews
    Dev: Mehmet Hilmi Değirmenci
    Windows

    As a young doctor, save lives in emergencies, advance from a health center to a major hospital, and manage your own facility. Perform first aid, and diagnostics, take on ambulance and helicopter missions, and build your medical team. A realistic medical simulation where every decision matters!

    Why similar: Medical Sim 52.9% ★, Life Sim 16.3%, Simulation 12.8%, Gore 9.7%, First-Person 4.4%

  34. #34 Valley General Hospital: NiVR
    78% match2 user reviews50% of 2 reviews2021
    Dev: Valley General
    Windows

    An exciting new approach to training and simulation in Healthcare.

    Why similar: Medical Sim 52.7% ★, Immersive Sim 15.8%, Realistic 12%, Simulation 11.9%, First-Person 4%

  35. #35 Real Pharmacy Simulator
    76% matchMostly Negative27% of 11 reviews2024
    Dev: Mannered Monster
    Windows

    Become the owner of a pharmacy in Real Pharmacy Simulator! Manage the business, serve customers, and balance profit with ethics. Order medicines, organize the space, and decide how to run your business - honestly or riskily. Your decisions will determine the fate of the pharmacy!

    Why similar: Medical Sim 42.5% ★, Life Sim 16.6%, Capitalism 12.4%, Realistic 10.5%, Simulation 7.6%

  36. #36 Dentist Simulator 2
    74% match4 user reviews100% of 4 reviews2025
    Dev: Code Lab
    Windows

    Screams, panic, and fear of the dentist’s chair — now YOU hold the drill! Master anesthesia, gum surgery, extractions, and bleeding control with precision. Go beyond basics: apply braces, craft gold & silver teeth, implants, and use inhalation sedation. Keep patients calm or hear their screams!

    Why similar: Medical Sim 48.7% ★, Life Sim 17.1%, Immersive Sim 16.4%, Simulation 6.4%, Realistic 6.1%

  37. #37 Car Hustle Simulator
    73% matchMostly Positive77% of 30 reviews2026
    Dev: Silent Code Games
    Windows

    Buy parts and cars, clean, paint, customize, and flip them for profit. Navigate a competitive market, hunt for rare deals, negotiate with sellers, restore neglected vehicles and parts, install upgrades, and build your automotive empire in Car Hustle Simulator.

    Why similar: Automobile Sim 37.5%, Life Sim 18%, Immersive Sim 15.7%, Simulation 11.5%, Realistic 8.5%

  38. #38 Used Car Dealer Simulator
    74% matchNo user reviews2027
    Dev: Lotwise GamesPub: SimWorks Interactive
    Windows

    Buy and sell used cars Find cars at the right price, add them to your dealership, and sell them for profit. Run your own car dealership Manage your car lot, organize your vehicles, and grow your business step by step.

    Why similar: Automobile Sim 34.5%, Life Sim 16.8%, Immersive Sim 13%, Simulation 12%, Capitalism 7.9%

  39. #39 Courier Life Simulator
    73% match8 user reviews13% of 8 reviews2025
    Dev: Cyber Mode Software
    Windows

    Work a realistic courier job in a life-immersive simulation. Start your shift at the warehouse, load packages, complete deliveries, earn money, then switch to your personal car and freely drive through the city after work.

    Why similar: Automobile Sim 35.4%, Life Sim 19.4%, Simulation 12.7%, Immersive Sim 12.4%, Realistic 7.6%

  40. #40 Vital Decisions
    72% matchNo user reviews2027
    Dev: Hazard Wizard
    Windows

    Take charge of a emergency room up to 8 players. Examine patients’ vitals, diagnose their conditions, and choose the right treatment. Prioritize emergencies and keep the shift under control as your patients’ conditions worsen around you.

    Why similar: Medical Sim 51.4% ★, Online Co-Op 16.6%, Simulation 8.3%, Immersive Sim 7.3%, Life Sim 5.7%

  41. #41 Bio Inc. Redemption
    73% matchVery Positive88% of 3,261 reviews2018
    Dev: DryGin Studios
    Windows
    Median: 2.4 hrsMean: 5.9 hrs≥1hr: 72%

    Bio Inc.: Redemption is a realistic simulation and strategy game in which you make life or death decisions. Create a deadly illness to infect and torment your victim or play as the head of a medical team and hopefully find a cure to save your human patient. Will you be the plague or preserve humanity?

    Why similar: Medical Sim 41.9% ★, Outbreak Sim 36.5% ★, Gore 13.1%, Simulation 5.4%, Atmospheric 3.1%

  42. #42 Quarantine Zombies: Contamination
    71% matchMixed51% of 85 reviews2026
    Dev: Stones Games
    Windows

    A first-person shooter meets quarantine inspection in post-apocalyptic Chicago. You’ve got 30 days until the army arrives. Hold out, fix your car, and fight your way through Chicago to the main checkpoint to save your little brother.

    Why similar: Outbreak Sim 51.2% ★, Immersive Sim 16.1%, Life Sim 11.7%, Simulation 6%, Realistic 5.1%

  43. #43 Car Service Simulator : Prologue
    72% matchNo user reviews
    Dev: Red Axe Games
    Windows

    Car Service Simulator is a car service business simulation game where you start from scratch and work your way up. Take the chance to successfully run your own service center, offering a wide range of services from car repair to painting and modification.

    Why similar: Automobile Sim 38.9%, Life Sim 18.6%, Immersive Sim 14.8%, Realistic 9.1%, Simulation 8.8%

  44. #44 RoveSoSimulator
    70% match4 user reviews75% of 4 reviews2026
    Dev: Mars Rover Design Team
    Windows · Linux

    A realistic Mars Rover driving and engineering simulator built by the Missouri S&T Mars Rover Design Team, letting you pilot a competition-grade rover through URC-inspired navigation, obstacle, and manipulation challenges.

    Why similar: Automobile Sim 43.6%, Immersive Sim 27.1%, Simulation 10%, Third Person 9.5%, 3D 6.6%

  45. #45 Bus Station Simulator: Prologue - Early Days
    71% matchNo user reviews2027
    Dev: Anshar StudiosPub: Garage Monkeys
    Windows

    Bus Station Simulator Prologue: Early Day is a free prologue where you take over a neglected bus station in Winston Springs. Manage passengers, vehicles, and infrastructure as you transform a run-down facility into the thriving heart of the town.

    Why similar: Automobile Sim 36.7%, Life Sim 17.5%, Immersive Sim 16.1%, Simulation 11.2%, Realistic 9%

  46. #46 Medic Simulator: Combat Zone
    70% match1 user reviews100% of 1 reviews2026
    Dev: Code Lab
    Windows

    Rescue wounded soldiers under enemy fire, control severe bleeding, apply tourniquets, perform emergency procedures, and transport patients to safety. Use real combat triage principles, react to unpredictable threats, and engage enemies when necessary. Only the fastest and bravest save lives.

    Why similar: Medical Sim 53.7% ★, Life Sim 18.4%, Simulation 7.7%, Violent 7.2%, Immersive Sim 5.3%

  47. #47 DeadOS
    71% matchVery Positive99% of 183 reviews2021
    Dev: Benn Powell
    Windows

    DeadOS is an early access zombie outbreak simulator by Benn Powell that focuses on city-wide scenarios where you have access to fully customize your apocalypse experience from beginning to end. Simulation. Sandbox. Survival!

    Why similar: Outbreak Sim 69.2% ★, Violent 14%, Gore 10.6%, Simulation 6.2%

  48. #48 ALONE: NO SIGNAL
    69% matchNo user reviews
    Dev: Lone Wolf Works
    Windows

    ALONE: NO SIGNAL is a permadeath survival simulator set in a world where everyone has disappeared. Gather supplies, establish a base, and prepare for an uncertain future where every decision has lasting consequences.

    Why similar: Automobile Sim 38.4%, Life Sim 18.3%, Immersive Sim 12.6%, Simulation 11.9%, Realistic 7.9%

  49. #49 Motorcycle For Sale Simulator
    69% matchNo user reviews
    Dev: UNIQ GamesPub: Red Axe Games
    Windows

    Buy, fix, customize, and sell motorcycles. Start with old bikes, restore every part, test ride, and grow your own dealership. Take risks, make smart deals, and become the best in town!

    Why similar: Automobile Sim 36.5%, Life Sim 17.9%, Immersive Sim 15.5%, Realistic 11%, Simulation 8.5%

  50. #50 Bus Simulator 21 Next Stop
    69% matchMostly Positive70% of 6,728 reviews2021
    Dev: stillalive studiosPub: astragon Entertainment
    Windows
    Median: 3.7 hrsMean: 7.8 hrs≥1hr: 87%

    Bus Simulator 21 Next Stop offers the most comprehensive bus fleet in the history of the series with 30 officially licensed buses. Drive on two vastly different maps, alone or with friend. Play with extended management elements or just enjoy your time on the road.

    Why similar: Automobile Sim 37.8%, Immersive Sim 15.4%, Realistic 12.3%, Simulation 9.3%, Third Person 7.1%

  51. #51 Reanimation Inc.
    70% matchVery Positive81% of 134 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 68.2% ★, Gore 19.7%, Simulation 12.2%

  52. #52 NextBuild
    68% matchNo user reviews
    Dev: InVisual
    Windows

    NextBuild: A car-building and racing game about the true reality of being a car enthusiast. Face the challenges of building your dream car. Experience the highs and lows of car culture like blown engines, finding rare parts and crashes.

    Why similar: Automobile Sim 39.6%, Life Sim 18.5%, Simulation 12.7%, Realistic 12.2%, Third Person 6.2%

  53. #53 Car Dealership Simulator 2
    66% matchMixed70% of 2,440 reviews2025
    Dev: Quadfix Games
    Windows
    Median: 6.4 hrsMean: 10.5 hrs≥1hr: 85%

    Take charge of the car trade with Car Dealership Simulator 2! Buy, modify, and grow your dealership with strategic sales. Every opportunity will take you closer to the top of the automotive market!

    Why similar: Automobile Sim 38.7%, Life Sim 17.9%, Simulation 13.4%, Immersive Sim 12.2%, Realistic 9.2%

  54. #54 Car Dealer Life Simulator
    67% matchMostly Negative39% of 18 reviews2025
    Dev: Berkay YıldırımPub: BM Games
    Windows

    Build and grow your dream car dealership in this realistic simulation. Buy, inspect, repair, and sell used cars for profit. Negotiate with customers, manage financing, and dominate the used car market.

    Why similar: Automobile Sim 43.5%, Life Sim 21.2%, Immersive Sim 19.8%, Simulation 9.6%, 3D 5.9%

  55. #55 Car Repair Simulator
    67% matchNo user reviews
    Dev: Garage Monkeys
    Windows

    Car Repair Simulator is not just about fixing cars - it’s also about customer service, management, and marketing. The car workshop is a vital place in the car-loving town of Winston Springs. Develop it solo or in co-op.

    Why similar: Automobile Sim 37.9%, Life Sim 18.1%, Immersive Sim 14.4%, Simulation 11.5%, Realistic 8.8%

  56. #56 Tram Simulator Urban Transit
    67% matchMixed59% of 364 reviews2023
    Dev: stillalive studiosPub: astragon Entertainment
    Windows

    Welcome to Tram Simulator Urban Transit - get on aboard! In this game, you take on the role of a tram driver and manager. Drive 6 tram models. Transport passengers and drive them to the numerous stops. Plan your own routes, manage your timetables, and expand your tram network.

    Why similar: Automobile Sim 37.6%, Immersive Sim 18.2%, Realistic 12.5%, Simulation 8.9%, Third Person 7.9%

  57. #57 Psychiatrist Simulator 2
    68% matchMixed47% of 33 reviews2023
    Dev: Eathrabaria
    Windows

    Take role as Dr. Smith, psychotherapist. Game consists of real people video recordings. Talk with them, treat, learn about psychology. Your choices have consequences, at the end you will see what happened in their life after meeting with you.

    Why similar: Medical Sim 42.2% ★, Life Sim 16.1%, Immersive Sim 14.4%, Realistic 9.8%, Simulation 7.4%

  58. #58 Rent A Car Together
    67% matchNo user reviews2026
    Dev: 2MEDYA
    Windows

    Rent A Car Simulator. Start by renting your first car. Expand your rental car fleet by purchasing different vehicles and grow your car rental business. Drive your cars and get them fixed when they break down. Find new customers. You can also develop your Rent A Car business by playing Co-Op.

    Why similar: Automobile Sim 38.3%, Life Sim 16%, Immersive Sim 14.8%, Simulation 9.3%, Capitalism 9.3%

  59. #59 Save Us, Doctor Faust!
    66% matchNo user reviews2027
    Dev: MIWAVV GAMES
    Windows

    Save Us, Doctor Faust! is an immersive medieval doctor simulator where you diagnose diseases, study medicine, and craft remedies from raw ingredients. Examine your patients, grind and distill ingredients, experiment with recipes — and remember: one mistake could cost a life.

    Why similar: Medical Sim 40.4% ★, Outbreak Sim 31% ★, Immersive Sim 15.6%, Simulation 4.9%, First-Person 4.5%

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