- #1 Pharmacy Simulator
97% matchMixed59% of 252 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 36.2% ★, Life Sim 18.1%, Simulation 14.9%, Time Management 12.6%, Education 6.8%
- #2 Pocket Clothier
96% matchVery Positive86% of 65 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
A clothing shop management sim. Go from quaint corner shop to world-class brand!
Why similar: Colony Sim 36.9%, Life Sim 19%, Simulation 14.5%, Strategy 11.5%, Casual 7.7%
- #3 Dream Park Story
96% matchVery Positive87% of 167 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Create your own amusement park with a variety of rides, mascots, and activities!
Why similar: Colony Sim 32.6%, Simulation 18.2%, Life Sim 15.8%, Strategy 15.6%, Casual 9.5%
- #4 中医模拟传承人
95% matchPositive87% of 15 reviews2024
Dev: guizhi0011
Windows
A game where everyone can learn traditional Chinese medicine.
Why similar: Medical Sim 45.7% ★, Simulation 17%, Life Sim 16.3%, Education 12.8%, Casual 6.8%
- #5 Little Renters
94% matchNo user reviews2025
Dev: JnB
Windows
Take on the challenge of managing these Little Renters and their needs. Keep them happy with the right decoration and set your rent prices to maximize profits! Stay alert as Thieves, Squatters, Fires, Sick Renters and Broken Decorations can cause you to Fail!
Why similar: Colony Sim 27.3%, Time Management 15.1%, Idler 14.8%, Life Sim 13%, Economy 7.1%
- #6 Pixel Vale
94% matchNo user reviews
Dev: BoZo Studios
Windows
Pixel Vale is a medieval fantasy city-builder game, focused on building up you city while managing external threats. Fight or trade with other cities, explore through the fog of war, and defend against goblin raids. Research new buildings to expand and keep your citizens happy.
Why similar: Medical Sim 35.6% ★, Colony Sim 29.3%, Strategy 15.5%, Casual 10%, Economy 4.6%
- #7 Fun Hospital
93% matchMixed64% of 600 reviews2018
Dev: OrangesGame Technology Limited
Windows · Mac
Median: 1.2 hrsMean: 32.8 hrs≥1hr: 52%
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 51.2% ★, Strategy 18%, Simulation 18%, Casual 11%, Indie 1.8%
- #8 My Universe - Doctors & Nurses
92% matchMostly Negative29% of 14 reviews2022
Dev: It Matters GamesPub: Microids
Windows · Mac
Take turns to play either a doctor or nurse. Diagnose illnesses and infections so as to treat and help your many patients. Set out on an adventure in a buzzing hospital environment. Meet all sorts of different characters and discover a story full of surprises.
Why similar: Medical Sim 48.4% ★, Life Sim 16.8%, Simulation 11%, Education 10%, Casual 8.5%
- #9 Patient Zero: Plague Idle
91% matchNo user reviews
Dev: Game GangstersPub: Brightika, Inc.
Windows
Patient Zero: Plague Idle is an idle / incremental outbreak builder where you create the perfect pathogen through mutation trees, global infection, long-term upgrades, and new pathogen unlocks. Turn the world into your lab.
Why similar: Medical Sim 18.3% ★, Colony Sim 16.1%, Idler 13.6%, Automation 9.7%, Life Sim 8.8%
- #10 Pocket Academy 3
91% matchVery Positive94% of 247 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
After 12 long years, we're back and bringing the school festival with us!
Why similar: Colony Sim 32.6%, Life Sim 18%, Simulation 11.7%, Strategy 10%, Education 10%
- #11 MediSim: Emergency Response
90% 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 46.7% ★, Simulation 17.4%, Life Sim 16.7%, Casual 8.9%, Education 7.4%
- #12 Real Pharmacy Simulator
89% 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 37.2% ★, Life Sim 16.9%, Idler 14.9%, Simulation 10.3%, Casual 6.3%
- #13 Grocery Simulator
89% match3 user reviews0% of 3 reviews2024
Dev: Roman Savenok
Windows
Experience the thrill of managing your own grocery store, from stocking shelves to handling customers, and transforming a small shop into a thriving supermarket. Control prices, Order goods, Hire Staff, Fight with Thieves and much more.
Why similar: Colony Sim 34.9%, Life Sim 21.4%, Simulation 19.6%, Time Management 15.5%, Automation 7.9%
- #14 The Factory
88% match2 user reviews0% of 2 reviews2025
Dev: Awesome Studios
Windows
The Factory is a first-person, factory sim game with machine purchasing, upgrading, and building expansion. Use income from crafted products to buy and upgrade tools and buildings. Upgrade your factory layout to gain infinite wealth while trying not to lose money from damaging products.
Why similar: Life Sim 20%, Simulation 18.2%, Strategy 16.8%, Idler 15.6%, Automation 13.5%
- #15 Paragon Pioneers 2
87% matchVery Positive93% of 59 reviews2024
Dev: Tobias Arlt
Windows · Mac · Linux
Dive into the captivating world of Paragon Pioneers 2, an engaging city-building idle game filled with extensive content promising months of immersive gameplay. Even with limited playtime, you can delve deep into this simulation, experimenting with various strategies to enhance your realm.
Why similar: Colony Sim 32.3%, Idler 16%, Simulation 11.3%, Strategy 11.1%, Stylized 5.3%
- #16 Founders Legacy
86% matchNo user reviews
Dev: Asfar GAMESPub: Astrolabe Games
Windows · Linux
A relaxing idle-colony builder that sits at the bottom of your screen while you do other things,Design Your Ultimate colony.
Why similar: Colony Sim 26.7%, Idler 13.5%, Time Management 12.2%, Strategy 9.1%, Automation 9.1%
- #17 Convenience Stories
86% matchVery Positive94% of 277 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Median: 3.5 hrsMean: 11.1 hrs≥1hr: 66%
Customize your own store with a wide variety of products and business goals.
Why similar: Colony Sim 39.7%, Simulation 17.7%, Strategy 14.5%, Life Sim 14.4%, Casual 9.6%
- #18 Everstead: Origins
85% matchNo user reviews
Dev: Beaver Fever Games
Windows
Everstead: Origins is a unique idle simulation experience that allows you to watch a self-sustaining village evolve over time. Without direct control, you observe the settlers’ daily routines, social bonds, and the consequences of their decisions in a fully autonomous world.
Why similar: Colony Sim 31.5%, Life Sim 18.3%, Idler 14.9%, Simulation 11.2%, Casual 6.8%
- #19 The Ramen Sensei
84% matchMostly Positive76% of 196 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
Median: 1.9 hrsMean: 10.3 hrs≥1hr: 67%
Build the ultimate bowl to leap past your ramen rivals and achieve greatness!
Why similar: Colony Sim 32.9%, Life Sim 20.3%, Simulation 13.4%, Strategy 11.7%, Casual 6.6%
- #20 All My Gods
84% matchVery Positive88% of 113 reviews2015
Dev: Qumaron
Windows
Become a Roman god! Don't be shy! Epic game that topped the charts on Big Fish Games and GameHouse!
Why similar: Colony Sim 58.8%, Strategy 16.1%, Simulation 13.9%, Casual 11.2%
- #21 Silver Screen Story
83% matchMostly Positive75% of 81 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Movie Studio Management Simulation Produce blockbusters and earn world-wide fame
Why similar: Colony Sim 36.9%, Simulation 18.4%, Life Sim 16.6%, Strategy 14.8%, Casual 9.4%
- #22 EvoCell BioClicker
82% matchNo user reviews
Dev: furiousDevPhoenix
Windows
Evo-Cell is the next level of an organic cell automaton simulator, inspired by the classic 'Game of Life' by Conway. Embark on an incremental ‘Idle’ adventure where the goal is to colonize and evolve a new species.
Why similar: Colony Sim 27.2%, Idler 15.2%, Life Sim 13.2%, Automation 9.9%, Strategy 8.9%
- #23 BugLab Simulator
81% matchMostly Positive77% of 12 reviews2025
Dev: ElykraGames
Windows
Manage terrariums, breed insects, produce resources, and expand your lab into a thriving ecosystem. BugLab blends automation, strategy, and simulation with ever-growing systems.
Why similar: Colony Sim 29.7%, Life Sim 16%, Idler 13.7%, Simulation 10.1%, Strategy 9.4%
- #24 卡皮巴拉幸福时光 Capybara's Happytime
82% matchNo user reviews
Dev: dragon ranger studio
Windows
Build Your Dream Resort with Furry Friends! Team up with adorable animal buddies to create a one-of-a-kind vacation paradise! Attract all kinds of capybaras to chill, expand your resort, and grow it into a thriving empire.
Why similar: Life Sim 20.5%, Idler 17.9%, Time Management 16.2%, Simulation 13.2%, Strategy 13%
- #25 Hospital Center Tycoon
81% matchNo user reviews
Dev: BronStudio
Windows
Build and manage a fully-equipped hospital, hire specialists, treat patients, expand departments, and keep your staff running at maximum efficiency.
Why similar: Medical Sim 42.9% ★, Life Sim 15.8%, Simulation 9.4%, Strategy 7%, Management 4.9%
- #26 Mega Mall Story 2
80% matchVery Positive95% of 132 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
A brand new business sim! Build cafés, movie theaters, aquariums, and more!
Why similar: Colony Sim 36.9%, Life Sim 18.8%, Simulation 18.1%, Strategy 12.9%, Casual 7.2%
- #27 Code Blue Idle
79% matchNo user reviews
Dev: Sulcus Games
Windows · Mac · Linux
A medical idle game with real hospital depth. Treat patients, hire staff, and unlock departments from the ED to the ICU — then watch your hospital run itself while you sleep.
Why similar: Medical Sim 40.3% ★, Idler 21.8%, Strategy 11.3%, Simulation 10.7%, Management 6.5%
- #28 Hospital Renovator
78% 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 43.3% ★, Life Sim 15.3%, Simulation 10.8%, Education 9.2%, Building 6.7%
- #29 The Promised Land
79% matchVery Positive87% of 776 reviews2014
Dev: Boolat GamesPub: ESDigital Games
Windows · Mac
Median: 3.4 hrsMean: 5.0 hrs≥1hr: 84%
The Promised Land, a brave new world , the hole nation – all this lies in your hands! Become a true leader, a chosen one, a father of nation! Guide your colony to the victory of the modern superpower! We collected all the best that is in games of this genre, arched by exciting mini-games and carefully turned it into the deep and...
Why similar: Colony Sim 56.8%, Strategy 14.8%, Casual 11.9%, Simulation 6.6%, Time Management 5.5%
- #30 Queen to Bee
78% matchNo user reviews
Dev: Shouty Knot Games Pub: Shouty Knot Limited
Windows · Mac
A cozy resource management game where you play as the Queen Bee. Good decisions for your loyal subjects will go a long way, as well as taking the time to know each and every one! Build cute new rooms and boost your honey production for a healthy hive. Will you be the next Queen?
Why similar: Colony Sim 38.6%, Strategy 20%, Simulation 19%, Casual 12.9%, Colorful 4.7%
- #31 Pocket Arcade Story
77% matchMostly Positive74% of 54 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
Create the gaming paradise of your dreams! Reach 5-stars and host tournaments!
Why similar: Colony Sim 37.3%, Simulation 18.8%, Strategy 15.2%, Life Sim 13.2%, Casual 9.6%
- #32 Mind Verge
77% matchNo user reviews
Dev: 岚爱万七
Windows
Step into a psychosomatic clinic as a therapist. Diagnose patients with shooting mechanics and treat them via rhythmic QTEs. Manage dual sanity: you relieve others' mental pain, while endless emotions wear on your own mind. Experience mutual healing — healers carry pain too.
Why similar: Medical Sim 45% ★, Simulation 15.9%, Life Sim 12.9%, Strategy 11.6%, Casual 5.1%
- #33 Get to Work, Gnomes! Christmas Factory
76% matchNo user reviews2026
Dev: Tiny Workers
Windows
Run a chaotic Christmas gift factory with mischievous gnomes! Get to Work, Gnomes! Christmas Factory is a short management game where you prepare gifts for children before Christmas. Package gifts, build production lines, manage gnomes, and assign tasks to turn a workshop into an efficient factory.
Why similar: Colony Sim 22.5%, Idler 15.6%, Simulation 12.4%, Automation 11.3%, Strategy 11.3%
- #34 Heart's Medicine - Hospital Heat
76% matchVery Positive96% of 366 reviews2017
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Median: 5.1 hrsMean: 8.7 hrs≥1hr: 93%
The long awaited sequel to "Heart's Medicine - Time to Heal". An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring doctor at Little Creek Hospital!
Why similar: Medical Sim 61.5% ★, Simulation 16.3%, Time Management 10.6%, Casual 9.9%, Indie 1.7%
- #35 Donor Clinic Simulator
75% 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 45.7% ★, Simulation 20%, Life Sim 10.6%, Casual 10.3%, Management 6.8%
- #36 Age of Beasts
74% matchNo user reviews2026
Dev: LD Gaming
Windows
Colonial Wars is a sci-fi futuristic real-time strategy and survival game where you face up to three different opponents on battle maps, fighting for control of resources and territory while also contending with the local alien wildlife population.
Why similar: Colony Sim 43.4%, Simulation 24.3%, Strategy 22.1%, Colorful 5.7%, Management 4.5%
- #37 My Universe - Pet Clinic Cats & Dogs
75% 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 45.3% ★, Life Sim 13.8%, Simulation 13.6%, Time Management 10.5%, Casual 7%
- #38 Townsmen - A Kingdom Rebuilt
74% matchMostly Positive71% of 1,387 reviews2019
Dev: HandyGames
Windows
Median: 6.3 hrsMean: 14.5 hrs≥1hr: 87%
Townsmen – A Kingdom Rebuilt hands the crown to you: Guide your people from their first steps in a small village to a massive medieval metropolis with thousands of inhabitants.
Why similar: Colony Sim 45%, Strategy 18.1%, Simulation 17.6%, Casual 9.4%, Building 3.8%
- #39 Heart's Medicine - Time to Heal
73% matchVery Positive94% of 883 reviews2016
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Median: 6.0 hrsMean: 12.1 hrs≥1hr: 92%
An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring surgeon at Little Creek Hospital!
Why similar: Medical Sim 60.3% ★, Time Management 17.4%, Simulation 10.8%, Casual 10%, Indie 1.5%
- #40 Doctor Simulator
73% matchNo user reviews
Dev: Medic Labs
Windows
If you have ever thought of becoming a doctor – here is your chance! Arm yourself in a stethoscope and do a ward round to keep up to date with your patients’ condition. They may complain and question your authority but remember – you’re the doctor!
Why similar: Medical Sim 35.6% ★, Simulation 27.8%, Casual 15.3%, Education 7.7%, Strategy 4.4%
- #41 Bar Master
72% matchNo user reviews2026
Dev: NoBrain Studio
Windows
Bar Master is a management game where you play as a bar owner and must develop your business. Start by serving beers in a simple bar, hire waiters, unlock new drinks, expand your bar, and buy new bars in the city!
Why similar: Simulation 18.4%, Life Sim 16.9%, Strategy 14%, Casual 10%, Economy 9.3%
- #42 Sapiens Craft
72% matchPositive80% of 25 reviews2023
Dev: Abra24
Windows
Begin as a small stone age tribe. End as a global super power in a future age. Craft and research your way through history!
Why similar: Colony Sim 31.7%, Simulation 18.6%, Time Management 17.4%, Idler 15.4%, Strategy 13%
- #43 Zoo Park Story
71% matchVery Positive89% of 115 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Well, what are you waiting for? Build a top-ranking zoo, set social media ablaze, and show the world your wild side!
Why similar: Colony Sim 34.9%, Life Sim 16.6%, Simulation 12.8%, Strategy 12.2%, Casual 7.3%
- #44 Coin idle
70% matchMixed40% of 15 reviews2025
Dev: Spaghetti
Windows
Get rich quick with our Coin Idle clicker game. Every 3 hours, you can collect up to 9 coins to grow your fortune!
Why similar: Life Sim 23.6%, Strategy 22.5%, Idler 20.1%, Casual 14.8%, Simulation 14%
- #45 The Colony
73% matchMostly Negative32% of 22 reviews2018
Dev: Rusty Swain
Windows
The Colony is a city building game where the player must manage their resources in order for the population to survive and thrive. Constructing buildings and assigning jobs to villagers, you can gather resources like wood, food, stone, tin, and copper and use them to grow your village.
Why similar: Colony Sim 65.7%, Strategy 17.2%, Simulation 17.1%
- #46 Sim Hospital
70% matchMixed54% of 46 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 39.4% ★, Life Sim 16.8%, Time Management 12.9%, Simulation 12%, Casual 6.9%
- #47 World Cruise Story
71% matchVery Positive96% of 76 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
Captain a luxury cruise liner, sailing the entire world while entertaining VIPs!
Why similar: Colony Sim 39.1%, Simulation 21.5%, Strategy 19.9%, Casual 13.7%, Building 4.9%
- #48 Nursing Simulator—Code Ube
69% matchNo user reviews100% of 3 reviews2026
Dev: Mobile Nursing LLC
Windows · Mac · Linux
When things aren't as they seem, nobody stands against fate but one nurse. Play as Karen—a nurse who saves lives and kicks butt! Complete tasks, give meds, and document assessments. But when night comes, beware of those who try to steer you away from what's right.
Why similar: Medical Sim 52.2% ★, Life Sim 24.4%, Simulation 22.6%, Indie 0.8%
- #49 Idle Grid
69% matchMixed64% of 50 reviews2025
Dev: Lake Country Games
Windows
Build and optimize your industrial empire in this grid-based idle game. Place factories, power plants, and research labs strategically to maximize efficiency through adjacency bonuses. Upgrade your buildings, manage power consumption, and watch your profits soar while you're away.
Why similar: Colony Sim 21.6%, Idler 15.6%, Time Management 13.6%, Life Sim 12%, Automation 11.9%
- #50 Village Flow
67% match7 user reviews43% of 7 reviews2026
Dev: Axiom17
Windows
Manage the production of your village's resources in this minimalist incremental game. Assign villagers to jobs, balance production and resources, and weather the seasons. Hunger, cold, and disease threaten your people.
Why similar: Colony Sim 24.5%, Idler 18.5%, Time Management 14.1%, Automation 13.4%, Strategy 8.1%
- #51 Idle Colony
67% matchVery Positive82% of 570 reviews2024
Dev: Faith G.
Windows
Median: 8.1 hrsMean: 21.5 hrs≥1hr: 89%
A condensed incremental experience, where you build a colony to collect and merge bigger and bigger fruits. Combine game-changing technologies and special upgrades to find the best synergies and take your cash flow to another dimension.
Why similar: Colony Sim 26.1%, Idler 15.8%, Automation 13.6%, Strategy 9.7%, Economy 8%
- #52 Vital Signs: Emergency Department
70% matchMixed57% of 74 reviews2020
Dev: BreakAway Games
Windows · Mac
Play a doctor in Vital Signs: Emergency Department and challenge your medical knowledge to help treat a wide array of cases who come into the ER.
Why similar: Medical Sim 51.1% ★, Time Management 17.5%, Education 13.5%, Simulation 9.9%, Stylized 4.4%
- #53 Biz Builder Delux
68% matchPositive83% of 46 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Run any store you like to build up your own buzzing business burg!
Why similar: Colony Sim 32.1%, Simulation 19.6%, Strategy 17%, Life Sim 16.3%, Casual 10.5%
- #54 Bonfires of Azure
68% matchNo user reviews
Dev: Pixel Cloud
Windows
Embark on a cozy journey to settle and thrive on floating islands in the remnants of a ruptured world. Grow your village, manage resources, and become the renowned pioneer of the clouds. A relaxing city-building experience where you build and optimize your serene sanctuary in the skies.
Why similar: Colony Sim 37.1%, Idler 20.4%, Strategy 12.7%, Top-Down 6.8%, Casual 6.5%
- #55 Weedcraft Inc
68% matchVery Positive80% of 1,685 reviews2019
Dev: Vile MonarchPub: Devolver Digital
Windows · Mac
Median: 4.7 hrsMean: 11.2 hrs≥1hr: 89%
Weedcraft Inc explores the business of producing, breeding and selling weed in America, delving deep into the financial, political and cultural aspects of the country's complex relationship with this troublesome and promising plant.
Why similar: Medical Sim 31.9% ★, Simulation 28.9%, Strategy 25.3%, Management 7.2%, Casual 2.8%
- #56 My Tiny Grocery Store - Desktop Idle Supermarket Game
66% matchMostly Positive75% of 19 reviews2026
Dev: Musa GUNGOR
Windows
My Tiny Grocery Store is an idle shopping simulator located in the bottom right corner of your screen that allows you to manage your store while also completing other tasks! Design your store, arrange your shelves, and enjoy earning money.
Why similar: Idler 23.5%, Automation 16.7%, Simulation 16.3%, Strategy 12.3%, Life Sim 6.8%
- #57 Hollowforge
67% matchNo user reviews
Dev: pixelwide
Windows
Manage an expedition of dwarves as they build out a colony under the surface in this incremental game. Assign your dwarves to farm food, forge runes, hunt trolls and mine ore!
Why similar: Colony Sim 38.4%, Strategy 17.9%, Idler 17.2%, Casual 11.5%, Simulation 5.2%
- #58 Agromatic
67% matchNo user reviews2026
Dev: Gimcraft
Windows
Automated farming sim where specialized workers handle all tasks while you focus on strategic decisions. Design efficient layouts, manage supply chains across zones, and optimize your growing operation.
Why similar: Colony Sim 32.9%, Time Management 15.2%, Simulation 11.3%, Strategy 10.6%, Automation 7.2%