- #1 Plague Architect
97% matchNo user reviews
Dev: IndividualKex
Windows
Plague Architect is a strategic outbreak simulator set in a mall. Evolve symptoms and abilities to spread infection. Watch chaos unfold.
Why similar: Outbreak Sim 45.1% ★, Post-apocalyptic 10.8%, Tactical 7.8%, Strategy 6.8%, Simulation 6.6%
- #2 Plague Inc: Evolved
96% matchVery Positive94% of 62,039 reviews2016
Dev: Ndemic Creations
Windows · Mac · Linux
Median: 5.1 hrsMean: 16.9 hrs≥1hr: 89%
Plague Inc: Evolved is a unique mix of high strategy and terrifyingly realistic simulation. Your pathogen has just infected 'Patient Zero' - now you must bring about the end of human history by evolving a deadly, global Plague whilst adapting against everything humanity can do to defend itself.
Why similar: Outbreak Sim 57.1% ★, Strategy 11.8%, Simulation 8.5%, Tactical 5.4%, Post-apocalyptic 4.3%
- #3 Quarantine
96% matchMixed60% of 437 reviews2017
Dev: SproingPub: 505 Games
Windows
Median: 48 minMean: 3.2 hrs≥1hr: 40%
Quarantine is an intense turn-based strategy game about waging war on pandemic disease. Recruit a team of specialized operatives to deploy on worldwide missions. Research the contagion, upgrade your tech, and quarantine the outbreak before it kills us all.
Why similar: Outbreak Sim 61.1% ★, Strategy 8.9%, Tactical 8%, Turn-Based Strategy 6.8%, Simulation 5.8%
- #4 40 Days [四十天]
95% matchMixed50% of 12 reviews2017
Dev: Black Phoenix Studio
Windows · Mac
40 Days is a special strategy simulation game related to infectious diseases spread all over the city. You, as ahead of the quarantine department, have been given full authority and manpower to contain the city, deal with different parties, virus in the city and most importantly find out the cure.
Why similar: Outbreak Sim 79.5% ★, Strategy 7.8%, Simulation 7.2%, Difficult 3.9%, Indie 1.6%
- #5 Trojan Inc.
94% matchMostly Negative36% of 33 reviews2017
Dev: WalkBoy Studio
Windows
Will you be able to infect all devices of the world? «Trojan Inc.» - simulator, which will involve you in a world of computer viruses and trojans.
Why similar: Outbreak Sim 80.4% ★, Strategy 9.4%, Simulation 8.4%, Indie 1.8%
- #6 Infect and Destroy
94% matchMostly Negative36% of 58 reviews2015
Dev: FarrugiaSoft
Windows · Linux
Play as the zombies! Infect and Destroy is an indie game in which you play as an infectious disease with the sole purpose of eliminating everyone on Earth. Play as an ultra-intelligent self-aware virus capable of reanimating the dead and turning them into your minions.
Why similar: Outbreak Sim 76.8% ★, Strategy 8%, Simulation 7.2%, Casual 3.5%, Survival 2.9%
- #7 Evil Labs
93% matchMixed70% of 82 reviews2018
Dev: Mirabolis Studios
Windows
Median: 4.3 hrsMean: 5.6 hrs≥1hr: 96%
Evil Labs is a game about building and managing your own Evil Laboratory. Research and develop diseases, infect people, sell the cure and get rich!
Why similar: Outbreak Sim 78.6% ★, Strategy 9.2%, Simulation 9.1%, Indie 1.8%, Singleplayer 1.3%
- #8 Warranted Humanity
92% matchPositive92% of 12 reviews2025
Dev: Jovano Software
Windows
Warranted Humanity is a post-apocalyptic 2D side scroller where choices matter. Fight different infected and rival factions, scavenge, skill up, craft, manage your shelter and other survivors, all in a race against time to ensure humanity’s survival before everyone is irreversibly infected.
Why similar: Outbreak Sim 46% ★, Post-apocalyptic 13.5%, Survival 7.4%, Difficult 6.7%, Strategy 6.4%
- #9 Infectonator 3: Apocalypse
91% matchVery Positive84% of 1,319 reviews2018
Dev: Toge ProductionsPub: Armor Games Studios
Windows · Mac
Median: 4.0 hrsMean: 6.0 hrs≥1hr: 87%
A campy, crazy pixelart zombie apocalypse arcade sim where you're the bad guy. Drop your virus and spread it across the globe while you unlock a whole horde of bizarre undead to do your bidding.
Why similar: Outbreak Sim 63.2% ★, Difficult 7.7%, Strategy 7.2%, Simulation 6.1%, Tactical 5.3%
- #10 Just A Flu
91% matchNo user reviews
Dev: TheSociopathSoftware
Windows
Just A Flu is a strategy simulation game about fighting the deadly fast spreading disease. Decide how to deal with infected people, when to close transport hubs, declare quarantine, or lockdown. Can you not only stop pandemic but avoid panic and not destroy the economy, causing more harm?
Why similar: Outbreak Sim 49.3% ★, Resource Management 9.4%, Sandbox 8.9%, Strategy 8.4%, Simulation 7.8%
- #11 Garden Apocalypse
90% matchNo user reviews
Dev: OMEGABYTE
Windows
Once a thriving alien world, now a vast desert—devoured by the relentless Swarm. These towering insect invaders have left only scattered oases and buried ruins. Grow food, craft powerful resources, and uncover lost secrets to push back against the tide and restore balance to a dying world.
Why similar: Outbreak Sim 60.8% ★, Sandbox 10.5%, Post-apocalyptic 9%, Strategy 8.7%, Survival 7.2%
- #12 Chernobyl 1986
89% matchNo user reviews
Dev: Detalion Games S.A.
Windows
Chernobyl 1986 is a decision-based game about one of the largest nuclear power plant disasters in history. Play as the manager of a nuclear power plant in a time of a serious crisis that can cost millions of lives.
Why similar: Outbreak Sim 32.8% ★, Post-apocalyptic 12.7%, Difficult 8.4%, Turn-Based Strategy 7.6%, Resource Management 7.2%
- #13 Commander: Zombie Wars
89% match8 user reviews38% of 8 reviews2023
Dev: GoldenGod Games
Windows · Mac · Linux
Embark on a gripping turn-based tactical game in a zombie-infested world. Choose survivors or zombies. Gather resources, recruit allies, and strategize against the undead or join the undead. Shape custom maps, and decide the fate of the world. Join the fight now!
Why similar: Outbreak Sim 41.6% ★, Post-apocalyptic 9.7%, Turn-Based Strategy 9.1%, Sandbox 8.7%, Tactical 7.1%
- #14 DeadOS
87% matchVery Positive99% of 172 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 84.5% ★, Simulation 6.3%, Sandbox 4.3%, Survival 2.7%, Indie 1.4%
- #15 Virus Petya
88% matchMixed57% of 39 reviews2018
Dev: Laush Dmitriy SergeevichPub: Laush Studio
Windows
Median: 24 minMean: 4.5 hrs≥1hr: 38%
Virus Petya - a simulator of the system administrator. In this game you need to run from one computer to another, to remove from the computer a terrible virus "PETYA". But it's not easy, because with each attempt of the virus to infect the computer, the virus gets closer to the end of his successful work
Why similar: Outbreak Sim 79.3% ★, Simulation 10.1%, Atmospheric 2.9%, Indie 2.3%, 2D 2.2%
- #16 Theology - Religion Creator
86% matchNo user reviews
Dev: Dead Team
Windows
Create your very own religion and make history by dominating the whole wide world! Define your dogmas and wage holy wars on land, sea, and in the sky. Convert as many as you can to your belief system!
Why similar: Outbreak Sim 41.2% ★, Simulation 10.8%, Difficult 9.5%, Sandbox 8.6%, Realistic 7.4%
- #17 Alarm112: Fire Unit
86% matchNo user reviews2026
Dev: Control Room Labs
Windows
Command fire rescue operations under pressure. Receive emergency calls, dispatch units and make critical decisions in a realistic emergency response strategy simulation.
Why similar: Outbreak Sim 41.3% ★, Strategy 14.3%, Simulation 14%, Tactical 12.2%, Resource Management 10.3%
- #18 I Am Zombie
85% matchNo user reviews
Dev: WarmZombie
Windows
This is an RPG game where you will follow our protagonist to fight and save lives!
Why similar: Outbreak Sim 68.2% ★, Post-apocalyptic 17.7%, Simulation 8.8%, Survival 3.9%, Indie 0.7%
- #19 Angry Mother Earth
84% matchNo user reviews2026
Dev: Ice Quake GamesPub: Ice Quake Studios
Windows
Angry Mother Earth offers a one-of-a-kind strategy experience within an fully simulated world. Wield and merge a variety of abilities to release cataclysmic forces—ranging from hurricanes and earthquakes to blizzards—upon the world of humans. But be warned: humanity won't go down without a fight!
Why similar: Outbreak Sim 40% ★, Post-apocalyptic 16.2%, Tactical 11.8%, Strategy 9.1%, Simulation 7.7%
- #20 A Game About AI
84% matchNo user reviews2026
Dev: TaleHammer
Windows
Build the machine that consumes the world. Expand your AI infrastructure, drain resources, and destabilize humanity as systems spiral into collapse, water runs dry, wars ignite, and nothing can stop what you've set in motion.
Why similar: Outbreak Sim 62% ★, Strategy 10.5%, Post-apocalyptic 10.4%, Resource Management 9%, Simulation 6%
- #21 Barricade Protocol
83% matchNo user reviews
Dev: Analiz Games
Windows
Barricade Protocol: Survive in the world's last bastion, the Vera Hospital. Farm on the rooftops, generate power on balconies, and transform patient rooms into shops to build your own vertical city within the hospital corridors.
Why similar: Outbreak Sim 50% ★, Post-apocalyptic 17.9%, Survival 9.4%, Simulation 8.4%, Resource Management 7.6%
- #22 Prisoners Hunt
82% match2 user reviews100% of 2 reviews2024
Dev: Leclerc Alexandre
Windows
Fulgeonix criminals, made of pure energy, escape and sow chaos. Hunted by the Chaenombrus, guardians who can make themselves invisible, they must use their transformative powers to survive. In “Prisoners Hunt”, every escape is a fight for freedom.
Why similar: Outbreak Sim 59.4% ★, Sandbox 13.8%, Post-apocalyptic 13%, Realistic 8.6%, Survival 4.2%
- #23 Quarantine Zombies
82% matchMixed57% of 60 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 65.5% ★, Post-apocalyptic 11.4%, Survival 8.4%, Simulation 6.5%, Realistic 4.3%
- #24 Simulator Z
81% matchPositive91% of 35 reviews2023
Dev: CASHPub: GorillaGamesStudio
Windows
A world where you can create your own zombie apocalypse to your liking!
Why similar: Outbreak Sim 67.4% ★, Simulation 15.4%, Sandbox 14.2%, Singleplayer 1.8%, Indie 1.2%
- #25 The Fabulous Fear Machine
79% matchVery Positive90% of 561 reviews2023
Dev: Fictiorama StudiosPub: AMC Games
Windows · Mac
Median: 4.0 hrsMean: 6.6 hrs≥1hr: 82%
The Fabulous Fear Machine is a narrative-driven strategy game with a pulp horror style. As the Machine's new Master, you must sow fear and expand your influence by creating Legends, harvesting resources, manipulating events, and spying on your enemies.
Why similar: Outbreak Sim 59% ★, Difficult 10.5%, Strategy 7.4%, Simulation 6.9%, Choices Matter 6%
- #26 The Outbreak Guardian
81% match4 user reviews50% of 4 reviews2022
Dev: Vanilla Cookys
Windows
The Outbreak Guardian is a third person open-world game where you are in charge of ensuring the welfare of the citizens of Patriam by managing the city's resources, which involves delivering equipment and some skilled driving.
Why similar: Outbreak Sim 61.3% ★, Sandbox 10.9%, Survival 8%, Strategy 7%, Choices Matter 5.7%
- #27 Constant Pressure
80% matchNo user reviews
Dev: ganduspl
Windows
After a nuclear disaster, you must take cover in an abandoned bunker. Play with friends, gather supplies by day and fight fearsome creatures by night.
Why similar: Outbreak Sim 52.9% ★, Post-apocalyptic 20.5%, Survival 10.5%, Strategy 7.9%, Simulation 7.5%
- #28 STAND: Survive, Team-up, And Never Die
78% matchMixed69% of 32 reviews2025
Dev: Perk-CitronPub: Studio Jylko
Windows
Team up with survivors, customize your character, and combine over 70 weapons and items to defend your central tower against endless waves of enemies. Choose your skills, craft insane synergies, and unleash chaos in intense bullet-hell combat.
Why similar: Outbreak Sim 57% ★, Post-apocalyptic 12%, Survival 7.9%, Strategy 6.6%, Realistic 5.5%
- #29 Isolate ME!
79% match2 user reviews100% of 2 reviews2022
Dev: LBeastwood
Windows
An exciting survival game with roguelike elements in which you have to play as a police officer in a city engulfed by a pandemic, look for infected people and isolate them, manage the budget and hire police officers, set up vaccination centers and propaganda stands.
Why similar: Outbreak Sim 66.7% ★, Simulation 11.1%, Tactical 7.6%, Casual 5.7%, Survival 4.7%
- #30 Post-Apo Builder: Prologue
78% matchMixed69% of 434 reviews2023
Dev: Septarian Games
Windows
Discover a post-apocalyptic world Collect resources and manage people Build your colony on the remains of an oil tanker Prepare supplies and vehicles for a dangerous expedition. Complete challenging tasks from the council of elders
Why similar: Outbreak Sim 63.2% ★, Post-apocalyptic 12.4%, Strategy 10.6%, Realistic 5.3%, Resource Management 3.6%
- #31 Safe House
77% matchNo user reviews2026
Dev: Mike Hvll
Windows
Survive the plague. Manage a Safe House. Decide who to trust. A cinematic, story-driven psychological horror with multiple endings.
Why similar: Outbreak Sim 47.2% ★, Post-apocalyptic 13.2%, Resource Management 9.3%, Realistic 8.5%, Survival 7.7%
- #32 Colonies of The Remnant
77% matchNo user reviews2026
Dev: Cat Soul Studios
Windows
In a post-apocalyptic world build and lead your own colony under the constant threat of the undead. Recruit survivors, assign roles and decide how your group survives. Fight enemy colonies or form alliances in FPS or TPS combat.
Why similar: Outbreak Sim 46.1% ★, Post-apocalyptic 19.8%, Sandbox 11.7%, Survival 8.9%, Realistic 6.8%
- #33 Dead Hourz
75% match6 user reviews50% of 6 reviews2025
Dev: Raycand Games
Windows
"Dead Hourz" is a thrilling survival adventure set in a post-apocalyptic world. In a land ravaged by zombies, bandits, and scarcity, you must protect your family by gathering resources and making tough choices.
Why similar: Outbreak Sim 48% ★, Post-apocalyptic 21%, Survival 9.6%, Simulation 8.5%, Resource Management 7.2%
- #34 War Of The Zombie
76% matchMostly Positive70% of 67 reviews2018
Dev: Van der Veer Games
Windows · Mac
War of the Zombie brings together the best of turn-based simulation and real-time strategic gameplay action across the entire world at the very start of a mysterious undead outbreak.
Why similar: Outbreak Sim 73.9% ★, Strategy 13.9%, Simulation 12.2%
- #35 Virus Lab
75% matchNo user reviews
Dev: Virus Lab
Windows
Virus Lab is a first-person simulation where you run a high-security research facility. Play solo or team up in co-op with up to 3 friends. Handle dangerous samples, manage scientists and equipment, prevent containment breaches, and push research forward under constant pressure.
Why similar: Outbreak Sim 57.9% ★, Simulation 14.1%, Sandbox 13.2%, Realistic 7.8%, Resource Management 5%
- #36 Overland
74% matchMostly Positive75% of 561 reviews2019
Dev: Finji
Windows · Mac · Linux
Median: 2.2 hrsMean: 6.7 hrs≥1hr: 72%
Take care of a group of travelers on a post-apocalyptic road-trip across the United States in this turn-based survival game.
Why similar: Turn-Based 29%, Post-apocalyptic 28.7%, Strategy 16.4%, Survival 12.1%, Tactical 6.5%
- #37 Total City Defence
73% matchNo user reviews2025
Dev: Imprint Gaming
Windows
Total City Defense is a zombie themed survival game where you must complete each level to progress. Using the mouse and keyboard you control various units, including Troops, Turrets and Drones to make your way through each level rescuing civilians, VIPS and destroying enemy strong holds.
Why similar: Outbreak Sim 60.2% ★, Post-apocalyptic 12.5%, Strategy 10.2%, Tactical 7.4%, Survival 3.4%
- #38 The Prepper
73% matchNo user reviews
Dev: Ruby Moon Games
Windows
The Prepper is a turn-based survival management game where you manage a bunker, ration supplies, and make tough choices to keep your survivors alive through a collapsing world. Every decision matters—how long can you survive?
Why similar: Outbreak Sim 49.2% ★, Post-apocalyptic 11.4%, Turn-Based Strategy 10.5%, Strategy 8.8%, Simulation 8.2%
- #39 Infection
73% matchNo user reviews2025
Dev: Fullar
Windows
Virus is spreading in this world, try to survive as long as possible. Avoid other or try to approach and cure them?
Why similar: Outbreak Sim 71.9% ★, Strategy 12.8%, Survival 9.8%, Casual 2.3%, 2D 1.9%
- #40 Wanna Survive
72% matchVery Positive93% of 301 reviews2019
Dev: PINIX
Windows · Mac
Median: 3.2 hrsMean: 26.3 hrs≥1hr: 81%
HIGH SPEED ZOMBIE TACTICS - Fight mobs of undead attacking from all sides in this streamlined turn-based tactics that emphasizes unit placement and synergies. Help the survivors live through fights and manage their rations to avoid permanent death, and they just might be able to reach the Sanctuary.
Why similar: Tactical 19.8%, Turn-Based 17.2%, Turn-Based Strategy 14.3%, Post-apocalyptic 13.9%, Difficult 13.7%
- #41 SGS Ashes of Dawn
71% matchNo user reviews
Dev: Strategy Game StudioPub: Avalon Digital
Windows · Mac
Ashes of Dawn 2040: a unique hybrid of turn-based post-apocalyptic wargame and board game. Total war in a irradiated Europe. NARDO (heir to NATO) against VARPAC (heir to the Warsaw Pact) with the choice of civilization or chaos. Simple to play but complex to master.
Why similar: Outbreak Sim 55.2% ★, Strategy 15%, Turn-Based Strategy 12.8%, Post-apocalyptic 10.1%, Atmospheric 3.3%
- #42 Mittelborg: City of Mages
72% matchMixed63% of 115 reviews2019
Dev: Armatur GamesPub: Asterion Games
Windows · Mac
Median: 3.0 hrsMean: 3.9 hrs≥1hr: 87%
Mittelborg: City of Mages is a strategic adventure with elements of rogue-like and resource management. You are crowned to be Chancellor of the city, but this power is a heavy burden. Face tough decisions, fight mystical tempests, look for the cause of upcoming chaos. Will Mittelborg have a future?
Why similar: Turn-Based 21.3%, Strategy 13.8%, Simulation 11.8%, Tactical 10.9%, Survival 7.9%
- #43 Bio Inc. Redemption
71% matchVery Positive87% of 3,086 reviews2018
Dev: DryGin Studios
Windows
Median: 2.4 hrsMean: 5.9 hrs≥1hr: 73%
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: Outbreak Sim 50.6% ★, Post-apocalyptic 11.2%, Difficult 9.2%, Sandbox 8.9%, Strategy 7%
- #44 SNOW HELL
70% matchNo user reviews
Dev: SURVGAME
Windows
The crash is just the beginning. Trapped in the frozen hell of Siberia, you must fight for every single day. Use the wreckage, build shelter, find food, and face deadly threats. Rescue may never come – how long can you survive?
Why similar: Outbreak Sim 58.4% ★, Sandbox 12.5%, Realistic 9.6%, Simulation 9.1%, Survival 6.3%
- #45 Pathogen-病原体
71% matchMostly Positive76% of 21 reviews2019
Dev: 折翼的红领巾
Windows
"Pathogen" is a STG game base on real human body with little Rogue-Like element. You can propagate evolve infect and hide as different kinds of pathogens in human body.
Why similar: Outbreak Sim 83.5% ★, Simulation 13.6%, Indie 3%
- #46 Hours 2–4: Dead City Protocol
70% matchNo user reviews
Dev: NateProductionsInc
Windows
When the City Burns, the Truth Hides in the Dark. Hours 2–4: Dead City Protocol is a Third-Person Tactical Shooter where Cops, SWAT, & National Guard fight a Spreading Outbreak—and Government Forces sent to erase it. Survive Early Hours of Outbreak, ambushes, and a lethal cover-up.
Why similar: Outbreak Sim 60.4% ★, Tactical 14.2%, Strategy 10.5%, Simulation 8.9%, Atmospheric 5.1%
- #47 Post-Apo Builder
68% matchMixed42% of 66 reviews2025
Dev: Septarian GamesPub: PlayWay S.A.
Windows
Build your own city in a post-apocalyptic future. Scavenge and fight for resources, everything counts! Restore civilization on the ashes of the fallen world! Explore wastelands to gather resources, protect and take care of your people! Fight off raiders, wild tribesman and natural disasters.
Why similar: Outbreak Sim 46.5% ★, Post-apocalyptic 18.5%, Sandbox 10.6%, Strategy 8.4%, Tactical 4.9%
- #48 Survival Instinct
69% matchNo user reviews
Dev: Wenay Studio
Windows
You are the lucky one (or not) who managed to survive the most powerful solar flare in history and then plunge headlong into the permafrost. Can you adapt to the new conditions on Earth without losing your sanity and retaining your humanity?
Why similar: Post-apocalyptic 17%, Tactical 12%, Difficult 10.6%, Realistic 10.2%, Survival 9.2%
- #49 Pandemic Crisis
69% match9 user reviews100% of 9 reviews2020
Dev: Thor Gaming
Windows
In the event of a global pandemic, would your first priority be preserving lives or saving the economy?
Why similar: Outbreak Sim 60.7% ★, Strategy 9.1%, Simulation 8.6%, Resource Management 8.5%, 2D 3.8%
- #50 Genesia Legacy: Ultimate Domain
70% matchMixed67% of 75 reviews2017
Dev: Thomas ZIGHEM
Windows
Successor of "old school" games, Genesia Legacy is a challenging and punitive turn-based strategy game, easy to learn but hard to master.
Why similar: Strategy 21.2%, Turn-Based 21%, Turn-Based Strategy 13.6%, Difficult 11.8%, Resource Management 9.3%
- #51 Breach & Clear
69% matchVery Positive82% of 2,428 reviews2014
Dev: Mighty Rabbit StudiosPub: Gun Interactive
Windows · Mac · Linux
Median: 2.6 hrsMean: 4.4 hrs≥1hr: 89%
Breach & Clear brings deep tactical strategy simulation to PC, Mac and Linux! Build your Special Operations team, plan and execute advanced missions, and own every angle.Choose your real-world squad -- US Army Rangers, Germany's KSK, Canada’s JTF2, UK SAS, and more -- and take on a variety of foes with different skill-sets and...
Why similar: Tactical 33.3%, Strategy 20%, Turn-Based 18.1%, Turn-Based Strategy 16.2%, Simulation 8.4%
- #52 Survivor's Notes
68% matchNo user reviews2026
Dev: MYSTERY CROWN
Windows
"Survivor's Notes" is an FMV . Players control two protagonists, using choices and QTEs to unlock diverse story branches and endings. When a doomsday-dreaming civilian meets an apocalypse survivor, time, memory and fate intertwine. They seek truth in a crumbling city, closing in on a buried answer.
Why similar: Outbreak Sim 60.3% ★, Post-apocalyptic 15.3%, Survival 8.6%, Simulation 6.8%, Choices Matter 5.6%
- #53 传染病/Infectious Disease
68% matchNo user reviews2026
Dev: YANG
Windows
Player controls the virus particle, from the upper respiratory tract, destroying human alveolar cells, icontinuously replicating the virus, entering the human blood circulation system, breaking through the blood-brain barrier, reaching the neurons and infecting the neurons.
Why similar: Outbreak Sim 66% ★, Survival 9.6%, Resource Management 7.3%, Strategy 6.5%, Simulation 4.3%
- #54 The Crawling Dead
66% matchPositive85% of 13 reviews2025
Dev: Quinton Van Lom
Windows
Design, deploy, and manage the release of parasitic wasps to save a national park from invasive insect pests. Harness the power of nature’s most efficient killers to strike back at the invaders and turn them into The Crawling Dead!
Why similar: Outbreak Sim 69.6% ★, Strategy 9%, Difficult 8.8%, Simulation 6.2%, Choices Matter 3.5%
- #55 Dyin To Live
67% match1 user reviews100% of 1 reviews2023
Dev: Roguedolike
Windows
A contagious puzzle game where death is the only way to live! Use infectious abilities to expand your virus hive mind. But spread carefully, because each ability results in your host’s death! Master your deadly skills so you can live another day.
Why similar: Outbreak Sim 75.2% ★, Strategy 17.9%, 2D 4.4%, Singleplayer 1.3%, Indie 1.2%
- #56 Moonlit Nights
67% matchNo user reviews
Dev: Umut Bora
Windows · Mac · Linux
Moonlit Nights is a base management game set in a zombie apocalypse world. Form raiding parties and send them out to gather supplies, deal with mysterious visitors, and make difficult choices. How many days can you survive, or can you be freed and return to your normal life? Make your choice wisely.
Why similar: Outbreak Sim 67.6% ★, Strategy 12%, Post-apocalyptic 8.3%, Survival 5.3%, 2D 3.1%
- #57 Autism, ADHD and Syphilis
65% match3 user reviews100% of 3 reviews2026
Dev: ProgenitorWorks
Windows
Can you survive a 40-day long zombie outbreak with acute ADHD and autism? Richard Cox II is going to answer this question in the sequel to the acclaimed survival game, Blind and Schizophrenic. Resist the forces of autism, ADHD and mutated tertiary syphilis to emerge from the apocalypse a better man.
Why similar: Outbreak Sim 44.9% ★, Strategy 12%, Survival 11.8%, Simulation 11.3%, Resource Management 6.6%
- #58 VIRUS OF SURVIVORS:LIFE SIMULATOR
67% match1 user reviews0% of 1 reviews2017
Dev: Theodor Niklas
Windows · Mac
VIRUS OF SURVIVORS:LIFE SIMULATOR is a brand new simulation game, where you can explore the human body and fight against viruses and infections .The game begins on the emergency class, where a sick man lies, who waiting for a medicine of vital… You will be the medicine capsule which can redound the healing, and you enter into the human...
Why similar: Outbreak Sim 77.6% ★, Simulation 22.4%