- #1 Autopsy Simulator
97% matchMixed51% of 1,516 reviews2024
Dev: Woodland GamesPub: Team17 Digital Ltd
Windows
Median: 4.4 hrsMean: 4.9 hrs≥1hr: 81%
Autopsy Simulator is a first-person horror-sim hybrid where players take on the role of a practice pathologist and study case files, created in collaboration with real-world forensic doctors, to help guide their dissection of anatomically accurate bodies to determine each subject’s cause of death.
Why similar: Medical Sim 29% ★, Blood 17.6% ★, Gore 16.7%, Simulation 12.4%, Mature 7.6%
- #2 Mutilate-a-Doll 2
96% matchVery Positive93% of 1,733 reviews2019
Dev: Rava Games
Windows
Median: 3.4 hrsMean: 15.8 hrs≥1hr: 74%
A highly customizable virtual stressball and physics sandbox about mutilating ragdolls in various ways using an overwhelming amount of weapons and tools.
Why similar: Blood 32.6% ★, Gore 21.8%, Sandbox 13.5%, Physics 10.4%, Simulation 8.9%
- #3 People Playground
96% matchOverwhelmingly Positive98% of 308,374 reviews2019
Dev: mestiezPub: Studio Minus
Windows
Median: 7.9 hrsMean: 53.6 hrs≥1hr: 84%
Shoot, stab, burn, poison, tear, vaporise, or crush ragdolls in a large open space.
Why similar: Blood 28.9% ★, Gore 18.9%, Moddable 18.7% ★, Sandbox 12.6%, Physics 8.6%
- #4 RAGDORE
95% matchVery Positive83% of 159 reviews2025
Dev: GreenGO
Windows
RAGDORE is a physics-driven sandbox where limbs fly, bones snap, and movement changes with every injury. Experiment with traps, crushers, trampolines, and more in colorful maps designed for creative destruction and dynamic ragdoll mayhem.
Why similar: Blood 29.9% ★, Gore 28.7%, Sandbox 9.7%, Realistic 8.4%, Physics 8.3%
- #5 Ripperdoc Simulator
94% matchMostly Positive75% of 12 reviews2025
Dev: Kool2Play
Windows
In Ripperdoc Simulator, you are the surgeon of the shadows. In the front, you run a dingy electronics shop in a crime-ridden district. In the back, you perform illegal implantations on desperate clients seeking power, beauty, or survival — no matter the cost.
Why similar: Medical Sim 33.8% ★, Cyberpunk 22.4%, Gore 11.4%, Management 10.1%, Simulation 9.6%
- #6 Reanimation Inc.
94% matchVery Positive84% of 129 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 57.3% ★, Gore 22.1%, Simulation 14.7%, Indie 5.9%
- #7 SEX HELL 👹
93% matchMostly Negative37% of 183 reviews2022
Dev: Octo Games
Windows
Median: 3.5 hrsMean: 4.7 hrs≥1hr: 82%
SEX HELL 👹 is a first-person shooter arena in the horror style. While playing on each level you have to fight with the boss to get a variety of adult scenes
Why similar: Blood 29.4% ★, Gore 16.6%, Cyberpunk 12.4%, Mature 9.4%, Sci-fi 8.3%
- #8 Two Point Hospital
92% matchVery Positive92% of 34,380 reviews2018
Dev: Two Point StudiosPub: SEGA
Windows · Mac · Linux
Median: 5.5 hrsMean: 34.9 hrs≥1hr: 89%
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 50% ★, Management 18.8%, Simulation 13.5%, Building 9.4%, Sandbox 5.4%
- #9 Kaiju Cleanup
91% matchNo user reviews
Dev: Brightrock GamesPub: Mythwright
Windows
Relax and unwind by cleaning up the world’s biggest corpses either solo or co-op. In a Cleaning Sim like no other, your job is to slice up and tidy away Kaiju carcasses, leaving the city clean and serene. Until the next Kaiju attack, obviously.
Why similar: Gore 18.2%, Cyberpunk 18.2%, Simulation 8.9%, Sandbox 8.8%, Realistic 8.3%
- #10 Happy Room
91% matchVery Positive91% of 2,966 reviews2016
Dev: Mana Potion Studios
Windows · Mac · Linux
Median: 3.7 hrsMean: 21.0 hrs≥1hr: 88%
Welcome to the laboratory! Here tests are taken upon highly durable human clones using newest weapon technologies. Your goal is to head these tests.
Why similar: Gore 31%, Blood 29.4% ★, Simulation 13.6%, Sandbox 11.3%, Physics 6.5%
- #11 Viscera Cleanup Detail: Santa's Rampage
90% matchVery Positive91% of 5,895 reviews2013
Dev: RuneStorm
Windows
Median: 1.8 hrsMean: 3.9 hrs≥1hr: 64%
Tragedy! Santa; the toy giving folk-hero, and purveyor of fine Christmas goods, has had enough. Endless requests from greedy children wanting more and more every year, tax increases, pressure from elf unions, bills, reindeer!
Why similar: Blood 38.3% ★, Gore 31.3%, Simulation 13.7%, First-Person 6.2%, Physics 4.7%
- #12 Viscera Cleanup Detail
89% matchVery Positive92% of 23,395 reviews2015
Dev: RuneStorm
Windows · Mac
Median: 4.3 hrsMean: 13.4 hrs≥1hr: 88%
In Viscera Cleanup Detail, you step into the boots of a space-station janitor tasked with cleaning up after various horrific sci-fi horror events. Instead of machineguns and plasma-rifles, your tools are a mop and bucket. That hero left a mess, and it's up to you to deal with the aftermath.
Why similar: Gore 31%, Blood 20% ★, Simulation 16.9%, Physics 8.7%, First-Person 8.4%
- #13 STANDBOX
89% matchVery Positive92% of 2,818 reviews2023
Dev: RealityBeholder
Windows
Median: 4.1 hrsMean: 6.9 hrs≥1hr: 78%
STANDBOX is a single-player physics sandbox about bullying a ragdoll. Shoot him, push him, watch him get back up until he doesn't.
Why similar: Blood 27.4% ★, Gore 22.4%, Sandbox 14.6%, Physics 11.9%, Moddable 9.1% ★
- #14 Viscera Cleanup Detail: Shadow Warrior
88% matchVery Positive81% of 4,585 reviews2013
Dev: RuneStormPub: Devolver Digital
Windows
Median: 30 minMean: 2.8 hrs≥1hr: 39%
After the battle is over, someone has to cleanup the mess! Introducing Viscera Cleanup Detail: Shadow Warrior from RuneStorm, a unique crossover mini-game that combines the worlds of Viscera Cleanup Detail and Shadow Warrior.
Why similar: Simulation 35.3%, Blood 27.3% ★, Gore 24.1%, First-Person 7.5%, Indie 3.2%
- #15 Emergency Room Simulator
87% matchNo user reviews
Dev: Caipirinha GamesPub: Aerosoft
Windows
In Emergency Room Simulator, you become a dedicated doctor in the emergency room, responsible for diagnosing and treating patients as well as saving lives. This professional simulation offers an immersive experience of working in a fast-paced medical environment.
Why similar: Medical Sim 47.7% ★, Simulation 17.8%, Sandbox 13.1%, Realistic 9.4%, First-Person 7.3%
- #16 FRUKT
86% matchNo user reviews
Dev: tripledose
Windows
A voxel-based death sandbox. Shoot, dismember, and crush NPCs with realistic body physics.
Why similar: Blood 31.8% ★, Gore 30.5%, Sandbox 13.5%, Physics 10.2%, Simulation 8.2%
- #17 Dungeon Renovation Simulator
86% matchMixed53% of 64 reviews2024
Dev: Kodobur Games
Windows
Physics-based dungeon cleaning, in a medieval setting. Play as a Goblin cleaner, dive into messy dungeons, clean up, find loot, and become the ultimate dungeon master!
Why similar: Blood 25.8% ★, Gore 21.4%, Realistic 10.8%, Simulation 9.7%, Physics 8.3%
- #18 Donor Clinic Simulator
85% 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 44.8% ★, Management 18.6%, Simulation 18.2%, Realistic 9%, First-Person 6.3%
- #19 Pure Gore (Sandbox&Playground)
84% matchMixed56% of 18 reviews2023
Dev: Gaming-Apps.com
Windows
Pure Gore is a 2D physics action sandbox & people playground simulation, where you can build your own world.You can create or use pre-built vehicles, machinery, rockets, bombs and most importantly mutilate melons (fruit) with one of the over 100 elements. Its a steam port!
Why similar: Blood 36% ★, Gore 23.9%, Sandbox 11.5%, Physics 10.4%, Simulation 8.9%
- #20 Hospital Manager
84% matchMixed46% of 254 reviews2015
Dev: CCCPPub: Microids Indie
Windows · Mac
Median: 1.1 hrsMean: 9.5 hrs≥1hr: 56%
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 60.3% ★, Management 27.1%, Simulation 12.6%
- #21 Big Pharma
83% matchMostly Positive77% of 1,921 reviews2015
Dev: Twice CircledPub: Positech Games
Windows · Mac · Linux
Median: 5.8 hrsMean: 9.6 hrs≥1hr: 85%
What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?
Why similar: Medical Sim 42.9% ★, Management 18.4%, Moddable 13.8% ★, Simulation 9.8%, Sandbox 6%
- #22 Hospital Renovator
82% 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 44.2% ★, Realistic 12.1%, Management 11.7%, Simulation 10.3%, Sandbox 9.9%
- #23 Graveyard Simulator
82% matchNo user reviews
Dev: Hollow CrowPub: Ultimate Publishing
Windows
Graveyard Simulator is a simulation game focused on strategy, design, and moral choices as you transform an abandoned cemetery into a prestigious memorial site. Take on daily graveyard tasks and delve deep into humanity’s relationship with death.
Why similar: Moddable 28.6% ★, Medical Sim 25.2% ★, Physics 15%, Simulation 9.8%, Sandbox 9.2%
- #24 Winter Resort Simulator
81% matchVery Positive81% of 894 reviews2019
Dev: Simuverse InteractivePub: Aerosoft GmbH
Windows
Are you ready for the winter? Winter Resort simulator lets you operate detailed Doppelmayr cable cars and snow vehicles such as Pistenbully snowcats. Set in a realistic alpine landscape, you are responsible for managing your ski resort and keeping your guests happy.
Why similar: Moddable 26.6% ★, Simulation 17.8%, Management 14.5%, Realistic 11.2%, First-Person 6.6%
- #25 Cyborg_Lab
81% matchNo user reviews
Dev: 202-Six Studio
Windows
『Cyborg_Lab』is a first person 3D puzzle game.Players must solve about 30 physics puzzle, and find out a hidden secret behind the peace space station.
Why similar: Cyberpunk 37.1%, Futuristic 21.7%, Sci-fi 12.5%, First-Person 9%, Mature 7.4%
- #26 X-Ray Pet Hospital
79% matchNo user reviews
Dev: X-Ray Pet Hospital
Windows
Run your own animal hospital simulator and diagnose pets using real-time X-ray scanning. Inspect animals, uncover hidden objects, solve medical mysteries, and treat patients in this veterinary simulation game before it’s too late.
Why similar: Medical Sim 46.1% ★, Simulation 16.7%, Sandbox 13%, Management 9.3%, First-Person 6.2%
- #27 Freedom Isn't Free 资本之乱
79% match1 user reviews100% of 1 reviews2020
Dev: Pardinus
Windows · Linux
This game is only for those who willing to take challenge or hurt themselves.
Why similar: Gore 34.4%, Blood 22.1% ★, Cyberpunk 14.7%, Great Soundtrack 10.3%, Indie 6.4%
- #28 Future Love Space Machine : Glimmer Deck
78% matchMostly Positive72% of 180 reviews2020
Dev: Ripened Peach Entertainment
Windows
Future Love Space Machine: Glimmer Deck is a sci-fi character creator and sex simulator. With aliens, robots, humans, and more, all LGBTQIA+ friendly. Plus there's a space cat, so there's that.
Why similar: Cyberpunk 24.5%, Futuristic 16.9%, Realistic 11.6%, Sandbox 10.4%, Sci-fi 10.2%
- #29 DOOMED
78% matchMixed56% of 187 reviews2018
Dev: Bloody Pixel Games
Windows
Median: 36 minMean: 4.0 hrs≥1hr: 42%
DOOMED is a First Person Shooter with horror elements, heavily inspired by old-school shooter classics.
Why similar: Blood 31% ★, Gore 18.9%, Simulation 16%, Great Soundtrack 11.3%, Sci-fi 9.5%
- #30 Consternation II
77% matchVery Positive88% of 82 reviews2020
Dev: CrackedGhostGamesPub: Raster_Entertainment
Windows
After an unfortunate accident at Sorley Paper Mill, the facility was abandoned and left to rot. Multiple urban explorers venture into the facility, never to be heard from again. Police eventually walled off the mill in order to keep trespassers out... Or to keep something in...
Why similar: Blood 30.5% ★, Simulation 23.9%, Gore 19.9%, Indie 10.4%, Action 7.4%
- #31 Medical verdict
77% matchMixed57% of 53 reviews2018
Dev: Volokitin Andrey
Windows
Here is a fun simulator of passing a medical examination in the Chelyabinsk clinic with realistic graphics and interesting gameplay! Take the coronavirus test! Collect as many virtual health points as you can, but remember ... this is just a game!
Why similar: Medical Sim 68.3% ★, Simulation 17%, Realistic 7.7%, Indie 7%
- #32 Dr Greenstuff
76% matchVery Positive87% of 148 reviews2018
Dev: Black DiskettePub: Black Diskette Studio
Windows
Discover the life of Dr Greenstuff, grow marijuana, coca, make meth', drugs and more to keep your legal/illegal business running.
Why similar: Medical Sim 64.5% ★, Simulation 18.5%, Sandbox 9.4%, Indie 7.6%
- #33 Hard Times
76% matchVery Positive90% of 88 reviews2020
Dev: Radical Fiction
Windows · Mac · Linux
Hard Times is an extreme urban survival game where you have to put yourself into the shoes of a homeless man, taking on all the challenges that daily survival places in the great metropolis of indifference.
Why similar: Simulation 27.7%, Moddable 15.8% ★, Great Soundtrack 12.7%, Indie 11.8%, Management 10%
- #34 MediSim: Emergency Response
75% 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 52.4% ★, Simulation 18.6%, Gore 13.1%, Management 9.1%, First-Person 5.7%
- #35 Dead Humanity
75% match5 user reviews60% of 5 reviews2023
Dev: GameVerse Studios
Windows
A tense story, rich graphics and themes that question the depths of human nature make the Dead Humanity game unforgettable. How far will you go to survive in this post-apocalyptic world?
Why similar: Blood 44.4% ★, Gore 22.9%, Realistic 15.4%, First-Person 11.4%, Indie 3.3%
- #36 Ambulance Life: A Paramedic Simulator
74% matchMixed51% of 1,195 reviews2025
Dev: Aesir InteractivePub: Nacon
Windows
Median: 2.0 hrsMean: 4.6 hrs≥1hr: 71%
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 46.2% ★, Simulation 14.9%, Realistic 12.3%, Gore 9.7%, Management 7.4%
- #37 Doctor Simulator
74% 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 37.8% ★, Simulation 27.4%, Action 7.9%, Management 6.4%, Realistic 6.2%
- #38 Ultimate Ragdoll Game
73% matchMostly Positive78% of 665 reviews2024
Dev: Sunday's Games
Windows
Median: 1.0 hrsMean: 8.7 hrs≥1hr: 53%
Ultimate Ragdoll Game is a Sandbox game without any limits. Have fun with ragdolls available in Steam Workshop and build your very own constructions using wide variety of blocks.
Why similar: Blood 28.5% ★, Moddable 19.3% ★, Gore 17%, Sandbox 10.4%, Physics 9.1%
- #39 Cyberpunk Store Simulator
73% matchNo user reviews
Dev: ICON GAME STUDIOPub: PlayWay S.A.
Windows
Cyberpunk Store Simulator puts you in charge of a neon lit shop in a dystopian city. Manage stock, serve customers, sell cybernetic implants, and explore the streets. Build, customize, and grow your store into a futuristic empire.
Why similar: Cyberpunk 34.6%, Futuristic 12.2%, Simulation 8.7%, Physics 7.9%, Realistic 7.6%
- #40 SQUAD XXX: Slut Hunt 🚨
72% matchVery Positive83% of 124 reviews2026
Dev: Lewd Star
Windows · Mac · Linux
Adult cyberpunk visual novel with squad management. Lead a special ops team, control chaos in a city overrun by mutated implant-addicts, capture suspects, upgrade agents, and uncover a cult merging tech, lust, and mind-control.
Why similar: Cyberpunk 23.5%, Futuristic 15.6%, Management 13.8%, Mature 11.5%, Realistic 10.5%
- #41 Park Studio
73% matchMostly Positive71% of 58 reviews2024
Dev: Creye Games
Windows
Create the parks of your dreams in Park Studio! Construct amazing structures, build thrilling rides and decorate your park with an unprecedented level of detail and unmatched realism! What are you waiting for? Get creative!
Why similar: Realistic 21.2%, Management 19.8%, Sandbox 17.4%, Simulation 15.1%, Building 13.8%
- #42 Half Sword
71% matchMixed68% of 21,716 reviews2026
Dev: Half Sword GamesPub: Game Seer Publishing
Windows
Median: 8.4 hrsMean: 11.7 hrs≥1hr: 84%
Half Sword is a physics-based medieval combat simulator featuring historically accurate XV-century arms and armor. We are not afraid to show the brutal nature of medieval combat with in-depth blood and gore features.
Why similar: Blood 34.7% ★, Gore 22.9%, Physics 11.1%, Realistic 9.9%, Sandbox 7.1%
- #43 Dreadfire
71% matchNo user reviews
Dev: Ryan Cho
Windows
Dreadfire is a thrilling ultraviolent FPS game. Shred your enemies with a large destructive arsenal. Destroy them until none remain. They won't stop until you're dead.
Why similar: Blood 51.6% ★, Gore 33.5%, First-Person 5.7%, Sci-fi 4.1%, Action 3.7%
- #44 OSIRIS
72% matchPositive80% of 10 reviews2019
Dev: Azat Khafizov Design
Windows
Dark history about OSIRIS corporation, which performs experiments in the field of teleportation of human souls to the Heaven on the artificial planet G6. Inspired by Deep Dark Dubstep music.
Why similar: Gore 35.6%, Blood 21.5% ★, Great Soundtrack 10%, Futuristic 9.6%, Sci-fi 7.3%
- #45 Cyberpunk 2077
70% matchVery Positive86% of 926,786 reviews2020
Dev: CD PROJEKT RED
Windows · Mac
Median: 62.8 hrsMean: 115.2 hrs≥1hr: 98%
Cyberpunk 2077 is an open-world, action-adventure RPG set in the dark future of Night City — a dangerous megalopolis obsessed with power, glamor, and ceaseless body modification.
Why similar: Cyberpunk 36%, Futuristic 16.3%, Mature 11.6%, Sci-fi 10.7%, Great Soundtrack 9.5%
- #46 Weedcraft Inc
71% matchVery Positive80% of 1,667 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 33.2% ★, Simulation 28.4%, Management 21%, Indie 9.8%, Great Soundtrack 3.5%
- #47 Blood Trail
70% matchVery Positive81% of 7,103 reviews2019
Dev: Electrovore
Windows
Median: 2.4 hrsMean: 7.2 hrs≥1hr: 72%
You are Wendigo. A hard-hearted contract killer tasked with annihilating a fanatical cult. With your trusted arsenal at the ready, experience what has been called "The most violent game in VR". EARLY ACCESS includes RAID, ARENA and SANDBOX modes with a story campaign and much more on the way.
Why similar: Gore 47.2%, Blood 29.7% ★, Realistic 9.1%, Sandbox 8.9%, Action 2.9%
- #48 Fighting Clans
70% matchMixed58% of 52 reviews2020
Dev: XOCUS
Windows
A true, FIRST VR Street Fight! You’re just a regular guy, doing your best to get by, but you made your choices and now you’re in debt to the mafia. The only way you are going to save yourself is to fight. Prepare to engage in combat with no limits, no rules. You fight to win, you win to survive.
Why similar: Blood 22.5% ★, Gore 19.1%, Simulation 18.8%, Great Soundtrack 10.5%, Indie 8%
- #49 Project Hospital
69% matchVery Positive89% of 9,018 reviews2018
Dev: Oxymoron Games
Windows · Mac · Linux
Median: 4.4 hrsMean: 24.2 hrs≥1hr: 80%
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 42.1% ★, Management 15.1%, Moddable 12% ★, Simulation 8.2%, Sandbox 8.1%
- #50 The Death Handover
69% matchNo user reviews
Dev: Micronovae
Windows
Play as a novice mortician where every 'Death Handover' hides an unpaid debt. Through 'Soul-Returning,' relive final moments to break a five-life cycle. More than a simulation, it’s a rehearsal for death—until the next name on the list feels terrifyingly familiar.
Why similar: Medical Sim 46.4% ★, Simulation 14.8%, Realistic 12.5%, Gore 9.7%, First-Person 6%
- #51 Hammer SandBox
68% matchNo user reviews
Dev: JayCode
Windows
Hammer Sandbox is a solo/multiplayer sandbox game with no specific goal, except maybe having fun! You can make your own mods, maps and gamemodes!
Why similar: Moddable 31.8% ★, Sandbox 14.2%, Physics 12.4%, Simulation 9.8%, Building 9.1%
- #52 Combat Playground
68% matchNo user reviews
Dev: BloodRex
Windows
Forget health bars. In Combat Playground, damage is physical. Shatter limbs, lose your balance, and fight through the pain in this physics-based brawler. Master spacing and momentum in chaotic local and online multiplayer battles where every impact breaks something.
Why similar: Gore 25.1%, Blood 19.8% ★, Moddable 18% ★, Physics 15.3%, Sandbox 9.6%
- #53 DOOM Eternal
67% matchVery Positive91% of 213,495 reviews2020
Dev: id SoftwarePub: Bethesda Softworks
Windows
Median: 11.1 hrsMean: 30.3 hrs≥1hr: 90%
Hell’s armies have invaded Earth. Become the Slayer in an epic single-player campaign to conquer demons across dimensions and stop the final destruction of humanity. The only thing they fear... is you.
Why similar: Blood 28.9% ★, Gore 25%, Great Soundtrack 20.2%, First-Person 6.6%, Sci-fi 5.8%
- #54 3d Engineers
69% matchMixed40% of 25 reviews2015
Dev: Robert DahlenburgPub: Dahlenburg
Windows
3d Engineers is a sandbox game/tool in engineering and construction.
Why similar: Simulation 27.5%, Moddable 26.5% ★, Building 15.5%, Physics 14.2%, Sandbox 12.3%
- #55 Bio Inc. Redemption
68% matchVery Positive88% of 2,788 reviews2018
Dev: DryGin Studios
Windows
Median: 2.6 hrsMean: 6.6 hrs≥1hr: 75%
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 43% ★, Gore 18.1%, Management 13%, Sandbox 9%, Simulation 8.1%
- #56 RUINER
67% matchVery Positive89% of 12,065 reviews2017
Dev: Reikon GamesPub: Devolver Digital
Windows · Linux
Median: 4.5 hrsMean: 7.7 hrs≥1hr: 80%
RUINER is a brutal action shooter set in the year 2091 in the cyber metropolis Rengkok. A wired psychopath lashes out against a corrupt system to uncover the truth and retrieve his kidnapped brother under the guidance of a secretive hacker friend.
Why similar: Cyberpunk 46.4%, Great Soundtrack 17.7%, Gore 17.2%, Sci-fi 6.4%, Action 4%
- #57 Spinnortality | cyberpunk management sim
67% matchMostly Positive78% of 311 reviews2019
Dev: James PattonPub: Clockwork Bird
Windows · Mac · Linux
Median: 3.4 hrsMean: 7.7 hrs≥1hr: 75%
Found a company, spread fake news, start riots and become immortal. In this cyberpunk management sim, wealth is power and corporations are king. Can you monopolize the globe and build a corporate empire that will stand forever?
Why similar: Cyberpunk 37%, Management 20.8%, Simulation 17.2%, Futuristic 11.3%, Indie 6.9%
- #58 Boiling Steel
66% matchVery Positive82% of 380 reviews2020
Dev: MIROWIN
Windows
"Boiling Steel" - is a sci-fi story-based FPS VR shooter. You are one of many who set off in search of a better life in the distant bastion of scientific progress. Immerse yourself in the thick of events and witness the inexplicable global cataclysm.
Why similar: Gore 16.6%, Great Soundtrack 12.8%, Simulation 12.5%, Sci-fi 12.3%, Realistic 9.2%
- #59 The Tooth Fae
66% matchNo user reviews
Dev: Ev
Windows
A nightmarish dental simulator where you sneak into townsfolks' homes to steal their teeth. An expanded version of the Ludum Dare 58 game of the same name, made by a solo developer.
Why similar: Medical Sim 52.4% ★, Gore 30.7%, Simulation 12.4%, Atmospheric 3.8%, Singleplayer 0.7%