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Games Like Do No Harm

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Choices Matter, Story Rich, Singleplayer.

Do No Harm header art

Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine. Make moral choices — decide who to save or kill, discover whom to trust, and unlock multiple endings! Can you endure 30 days of perilous decisions?

Reviews: Mostly Positive — 74% — of 873 reviews
Released: 2025-03-06
Developer: Darts Games
Publisher: Hawthorn Games
Genres: Simulation
Platforms: Windows
Median playtime: 2.5 hrs
Mean playtime: 5.9 hrs
Players ≥ 1 hr: 77%

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  1. #1 Prescribe and Pray
    97% matchMostly Positive76% of 62 reviews2026
    Dev: Nuclear Rabbits
    Windows

    Awaken the incompetent doctor within you! Diagnose strange patients, examine their absurd symptoms… and prescribe treatments that could change their lives… or cut them short. Your actions will have consequences.

    Why similar: Medical Sim 53.6%, Choices Matter 12.8%, Multiple Endings 10.4%, Management 6%, Point & Click 5.3%

  2. #2 Pathologic 3
    96% matchVery Positive82% of 2,382 reviews2026
    Dev: Ice-Pick LodgePub: HypeTrain Digital
    Windows
    Median: 4.6 hrsMean: 15.4 hrs≥1hr: 85%

    In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.

    Why similar: Lovecraftian 33.8%, Psychological Horror 21.3%, Choices Matter 14.7%, Story Rich 11.5%, First-Person 7.7%

  3. #3 Sanatorium - A Mental Asylum Simulator
    96% matchMixed63% of 206 reviews2025
    Dev: ZeitglasPub: Shoreline Games
    Windows · Mac

    The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.

    Why similar: Medical Sim 48.3%, Choices Matter 8.2%, Point & Click 8%, Mystery 7.1%, Multiple Endings 7%

  4. #4 Strange Antiquities
    95% matchOverwhelmingly Positive96% of 2,842 reviews2025
    Dev: Bad VikingPub: Iceberg Interactive
    Windows · Mac
    Median: 7.5 hrsMean: 8.3 hrs≥1hr: 91%

    Become the custodian of a store dealing in occult antiquities. Explore the quaint and gloomy town of Undermere, where strange goings-on and dark mysteries abound. Find and identify arcane artefacts, use your collection to aid the townsfolk with their unusual problems — and remember to pet your cat!

    Why similar: Lovecraftian 24.6%, Investigation 13.2%, Lore-Rich 10.7%, Choices Matter 8%, Mystery 7.7%

  5. #5 Strange Horticulture
    94% matchVery Positive95% of 15,145 reviews2022
    Dev: Bad VikingPub: Iceberg Interactive
    Windows · Mac
    Median: 4.6 hrsMean: 5.9 hrs≥1hr: 82%

    Strange Horticulture is an occult puzzle game in which you play as the proprietor of a local plant store. Find and identify new plants, pet your cat, speak to a coven, or join a cult. Use your collection of powerful plants to influence the story and unravel Undermere’s dark mysteries.

    Why similar: Lovecraftian 19.6%, Investigation 18.1%, Mystery 11.3%, Point & Click 10.5%, Dark 9.7%

  6. #6 Field Hospital: Dr. Taylor's Story
    94% matchVery Positive90% of 106 reviews2020
    Dev: Gard Interactive
    Windows · Mac

    Field Hospital is a text-based bureaucratic detective game about hard decisions. Decide who to treat and whom to refuse. Face consequences. Study patients’ info and read their stories. Investigate the tangled case of Dr. Taylor.

    Why similar: Medical Sim 39.5%, Investigation 11%, Choices Matter 9.2%, Point & Click 8.6%, Multiple Endings 8%

  7. #7 Doctor Life Simulator
    93% matchMixed67% of 133 reviews2025
    Dev: Bleeding Edge StudioPub: Blackburne Games Studio FZ LLC
    Windows

    Step into the shoes of a dedicated medical professional in Doctor Life Simulator. Experience the challenges and triumphs of running your own medical practice, from diagnosing complex illnesses to performing life-saving surgeries.

    Why similar: Medical Sim 58.6%, Time Management 12.5%, Choices Matter 9.9%, Management 9.5%, Story Rich 4.1%

  8. #8 Static Dread: The Lighthouse
    91% matchVery Positive91% of 1,290 reviews2025
    Dev: solarsuit.gamesPub: Polden Publishing
    Windows · Mac
    Median: 5.9 hrsMean: 6.7 hrs≥1hr: 87%

    Lovecraft meets Papers, Please. Play as a lighthouse keeper and guide ships safely into the harbor using your radio. Survive the presence of something impossible, and don’t let the shadows consume you!

    Why similar: Lovecraftian 32.3%, Lore-Rich 11.8%, Choices Matter 10.6%, Psychological Horror 9.3%, Multiple Endings 8.7%

  9. #9 The Infectious Madness of Doctor Dekker
    92% matchVery Positive83% of 596 reviews2017
    Dev: D'Avekki Studios Ltd
    Windows · Mac · Linux
    Median: 4.2 hrsMean: 7.3 hrs≥1hr: 91%

    YOU are a psychiatrist, trying to solve a murder whilst treating the unusual patients of the recently deceased Doctor Dekker. Type a question - patients reply in full screen video and have questions for you too but be careful what you say. Your words determine their eventual fates, and your own!

    Why similar: Lovecraftian 39.7%, Mystery 10.3%, Dark 10.1%, Psychological Horror 9.7%, Story Rich 7.9%

  10. #10 Zoochosis
    90% matchMixed60% of 2,285 reviews2024
    Dev: Clapperheads
    Windows
    Median: 3.5 hrsMean: 5.7 hrs≥1hr: 88%

    Zoochosis is a bodycam horror simulation game. You’re a zookeeper. Identify infected mutant animals, make a vaccine and cure them. Will you save all of them and survive?

    Why similar: Dark 21.8%, Choices Matter 19.3%, Multiple Endings 16.2%, Story Rich 12.3%, First-Person 10.7%

  11. #11 Care
    89% matchVery Positive96% of 68 reviews2024
    Dev: The Pocket Dimension
    Windows

    Care is an atmospheric first person horror game with puzzle elements, where your choices have consequences. Be observant with your surroundings and unravel the horrific secrets that hide within these walls.

    Why similar: Lovecraftian 31.7%, Investigation 17.1%, Mystery 11%, Choices Matter 10.7%, Dark 9.4%

  12. #12 Angel Engine
    89% matchVery Positive89% of 241 reviews2026
    Dev: HMS StudiosPub: NerveLabs
    Windows

    Cage an angel. Ransack Heaven. In a far-flung dystopian future, the Angel Engine Initiative carries on as the last hope for humanity. Seal yourself in your operating room, perform surgery on comatose test subjects, and pray you make it out alive.

    Why similar: Medical Sim 42.9%, Time Management 21.9%, Psychological Horror 10.3%, Point & Click 5.2%, First-Person 5.2%

  13. #13 Vital Signs: Emergency Department
    91% matchMixed56% of 73 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 66.4%, Time Management 22%, Choices Matter 8.2%, Simulation 3.3%

  14. #14 Sunken Engine
    87% matchVery Positive88% of 650 reviews2025
    Dev: Two Nomads StudioPub: PlayWay S.A.
    Windows
    Median: 2.7 hrsMean: 4.1 hrs≥1hr: 72%

    Sunken Engine Lovecraftian Ship Repair Simulation. Restore your father’s old shipyard. Each arriving ship carries a dark mystery to be solved. Keep your customers satisfied while dealing with the strange and eerie happenings on the island.

    Why similar: Lovecraftian 38.9%, Time Management 20%, Mystery 9%, Choices Matter 8.8%, Story Rich 6.8%

  15. #15 Death and Taxes
    88% matchVery Positive86% of 8,138 reviews2020
    Dev: Placeholder Gameworks
    Windows · Mac · Linux
    Median: 2.9 hrsMean: 4.6 hrs≥1hr: 82%

    In this 2D, short narrative-based game, you assume the role of the Grim Reaper... on an office job. Your job is to decide which people are going to live or die. The consequences of your choices are yours to bear, while the mystery of your incarnation awaits revelation!

    Why similar: Choices Matter 24.2%, Point & Click 20.4%, Multiple Endings 17.9%, Story Rich 15.5%, Puzzle 8.5%

  16. #16 No, I'm not a Human
    85% matchVery Positive93% of 26,830 reviews2025
    Dev: TrioskazPub: CRITICAL REFLEX
    Windows
    Median: 3.8 hrsMean: 5.7 hrs≥1hr: 92%

    WARNING. Stay inside. Lock your doors. Close the blinds. Only let humans in. Eliminate all Visitors. An anxiety horror about paranoia in the End of Times.

    Why similar: Choices Matter 18.5%, Psychological Horror 16.8%, Multiple Endings 13.5%, Dark 11.7%, Mystery 11.7%

  17. #17 Cultist Simulator
    86% matchMostly Positive80% of 13,737 reviews2018
    Dev: Weather Factory
    Windows · Mac · Linux
    Median: 3.8 hrsMean: 11.4 hrs≥1hr: 80%

    Seize forbidden treasures. Summon alien gods. Feed on your disciples. Cultist Simulator is a game of apocalypse and yearning. Play as a seeker after unholy mysteries, in a 1920s-themed setting of hidden gods and secret histories.

    Why similar: Lovecraftian 39.4%, Lore-Rich 17%, Choices Matter 11.2%, Psychological Horror 10.6%, Management 10.4%

  18. #18 Mind Scanners
    84% matchMostly Positive76% of 1,287 reviews2021
    Dev: The Outer ZonePub: Brave At Night
    Windows · Mac
    Median: 5.6 hrsMean: 6.6 hrs≥1hr: 86%

    Greetings. Your Mind Scanner request has been approved. Your duty is to diagnose and treat the citizens of The Structure. The patient list is long so don't waste your time. We’ll let you see your daughter soon...

    Why similar: Medical Sim 48.8%, Time Management 17.4%, Choices Matter 8.9%, Management 8.1%, Multiple Endings 8%

  19. #19 Bio Inc. Redemption
    84% 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 79.6%, Management 11.3%, Atmospheric 4.9%, Simulation 4.2%

  20. #20 Psychiatrist Simulator
    86% matchMixed40% of 127 reviews2018
    Dev: Eathrabaria
    Windows
    Median: 12 minMean: 16.7 hrs≥1hr: 35%

    Have you ever wanted to be a psychiatrist? Now you can! Be a shrink for 14 days. Meet 14 patients with unique story of their lives. Diagnosis, treatment, chosen dialogues have impact on history of patients. The choice is yours.

    Why similar: Medical Sim 51.8%, Psychological Horror 11.4%, Choices Matter 11%, Dark 10.9%, Story Rich 9%

  21. #21 Dr. Chatelet: Faith 神医
    83% matchVery Positive85% of 131 reviews2022
    Dev: MuccyGames
    Windows · Mac

    Amputations, bloodletting, alchemy - all of which seem unthinkable today - were the treatment options that medieval doctors revered. You must face challenges one after another and experience gains and losses in the course of your constant adventures

    Why similar: Medical Sim 68.2%, Medieval 11.5%, Multiple Endings 8.6%, Story Rich 7%, Simulation 4.7%

  22. #22 Worshippers of Cthulhu
    81% matchVery Positive82% of 1,460 reviews2025
    Dev: Crazy Goat GamesPub: Crytivo
    Windows
    Median: 2.9 hrsMean: 5.6 hrs≥1hr: 79%

    LEAD the CULT OF CTHULHU. Decide the fate of your followers, perform eldritch rituals, and master the art of city-building in a world where the line between sanity and madness blurs. Can you endure the horrors you unleash?

    Why similar: Lovecraftian 52.2%, Lore-Rich 16.3%, Management 13%, Dark 9.6%, Atmospheric 4.8%

  23. #23 That's not my Neighbor
    80% matchVery Positive89% of 4,193 reviews2025
    Dev: Nachosama Games
    Windows · Linux
    Median: 1.6 hrsMean: 3.3 hrs≥1hr: 68%

    It's 1955, and for unknown reasons, doppelgangers are more common than usual. Therefore, the Department of Doppelganger Detection (D.D.D.) has taken action. You are the doorman of an apartment complex, and you must decide whether to let in those who claim to be your neighbors.

    Why similar: Point & Click 29%, Choices Matter 26.6%, Multiple Endings 17.7%, First-Person 9.2%, Psychological Horror 7.3%

  24. #24 Heart's Medicine - Time to Heal
    82% matchVery Positive94% of 878 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 72.4%, Time Management 20.2%, Story Rich 4%, Simulation 3.4%

  25. #25 Smile More
    79% matchVery Positive98% of 96 reviews2026
    Dev: Pixel Poxet
    Windows · Mac

    A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!

    Why similar: Medical Sim 70.4%, Multiple Endings 10.3%, Psychological Horror 5.8%, Simulation 4.2%, Atmospheric 3.3%

  26. #26 A Place for the Unwilling
    82% matchMostly Positive73% of 67 reviews2019
    Dev: ALPixel Games
    Windows · Mac

    You only have 21 days until this living city dies. The clock is ticking. You can’t be everywhere at once. Decide what to explore, who to meet and see every decision shape the curious stories and terrible secrets of this branching narrative game.

    Why similar: Lovecraftian 53.6%, Choices Matter 18.2%, Mystery 10.3%, Story Rich 10.3%, Atmospheric 4.8%

  27. #27 War Hospital
    81% matchMixed60% of 1,201 reviews2024
    Dev: Brave Lamb Studio S.A.Pub: Nacon
    Windows
    Median: 7.1 hrsMean: 10.3 hrs≥1hr: 72%

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

    Why similar: Medical Sim 60%, Choices Matter 11.4%, Management 10%, Multiple Endings 9.8%, Story Rich 7.1%

  28. #28 Mask of the Plague Doctor
    79% matchVery Positive87% of 63 reviews2020
    Dev: Choice of Games
    Windows · Mac · Linux

    Stop a deadly plague in a medieval fantasy tale of swords and surgery! Unearth medical knowledge, prevent the town’s purge, or plot your own escape.

    Why similar: Medical Sim 81.6%, Medieval 18.4%

  29. #29 Revenge Of The Colon
    77% matchVery Positive85% of 410 reviews2023
    Dev: Lilou Studio
    Windows
    Median: 2.4 hrsMean: 3.1 hrs≥1hr: 67%

    Revenge of the colon is a story driven, single-player, atmospheric, body horror game with multiple endings. Perform colonoscopies on five patients and discover the horrors concealed deep within them. PS1 horror style!

    Why similar: Medical Sim 44.6%, Psychological Horror 11.5%, Choices Matter 11%, Multiple Endings 8.7%, Story Rich 7.9%

  30. #30 For Your Tranquility
    77% matchMixed68% of 190 reviews2023
    Dev: Gamesung Games
    Windows · Mac

    It's a mystery game that reveals the truth through an autopsy. Be a forensic doctor and find out why the dead died.

    Why similar: Choices Matter 21.3%, Mystery 20.7%, Point & Click 20%, Investigation 18.1%, Story Rich 8.2%

  31. #31 Pathologic 2
    75% matchVery Positive92% of 11,869 reviews2019
    Dev: Ice-Pick LodgePub: tinyBuild
    Windows
    Median: 4.6 hrsMean: 12.4 hrs≥1hr: 86%

    Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

    Why similar: Choices Matter 26.7%, Psychological Horror 19.4%, Story Rich 19.2%, Dark 14.5%, Atmospheric 11.3%

  32. #32 Autopsy Simulator
    76% 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 66.3%, Psychological Horror 8.3%, Simulation 7.9%, First-Person 5.5%, Dark 5.3%

  33. #33 Wunderdoktor
    76% matchVery Positive92% of 114 reviews2017
    Dev: Ghostbutter
    Windows
    Median: 3.3 hrsMean: 4.2 hrs≥1hr: 87%

    Step into the role of the Wunderdoktor, a traveling doctor whose daily work is to cure rare and exotic diseases. Explore a world full of quackery, ghosts and addictive potions.

    Why similar: Time Management 53.3%, Point & Click 26.5%, Puzzle 9.9%, Atmospheric 8.4%, Simulation 1.8%

  34. #34 Accident
    75% matchMostly Positive77% of 1,703 reviews2021
    Dev: Duality Games
    Windows
    Median: 1.2 hrsMean: 2.4 hrs≥1hr: 56%

    Become a journalist who researches old car accident cases. Help victims and perform first aid, obtain evidence and reconstruct the events to discover what really happened.

    Why similar: Medical Sim 54.8%, Time Management 15.2%, Investigation 14%, Choices Matter 7.1%, First-Person 5.4%

  35. #35 Dreams in the Witch House
    74% matchVery Positive93% of 421 reviews2023
    Dev: Atom Brain GamesPub: Bonus Stage Publishing
    Windows
    Median: 1.0 hrsMean: 5.3 hrs≥1hr: 50%

    Navigate the eerie world of Dreams in the Witch House, a unique blend of point-and-click and RPG-adventure. Unravel occult mysteries in Arkham, maintain your sanity, and survive the May-Eve in this Lovecraftian horror game.

    Why similar: Lovecraftian 26.5%, Lore-Rich 14.3%, Time Management 12.4%, Investigation 8.8%, Point & Click 7.7%

  36. #36 Quarantine Zone: The Last Check
    71% matchVery Positive82% of 10,961 reviews2026
    Dev: Brigada GamesPub: Devolver Digital
    Windows
    Median: 7.2 hrsMean: 9.0 hrs≥1hr: 93%

    Command the checkpoint in a collapsing city. Screen survivors, manage scarce resources, and hold back the undead. Every choice matters and one mistake could unleash the plague beyond your walls.

    Why similar: Choices Matter 33.8%, Management 21.5%, First-Person 17.1%, Simulation 11.5%, Atmospheric 11.3%

  37. #37 Project Hospital
    73% 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 81.8%, Management 13.7%, Simulation 4.4%

  38. #38 Omen Exitio: Plague
    74% matchVery Positive85% of 621 reviews2018
    Dev: Tiny Bull Studios
    Windows · Mac · Linux
    Median: 3.6 hrsMean: 6.6 hrs≥1hr: 92%

    Investigate a paranormal disease that threatens to eradicate humanity in this unsettling Lovecraftian adventure, inspired by the choose-your-own-adventure gamebooks of the 80s and 90s. Your choices will determine the story, your character’s destiny… and the future of humanity.

    Why similar: Lovecraftian 73.2%, Choices Matter 16.4%, Story Rich 10.4%

  39. #39 The Life and Suffering of Sir Brante
    72% matchVery Positive90% of 9,503 reviews2021
    Dev: SeverPub: 101XP
    Windows
    Median: 4.5 hrsMean: 9.0 hrs≥1hr: 91%

    A narrative-driven hardcore RPG set in a gritty world ruled by real but unrelenting gods. Set out on a challenging lifetime journey, where every choice has a price and entails consequences. Will you become an inquisitor, a judge, or conspire against the old order? Dare to decide!

    Why similar: Choices Matter 46.5%, Story Rich 21.5%, Medieval 15.2%, Management 7.3%, Atmospheric 5.4%

  40. #40 Fable Hospital
    72% matchMostly Positive76% of 87 reviews2025
    Dev: AMGames TC
    Windows

    Fable Hospital is a medieval hospital management simulator with a touch of fantasy and humor. Cure hilarious diseases, manage an eccentric team, and gather resources in a world full of satire and fun.

    Why similar: Medical Sim 59.6%, Medieval 11%, Management 9.2%, Point & Click 7.4%, Lore-Rich 7.2%

  41. #41 Sultan's Game
    69% matchOverwhelmingly Positive95% of 32,886 reviews2025
    Dev: Double CrossPub: 2P Games
    Windows · Mac · Linux
    Median: 12.1 hrsMean: 23.2 hrs≥1hr: 85%

    Survive a mad Sultan's reign in this brutal resource management RPG. Draw a card every seven days and complete its challenge. Make dreadful choices to stay alive: will you die a loyal servant, become a kingslayer, or call down the gods' judgement?

    Why similar: Time Management 30.3%, Lore-Rich 22%, Choices Matter 16.4%, Psychological Horror 14.9%, Story Rich 11.3%

  42. #42 The Kindeman Remedy
    73% matchMixed70% of 299 reviews2023
    Dev: Troglobytes GamesPub: 3D Realms
    Windows
    Median: 2.2 hrsMean: 5.6 hrs≥1hr: 64%

    The most blasphemous, diabolical and insane management game ever created. Aided by a lascivious nun in a grim prison, rig executions, conduct horrid experiments and do the unspeakable to cook up your cure-all: The Kindeman Remedy. Do not be afraid. This time, you're the monster.

    Why similar: Medical Sim 47%, Time Management 16.9%, Point & Click 7.9%, Choices Matter 7.6%, Management 7.6%

  43. #43 OVERDOSE
    71% matchVery Positive86% of 129 reviews2025
    Dev: For Fun GamesPub: Cheesecake Dev
    Windows

    Survive the night in a deadly asylum—deliver sinister meds, keep the insane in line, and outwit a killer hiding in the dark.

    Why similar: Time Management 31%, Psychological Horror 18.5%, Dark 15.1%, First-Person 9%, Puzzle 8.4%

  44. #44 The Plague Doctor of Wippra
    70% matchVery Positive89% of 378 reviews2022
    Dev: ElectrocosmosPub: Application Systems Heidelberg
    Windows · Mac · Linux

    The plague spreads agony and fear in the small town of Wippra. As a plague doctor, you bring healing and relief wherever you can. But ignorance, superstition, and religious zeal make for a deadly threat in this retro medieval medical adventure!

    Why similar: Point & Click 38.5%, Story Rich 23.4%, Medieval 22.6%, Atmospheric 14.3%, Puzzle 1.1%

  45. #45 Repair this!
    69% matchVery Positive89% of 771 reviews2024
    Dev: HGISoft
    Windows · Mac
    Median: 3.9 hrsMean: 5.4 hrs≥1hr: 83%

    Become a phone repair technician, get the opportunity to look into the personal data of customers. Influence their destinies if you dare!

    Why similar: Time Management 30.8%, Point & Click 14.5%, Management 13.7%, Choices Matter 13.3%, Multiple Endings 11.1%

  46. #46 Abscission
    69% matchVery Positive94% of 109 reviews2023
    Dev: Beyond Booleans
    Windows

    Abscission is a Lovecraftian, story-driven horror point-and-click investigation game. It involves searching crime scenes for evidence, combining clues and questioning suspects. Puzzles can have multiple solutions as you guide the protagonist - Detective Will Stanhope - through the story.

    Why similar: Point & Click 21.6%, Choices Matter 19.2%, Investigation 18.3%, Multiple Endings 14.9%, Story Rich 9.9%

  47. #47 Little Lighthouse of Horror
    68% matchVery Positive91% of 66 reviews2025
    Dev: Codiwans
    Windows

    A pixel art psychological horror game inspired by the Flannan Isles mystery. Manage a remote lighthouse, handle limited resources, and confront eerie occurrences as isolation erodes your sanity. Multiple endings await based on your choices and actions. How long can you last?

    Why similar: Mystery 28.5%, Story Rich 23.1%, Multiple Endings 22.3%, Dark 18%, Management 8.1%

  48. #48 Songs of Life
    68% matchVery Positive82% of 134 reviews2025
    Dev: DreamStepPub: 2P Games
    Windows

    Famine and war have ravaged the land, leaving it in ruins. Step into the shoes of three legendary physicians—Hua Tuo, Zhang Zhongjing, and Dong Feng—and harness surgery, potions, and divine powers to restore order, end the chaos, and uncover the conspiracy behind the epidemic.

    Why similar: Medical Sim 74.7%, Story Rich 17.2%, Simulation 5%, 3D 3.1%

  49. #49 Fateweaver: The Alchemist's Quandary
    68% matchVery Positive98% of 99 reviews2023
    Dev: Randumb Studios
    Windows

    You are The Fateweaver; an ancient beast of legendary status. It is your job to determine which way Fate will unravel as you dig deep into the psyche of those who beckon. Decide whether to help those who beg for your mercy, or invoke the wrath of the Gods upon those you deem unworthy of existence...

    Why similar: Investigation 25.9%, Choices Matter 18.1%, Multiple Endings 14.4%, Mystery 14.1%, Psychological Horror 12.4%

  50. #50 Hospital Manager
    73% 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 78.8%, Management 16.6%, Simulation 4.6%

  51. #51 DESOLATIUM: Prologue
    70% matchMostly Positive78% of 118 reviews2021
    Dev: SUPERLUMEN
    Windows · Mac
    Median: 48 minMean: 11.1 hrs≥1hr: 42%

    DESOLATIUM: PROLOGUE is a first-person point & click Graphic Adventure based on Lovecraft Mythos. Live this horror story where you will have to visit mysterious locations, face lovecraftian creatures, find clues and combine objects to solve puzzles.

    Why similar: Lovecraftian 33.7%, Mystery 11.9%, Point & Click 11.5%, Investigation 10.2%, Psychological Horror 8.8%

  52. #52 Rise of Insanity
    70% matchMostly Positive79% of 1,266 reviews2018
    Dev: Red Limb Studio
    Windows · Linux
    Median: 3.3 hrsMean: 5.1 hrs≥1hr: 94%

    In Rise of Insanity, as a doctor of psychology you will explore the darkest recesses of the human mind. Overcome your fear to find the truth behind the tragedy that has befallen your family.

    Why similar: Psychological Horror 30.9%, Dark 19.5%, Story Rich 15.4%, Puzzle 12.1%, Atmospheric 11%

  53. #53 Life Eater
    67% matchVery Positive84% of 339 reviews2024
    Dev: Strange Scaffold
    Windows

    If you don't sacrifice your neighbors, the world ends. Life Eater is a horror fantasy kidnapping simulator where you must become intimately familiar with your targets' lives one intrusive action at a time... and hope that the dark god you serve is even real.

    Why similar: Lovecraftian 31.1%, Time Management 19.2%, Lore-Rich 11.6%, Point & Click 10.2%, Psychological Horror 8.6%

  54. #54 Oyabu Clinic Deathcare Corporation
    67% matchVery Positive94% of 233 reviews2023
    Dev: Flying Panjandrum / ふらいんぐパンジャンドラムPub: GAMER Plan
    Windows

    Alchemy with patients' lives and health insurance! A quack doctor simulation game. DON'T imitate any of this!

    Why similar: Medical Sim 68.8%, Management 9.8%, Choices Matter 6.8%, Multiple Endings 6.5%, Story Rich 6.1%

  55. #55 The Thaumaturge
    65% matchVery Positive83% of 5,424 reviews2024
    Dev: Fool's TheoryPub: 11 bit studios
    Windows
    Median: 3.6 hrsMean: 9.0 hrs≥1hr: 87%

    The Thaumaturge is a character-driven RPG with a rich story, morally ambiguous choices, and turn-based combat. In a city on the brink of change, use your mystical powers to read emotions, uncover motives, and command folklore-inspired demons — while resisting the temptation of your own pride.

    Why similar: Investigation 24.8%, Choices Matter 17.3%, Point & Click 13.7%, Mystery 13.1%, Story Rich 12.4%

  56. #56 Potion Craft: Alchemist Simulator
    65% matchVery Positive93% of 42,947 reviews2022
    Dev: niceplay gamesPub: tinyBuild
    Windows
    Median: 5.4 hrsMean: 10.9 hrs≥1hr: 86%

    Potion Craft is an alchemist simulator where you physically interact with your tools and ingredients to brew potions. You're in full control of the whole shop: invent new recipes, attract customers and experiment to your heart's content. Just remember: the whole town is counting on you.

    Why similar: Medieval 29%, Management 23.4%, Choices Matter 19.9%, Point & Click 17.9%, Simulation 9.8%

  57. #57 Growing My Grandpa!
    66% matchVery Positive99% of 450 reviews2022
    Dev: Yames
    Windows

    Growing My Grandpa! is a Cronenberg-inspired point-and-click adventure game with virtual pet elements that puts a heavy emphasis on exploration and lore.

    Why similar: Lovecraftian 23.9%, Lore-Rich 17.2%, Psychological Horror 12.6%, Point & Click 12.1%, Dark 11.3%

Based on tag similarity + player behavior
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