- #1 Prescribe and Pray
97% matchMostly Positive74% of 81 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% ★, Choices Matter 12.3%, Multiple Endings 10.2%, Management 5.8%, Point & Click 5.5%
- #2 Sanatorium - A Mental Asylum Simulator
96% matchMixed61% of 230 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 Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies.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 48.5% ★, Point & Click 8.1%, Choices Matter 8%, Mystery 7.1%, Multiple Endings 6.9%
- #3 Strange Horticulture
96% matchVery Positive94% of 16,173 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 22.5%, Investigation 13.8%, Lore-Rich 10%, Mystery 8.5%, Point & Click 8%
- #4 Pathologic 3
95% matchVery Positive80% of 2,806 reviews2026
Dev: Ice-Pick LodgePub: HypeTrain Digital
Windows
Median: 4.8 hrsMean: 17.8 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 21.5%, Choices Matter 14.6%, Story Rich 11.6%, First-Person 7.8%
- #5 Strange Antiquities
94% matchOverwhelmingly Positive95% of 3,572 reviews2025
Dev: Bad VikingPub: Iceberg Interactive
Windows · Mac
Median: 6.7 hrsMean: 8.1 hrs≥1hr: 89%
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 24.1%, Investigation 13.4%, Lore-Rich 10.3%, Mystery 7.8%, Point & Click 7.8%
- #6 Field Hospital: Dr. Taylor's Story
94% matchVery Positive89% of 112 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 39.7% ★, Investigation 10.9%, Choices Matter 9%, Point & Click 8.7%, Multiple Endings 7.9%
- #7 Static Dread: The Lighthouse
92% matchVery Positive91% of 1,533 reviews2025
Dev: solarsuit.gamesPub: Polden Publishing
Windows · Mac
Median: 5.9 hrsMean: 6.8 hrs≥1hr: 88%
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 33.5%, Lore-Rich 11.2%, Choices Matter 10.3%, Psychological Horror 9.4%, Multiple Endings 8.6%
- #8 Doctor Life Simulator
93% matchMixed64% of 141 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 59.4% ★, Time Management 12.3%, Choices Matter 9.8%, Management 9.1%, Story Rich 4.2%
- #9 Sunken Engine
91% matchVery Positive81% of 913 reviews2026
Dev: Two Nomads StudioPub: PlayWay S.A.
Windows
Median: 3.0 hrsMean: 5.2 hrs≥1hr: 71%
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 39.9%, Time Management 19.3%, Mystery 8.9%, Choices Matter 8.7%, Story Rich 6.8%
- #10 The Infectious Madness of Doctor Dekker
91% matchVery Positive82% of 620 reviews2017
Dev: D'Avekki Studios Ltd
Windows · Mac · Linux
Median: 4.4 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 40.3%, Mystery 10.2%, Dark 10%, Psychological Horror 9.7%, Story Rich 7.9%
- #11 Emergency Room Simulator
90% matchMixed44% of 160 reviews2026
Dev: Caipirinha GamesPub: Aerosoft
Windows
In Emergency Room Simulator, step into the role of an ER doctor: run targeted tests, treat patients, and save lives when it matters most. Experience intense shifts in a fast-paced medical environment.
Why similar: Medical Sim 63.4% ★, Investigation 13.3%, Choices Matter 11.6%, First-Person 4.2%, Atmospheric 3.4%
- #12 Care
89% matchVery Positive95% of 74 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 32.2%, Investigation 16.8%, Mystery 11%, Choices Matter 10.4%, Dark 9.3%
- #13 Angel Engine
88% matchMostly Positive80% of 350 reviews2026
Dev: HMS StudiosPub: Aurakenn Games
Windows
Median: 48 minMean: 2.5 hrs≥1hr: 48%
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 42.8% ★, Time Management 21.4%, Psychological Horror 10.5%, Point & Click 5.3%, First-Person 5.2%
- #14 Vital Signs: Emergency Department
89% matchMixed57% of 75 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 67.1% ★, Time Management 21.5%, Choices Matter 8.1%, Simulation 3.3%
- #15 Death and Taxes
87% matchVery Positive86% of 8,579 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 23.7%, Point & Click 20.8%, Multiple Endings 17.7%, Story Rich 15.7%, Puzzle 8.9%
- #16 Zoochosis
86% matchMixed61% of 2,402 reviews2024
Dev: Clapperheads
Windows
Median: 3.3 hrsMean: 5.6 hrs≥1hr: 87%
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 19.1%, Multiple Endings 16.2%, Story Rich 12.6%, First-Person 10.9%
- #17 Symptoms of Infection
85% matchNo user reviews91% of 69 reviews2026
Dev: ORB Research & Broadcasting
Windows · Linux
Examine and test patients for common and novel infections using sophisticated medical instrumentation. Isolate and treat infected patients. Discover the wonders, mysteries, and horrors of medical science. Rumors of mysterious diseases and human experimentation are unconfirmed.
Why similar: Medical Sim 62.9% ★, Choices Matter 15.3%, Simulation 9.2%, Psychological Horror 7.7%, Puzzle 4.9%
- #18 Mind Scanners
86% matchMostly Positive75% of 1,476 reviews2021
Dev: The Outer ZonePub: Brave At Night
Windows · Mac
Median: 5.6 hrsMean: 6.5 hrs≥1hr: 85%
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 49.5% ★, Time Management 17%, Choices Matter 8.8%, Multiple Endings 8%, Management 7.8%
- #19 Quarantine Zone: The Last Check
83% matchVery Positive82% of 13,388 reviews2026
Dev: Brigada GamesPub: Devolver Digital
Windows
Median: 7.3 hrsMean: 9.4 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 31.3%, Management 18.8%, First-Person 15.6%, Simulation 10.5%, Atmospheric 10%
- #20 No, I'm not a Human
82% matchVery Positive93% of 31,055 reviews2025
Dev: TrioskazPub: CRITICAL REFLEX
Windows
Median: 3.8 hrsMean: 5.7 hrs≥1hr: 91%
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 18.4%, Psychological Horror 17.5%, Multiple Endings 13.5%, Dark 11.5%, Mystery 11.4%
- #21 Cultist Simulator
84% matchMostly Positive80% of 14,243 reviews2018
Dev: Weather Factory
Windows · Mac · Linux
Median: 3.8 hrsMean: 11.8 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 40.6%, Lore-Rich 16.5%, Choices Matter 10.9%, Psychological Horror 10.7%, Management 9.9%
- #22 That's not my Neighbor
81% matchVery Positive89% of 4,759 reviews2025
Dev: Nachosama Games
Windows · Linux
Median: 1.6 hrsMean: 3.9 hrs≥1hr: 69%
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: Choices Matter 27.2%, Point & Click 27.2%, Multiple Endings 17%, Psychological Horror 9.6%, First-Person 8.5%
- #23 Dr. Chatelet: Faith 神医
82% matchVery Positive85% of 132 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 68.5% ★, Medieval 11.4%, Multiple Endings 8.5%, Story Rich 7.1%, Simulation 4.6%
- #24 Psychiatrist Simulator
84% matchMostly Negative40% of 129 reviews2018
Dev: Eathrabaria
Windows
Median: 12 minMean: 18.5 hrs≥1hr: 34%
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 52% ★, Psychological Horror 11.5%, Choices Matter 10.8%, Dark 10.8%, Story Rich 9.1%
- #25 Static Dread: The Submarine
78% matchVery Positive81% of 363 reviews2026
Dev: solarsuit.gamesPub: Polden Publishing
Windows
Median: 3.5 hrsMean: 3.9 hrs≥1hr: 75%
Descend into Lovecraftian horror aboard a claustrophobic military submarine. Assign tasks as a captain’s right hand, analyze sonar signals, make hard decisions, and keep the crew from madness. Dark horrors lurk both within… and beyond the hull.
Why similar: Lovecraftian 39.9%, Psychological Horror 13.3%, Choices Matter 10.6%, Dark 9.6%, Story Rich 9.2%
- #26 Bio Inc. Redemption
80% matchVery Positive88% of 3,261 reviews2018
Dev: DryGin Studios
Windows
Median: 2.4 hrsMean: 5.9 hrs≥1hr: 72%
Bio Inc.: Redemption is a realistic simulation and strategy game in which you make life or death decisions. Create a deadly illness to infect and torment your victim or play as the head of a medical team and hopefully find a cure to save your human patient. Will you be the plague or preserve humanity?
Why similar: Medical Sim 80.5% ★, Management 10.7%, Atmospheric 4.7%, Simulation 4.1%
- #27 A Place for the Unwilling
81% matchMostly Positive72% of 72 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 54.1%, Choices Matter 17.6%, Story Rich 10.5%, Mystery 10.1%, Atmospheric 4.9%
- #28 Heart's Medicine - Time to Heal
79% matchVery Positive94% of 884 reviews2016
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Median: 6.0 hrsMean: 12.2 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 72.9% ★, Time Management 19.7%, Story Rich 4.1%, Simulation 3.3%
- #29 War Hospital
79% matchMixed61% of 1,291 reviews2024
Dev: Brave Lamb Studio S.A.Pub: Nacon
Windows
Median: 5.1 hrsMean: 10.0 hrs≥1hr: 70%
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 60.5% ★, Choices Matter 11.2%, Multiple Endings 9.8%, Management 9.6%, Story Rich 7.2%
- #30 Worshippers of Cthulhu
77% matchVery Positive81% of 1,552 reviews2025
Dev: Crazy Goat GamesPub: Crytivo
Windows
Median: 3.2 hrsMean: 6.7 hrs≥1hr: 80%
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 53.8%, Lore-Rich 15.6%, Management 12.3%, Dark 9.5%, Atmospheric 4.7%
- #31 Below, Rusted Gods
75% matchVery Positive88% of 381 reviews2026
Dev: FromSouthGames
Windows
You are the lifeline supporting an expedition into the unknown. Keep both yourself and your squad alive by interpreting instrument readings, explore the facilities, and uncover something ancient and eager to be born.
Why similar: Lovecraftian 35.3%, Lore-Rich 14.1%, Choices Matter 10.6%, Psychological Horror 10.2%, Multiple Endings 9.5%
- #32 Project Hospital
77% matchVery Positive89% of 9,400 reviews2018
Dev: Oxymoron Games
Windows · Mac · Linux
Median: 4.4 hrsMean: 24.3 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 82.4% ★, Management 13.2%, Simulation 4.4%
- #33 Mask of the Plague Doctor
78% matchVery Positive86% of 64 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 81.9% ★, Medieval 18.1%
- #34 Revenge Of The Colon
75% matchVery Positive85% of 421 reviews2023
Dev: Lilou Studio
Windows
Median: 2.5 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 44.7% ★, Psychological Horror 11.7%, Choices Matter 10.8%, Multiple Endings 8.6%, Story Rich 8%
- #35 For Your Tranquility
76% matchMixed68% of 195 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 20.9%, Mystery 20.7%, Point & Click 20.4%, Investigation 18%, Story Rich 8.3%
- #36 BLOODLETTER
73% matchVery Positive80% of 258 reviews2026
Dev: ALDAMAMI GAMES
Windows
A grim medieval deckbuilder where you use your dubious healing methods to protect bizarre villagers from the corrupting influence of ancient evils.
Why similar: Lovecraftian 60.1%, Choices Matter 16.1%, Medieval 16.1%, Simulation 4.7%, Management 3%
- #37 Smile More
71% matchVery Positive95% of 347 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 66.9% ★, Multiple Endings 10.2%, Psychological Horror 7.8%, Atmospheric 3.9%, Dark 3.8%
- #38 Wound Man
72% matchVery Positive92% of 77 reviews2026
Dev: Aspidochelone Studios
Windows
Wound Man is a macabre jigsaw puzzle adventure where you reconstruct a tortured figure from centuries-old anatomical art. Uncover hidden secrets and collect strange curiosities with every piece.
Why similar: Medical Sim 37.5% ★, Investigation 17.1%, Choices Matter 11.2%, Multiple Endings 9.4%, Story Rich 7.8%
- #39 The Life and Suffering of Sir Brante
73% matchVery Positive88% of 13,129 reviews2021
Dev: SeverPub: 101XP
Windows
Median: 4.1 hrsMean: 8.9 hrs≥1hr: 84%
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 46.7%, Story Rich 22.1%, Medieval 15.2%, Management 6.8%, Atmospheric 5.4%
- #40 Accident
74% matchMostly Positive77% of 1,767 reviews2021
Dev: Duality Games
Windows
Median: 1.2 hrsMean: 2.5 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 55.4% ★, Time Management 14.9%, Investigation 13.9%, Choices Matter 7%, First-Person 5.4%
- #41 Dreams in the Witch House
72% matchVery Positive91% of 468 reviews2023
Dev: Atom Brain GamesPub: Bonus Stage Publishing
Windows
Median: 54 minMean: 5.1 hrs≥1hr: 49%
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 27.2%, Lore-Rich 13.9%, Time Management 12%, Investigation 8.8%, Point & Click 7.8%
- #42 Wunderdoktor
73% matchVery Positive91% of 116 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 52.1%, Point & Click 27.2%, Puzzle 10.5%, Atmospheric 8.4%, Simulation 1.8%
- #43 Security 51
70% matchMostly Positive72% of 498 reviews2026
Dev: Alawar
Windows · Mac
Median: 2.4 hrsMean: 2.8 hrs≥1hr: 68%
You're a security officer deep within Area 51. Scan the staff, verify clearances, and decide who can enter the elevator and who absolutely mustn't leave. The deeper you go, the less certain you are that anyone standing before you is still human.
Why similar: Investigation 25.2%, Choices Matter 16%, Point & Click 15.1%, Multiple Endings 13%, Mystery 12.8%
- #44 Fable Hospital
70% matchMostly Positive73% of 89 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 60.1% ★, Medieval 10.9%, Management 8.8%, Point & Click 7.5%, Lore-Rich 7%
- #45 Office Hours
69% matchVery Positive82% of 66 reviews2026
Dev: PipoteamPub: IIM Digital School
Windows
Sort forms, get to know your mysterious new collegues & unravel mysteries they're trying to cover up as you step in to replace the previous RH at this mysterious pharmaceutical company.
Why similar: Psychological Horror 24.5%, Point & Click 21.4%, Choices Matter 12.5%, First-Person 11.1%, Story Rich 10.4%
- #46 Omen Exitio: Plague
71% matchVery Positive85% of 641 reviews2018
Dev: Tiny Bull Studios
Windows · Mac · Linux
Median: 3.6 hrsMean: 6.6 hrs≥1hr: 93%
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 73.8%, Choices Matter 15.8%, Story Rich 10.4%
- #47 The Kindeman Remedy
70% matchMixed69% of 306 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 47.5% ★, Time Management 16.6%, Point & Click 8.1%, Choices Matter 7.5%, Management 7.2%
- #48 Repair this!
68% matchVery Positive88% of 842 reviews2024
Dev: HGISoft
Windows · Mac
Median: 3.9 hrsMean: 5.3 hrs≥1hr: 81%
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 28.8%, Point & Click 14.2%, Management 12.5%, Choices Matter 12.5%, Multiple Endings 10.6%
- #49 The Plague Doctor of Wippra
69% matchVery Positive89% of 394 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 38.9%, Story Rich 23.4%, Medieval 22.2%, Atmospheric 14.3%, Puzzle 1.2%
- #50 Bookbinding – Dark Cozy Sim
67% matchMostly Positive71% of 164 reviews2026
Dev: NDApolisPub: Caspianborn Publishing
Windows
A quiet bookshop. A magical past. A murder and Tarot cards that can twist fate itself. Craft beautiful covers, read between the lines of your customers’ lives, and decide which secrets deserve to stay hidden… including your own.
Why similar: Investigation 23.9%, Choices Matter 16%, Dark 15.6%, Mystery 11.3%, Multiple Endings 11.3%
- #51 OVERDOSE
67% matchVery Positive85% of 136 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 30.3%, Psychological Horror 18.9%, Dark 15.1%, First-Person 9.1%, Puzzle 8.8%
- #52 Pathologic 2
68% matchVery Positive92% of 12,223 reviews2019
Dev: Ice-Pick LodgePub: tinyBuild
Windows
Median: 4.6 hrsMean: 12.5 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 26.2%, Psychological Horror 19.7%, Story Rich 19.4%, Dark 14.4%, Atmospheric 11.3%
- #53 Sultan's Game
64% matchVery Positive94% of 35,266 reviews2025
Dev: Double CrossPub: 2P Games
Windows · Mac · Linux
Median: 12.3 hrsMean: 24.7 hrs≥1hr: 86%
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 26.2%, Lore-Rich 18.9%, Choices Matter 14.4%, Psychological Horror 13.4%, Multiple Endings 12.4%
- #54 DESOLATIUM: Prologue
69% matchMostly Positive78% of 122 reviews2021
Dev: SUPERLUMEN
Windows · Mac
Median: 48 minMean: 10.1 hrs≥1hr: 40%
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 34.1%, Mystery 11.8%, Point & Click 11.6%, Investigation 10%, Psychological Horror 8.8%
- #55 Abscission
67% matchVery Positive94% of 125 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 22.3%, Choices Matter 18.8%, Investigation 18.1%, Multiple Endings 14.7%, Story Rich 10%
- #56 [Bober Bros] Last Pill Bar
65% matchVery Positive89% of 76 reviews2026
Dev: BOBER BROS
Windows · Mac
A virus is spreading. You can't afford to pickle everyone. Keep the bar open and decide who gets pickled before the outbreak decides who dies.
Why similar: Choices Matter 18.3%, Psychological Horror 18%, Multiple Endings 13.4%, Story Rich 11.7%, Dark 11.1%
- #57 Letter Lost
64% matchVery Positive86% of 188 reviews2026
Dev: FlatNine Games
Windows · Linux
You’re the sole employee at the Kharnym Isle post office, stamping, sorting, and delivering mail. But the job hides secrets, and the office itself holds mysteries you must uncover. This will be the only job you’ll ever need to work… unless you can escape.
Why similar: Lovecraftian 36.1%, Mystery 14.1%, Choices Matter 12.6%, Dark 10.6%, Story Rich 9.2%
- #58 Fateweaver: The Alchemist's Quandary
66% matchVery Positive98% of 100 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 25.8%, Choices Matter 17.8%, Multiple Endings 14.4%, Mystery 14.1%, Psychological Horror 12.7%