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Games Like Emergency Room Simulator

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Medical Sim, Singleplayer, Realistic.

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  1. #1 Doctor Life Simulator
    97% 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 39.6% ★, Job Simulator 27.8% ★, Life Sim 11.6%, Choices Matter 6.5%, Realistic 6%

  2. #2 Vital Signs: Emergency Department
    96% 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 76.6% ★, Choices Matter 9.3%, Realistic 7.1%, Simulation 5.7%, Singleplayer 1.4%

  3. #3 Ambulance Life: A Paramedic Simulator
    96% matchMixed49% of 1,337 reviews2025
    Dev: Aesir InteractivePub: Nacon
    Windows
    Median: 2.2 hrsMean: 4.6 hrs≥1hr: 72%

    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 66.7% ★, Realistic 13%, Simulation 8.9%, Open World 5.6%, Atmospheric 2.9%

  4. #4 CURE - A Hospital Simulator
    95% matchVery Positive88% of 1,000 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.9 hrsMean: 10.1 hrs≥1hr: 87%

    Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!

    Why similar: Medical Sim 40.1% ★, Job Simulator 29.7% ★, Life Sim 10.8%, Realistic 7.5%, First-Person 3.4%

  5. #5 Pharmacy Simulator
    94% matchMixed59% of 258 reviews2024
    Dev: Altai Entertainment
    Windows

    Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.

    Why similar: Medical Sim 57.1% ★, Life Sim 18.9%, Simulation 9%, Realistic 8%, First-Person 3.9%

  6. #6 Accident
    94% 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 56.1% ★, Realistic 11.5%, Investigation 10.8%, Choices Matter 7.1%, Simulation 5.3%

  7. #7 Project Hospital
    93% 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 46.6% ★, Job Simulator 33.1% ★, Life Sim 6.8%, Sandbox 5%, Realistic 4.7%

  8. #8 Device Doctor Simulator 2024
    91% matchMixed65% of 194 reviews2025
    Dev: Tenacity GamesPub: First Break Labs
    Windows

    Device Doctor Simulator 2024 offers an interactive and detailed simulation experience of becoming a technology repair expert. In this unique simulation, dive into the complex world of various digital devices, including smartphones, tablets, and smartwatches.

    Why similar: Job Simulator 55% ★, Life Sim 20.7%, Realistic 9.5%, First-Person 4.7%, Simulation 3.6%

  9. #9 Do No Harm
    91% matchMostly Positive75% of 950 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.3 hrsMean: 5.7 hrs≥1hr: 75%

    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?

    Why similar: Medical Sim 63.4% ★, Investigation 13.3%, Choices Matter 11.6%, First-Person 4.2%, Atmospheric 3.4%

  10. #10 Pharmacy Store Simulator
    90% matchMostly Positive74% of 76 reviews2026
    Dev: Art Games Studio S.A.
    Windows

    Run your own Pharmacy! Sell medicines, advise customers, validate prescriptions, and fulfill them. Start small and expand your business - make it big in the medicine world!

    Why similar: Medical Sim 40.4% ★, Life Sim 16.9%, Simulation 13%, Realistic 11.7%, First-Person 6.2%

  11. #11 Therapy Simulator
    88% matchMostly Positive79% of 76 reviews2025
    Dev: Jemboy
    Windows

    Step into the chair of a therapist in Therapy Simulator! Guide your patients through emotional journeys with branching dialogue choices. Balance humor, humanity, and the chaos of therapy!

    Why similar: Life Sim 38.4%, Choices Matter 32.8%, Simulation 13.9%, Casual 6.5%, 3D 5.7%

  12. #12 Dr. Cares - Amy's Pet Clinic
    89% matchMostly Positive79% of 77 reviews2018
    Dev: NitrealPub: GameHouse
    Windows · Mac

    Get ready to test your vet skills in Dr. Cares - Amy's Pet Clinic!

    Why similar: Medical Sim 83.4% ★, Simulation 10.1%, Casual 6.5%

  13. #13 IT Specialist Simulator
    86% matchMostly Positive75% of 467 reviews2025
    Dev: Pixel Team RED
    Windows
    Median: 2.3 hrsMean: 3.4 hrs≥1hr: 76%

    Step into the world of IT! Diagnose network issues, manage servers, and repair devices while handling tasks under strict SLAs. Choose your career path, from HelpDesk to IT Project Manager. Develop real IT knowledge and climb the ranks in this realistic IT simulation!

    Why similar: Life Sim 33.5%, Realistic 22.6%, Sandbox 15.3%, Simulation 11.3%, First-Person 10.3%

  14. #14 Hospital Manager
    89% matchMixed46% of 255 reviews2015
    Dev: CCCPPub: Microids Indie
    Windows · Mac
    Median: 1.1 hrsMean: 9.4 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 92.1% ★, Simulation 7.9%

  15. #15 Dr Greenstuff
    87% matchVery Positive87% of 149 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 80.1% ★, Simulation 9.4%, Sandbox 6.5%, Open World 4%

  16. #16 Airport X-Ray Simulator
    84% matchVery Positive82% of 281 reviews2024
    Dev: Rainbow Lab
    Windows
    Median: 1.3 hrsMean: 3.1 hrs≥1hr: 63%

    Step into the critical role of a baggage security operative in Airport X-Ray Simulator. As part of the backbone of airport security, you are the last line of defense against prohibited or illegal items making their way onto an aircraft or into the airport.

    Why similar: Life Sim 23.6%, Investigation 22.3%, Realistic 13.3%, Sandbox 9.5%, Simulation 9%

  17. #17 Reanimation Inc.
    85% matchVery Positive81% of 134 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 90.5% ★, Simulation 9.5%

  18. #18 Emergency Call - The Firefighting Simulation 3
    82% matchMostly Positive71% of 402 reviews2026
    Dev: Crenetic GmbH StudiosPub: Aerosoft GmbH
    Windows

    Be part of a professional fire department and prepare for your operations. Complete training courses and drills during your 24-hour shifts to qualify for roles from attack crew member to engineer across various emergency vehicles.

    Why similar: Realistic 27.4%, Sandbox 21.1%, Simulation 15.4%, Third Person 10%, Atmospheric 9.5%

  19. #19 Heart's Medicine - Time to Heal
    84% 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 87.2% ★, Casual 6%, Simulation 6%, Singleplayer 0.9%

  20. #20 Medic: Pacific War
    82% matchMostly Positive71% of 171 reviews2026
    Dev: Hypnotic AntsPub: IZilla Games
    Windows

    Become a Medic - a true war hero. Survive the brutality of the Pacific Front as bombs rain from above and bullets shred the air. You’re the last chance for your wounded allies. Every decision you make could turn the tide of battle - but none will be easy.

    Why similar: Medical Sim 72% ★, Realistic 10.7%, Simulation 6%, First-Person 4%, Atmospheric 3%

  21. #21 Emergency Call 112 - The Attack Squad
    83% matchMixed50% of 94 reviews2024
    Dev: CreneticPub: Aerosoft GmbH
    Windows

    Take on the role of the attack squad and complete a variety of diverse missions ranging from apartment fires to rescuing people and many more. Get an overview of the situation at the scene and decide strategically how to tackle the upcoming tasks depending on the situation!

    Why similar: Realistic 26%, Investigation 24.2%, Simulation 17.8%, First-Person 12.1%, Choices Matter 10.8%

  22. #22 Chernobyl: Simulator
    81% matchVery Positive92% of 84 reviews2026
    Dev: Rikarin Studio
    Windows · Mac

    Chernobyl Simulator puts you in the control room of the most infamous nuclear power plant in history. Step into the shoes of a reactor operator, where every switch, gauge, and decision matters. Experience the pressure, responsibility, and unforgiving complexity of Soviet-era nuclear operations.

    Why similar: Science 38%, Realistic 17.7%, Choices Matter 10.5%, Sandbox 10.4%, Simulation 7.8%

  23. #23 112 Operator
    81% matchVery Positive89% of 7,378 reviews2020
    Dev: Jutsu GamesPub: Games Operators
    Windows · Mac
    Median: 3.3 hrsMean: 11.9 hrs≥1hr: 86%

    Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day!

    Why similar: Medical Sim 53.4% ★, Realistic 19.4%, Simulation 8.6%, Sandbox 7.5%, Casual 4.8%

  24. #24 Prescribe and Pray
    80% 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 71.4% ★, Choices Matter 16.7%, Simulation 6.1%, First-Person 2.4%, Atmospheric 1.9%

  25. #25 Cleaning Simulator
    79% matchMixed68% of 143 reviews2026
    Dev: Damaged GamesPub: RockGame S.A.
    Windows

    Cleaning Simulator offers a relaxing and satisfying experience where mess turns into order and dirt into shine. Sweep, scrub, and polish. Every corner transforms under your touch!

    Why similar: Job Simulator 43.4% ★, Life Sim 16.7%, Realistic 14.9%, Simulation 9.2%, Atmospheric 4.5%

  26. #26 Pawnbroker Simulator
    77% matchMostly Positive73% of 414 reviews2026
    Dev: Next Sky GamesPub: Ultimate Publishing
    Windows

    Enter Pawnbroker Simulator, where every deal, appraisal, and choice forges your path to pawn shop greatness. Sharpen your instincts, unlock new talents, craft a storefront that turns heads, offer high-stakes loans, and stay one step ahead of cunning thieves.

    Why similar: Life Sim 29.1%, Realistic 17.5%, Sandbox 14.5%, Choices Matter 9.6%, Simulation 9.4%

  27. #27 Moving Simulator
    78% matchMixed44% of 135 reviews2026
    Dev: Corpix GamesPub: PlayWay S.A.
    Windows

    Dive into the ultimate moving experience in Moving Simulator! Manage chaotic house moves, carefully pack belongings, load trucks, and navigate through hilarious disasters. Precision, speed, and creativity will make you a moving master!

    Why similar: Life Sim 36.1%, Sandbox 16.2%, Realistic 15.7%, Simulation 13%, Open World 8.1%

  28. #28 EMERGENCY 3
    79% matchVery Positive81% of 172 reviews2017
    Dev: Sixteen Tons Entertainment
    Windows

    Their lives are in your hands - can you take the pressure? In this re-release of the classic EMERGENCY 3 it's your job to save lifes! Command many different first responder units in an exciting mix of simulation and real-time strategy.

    Why similar: Simulation 51.5%, Realistic 44.2%, Singleplayer 4.3%

  29. #29 AirportSim
    77% matchMixed68% of 1,699 reviews2023
    Dev: MS GAMESPub: Iceberg Interactive
    Windows
    Median: 4.1 hrsMean: 76.2 hrs≥1hr: 80%

    AirportSim is an Advanced Airport Ground Handling Simulator with true-to-life visuals and operations, licensed planes and vehicles, real airports and live weather conditions. Enjoy the many tasks alone or with friends, making this experience unforgettable.

    Why similar: Job Simulator 46.3% ★, Life Sim 14.5%, Realistic 11.6%, Sandbox 8%, Simulation 5%

  30. #30 Covid Simulator
    78% matchVery Positive81% of 68 reviews2022
    Dev: Coldrice Games LLC
    Windows

    COVID SIMULATOR is an outbreak simulation that visualizes how quickly Covid-19 spreads, becoming a disaster. The game is an open sandbox where you can add (or remove) Covid mandates and see what happens! Create your workplace, enact your mandates, and roll the dice with your workers.

    Why similar: Science 46.2%, Life Sim 23.9%, Choices Matter 13.5%, Open World 5.4%, Simulation 5.1%

  31. #31 Electrician Simulator
    76% matchVery Positive80% of 4,489 reviews2022
    Dev: Take IT Studio!Pub: Gaming Factory
    Windows
    Median: 3.4 hrsMean: 5.0 hrs≥1hr: 80%

    Take on the electrician role and learn the profession's basics! Install sockets, repair worn-out equipment, assemble broken appliances, replace light bulbs, and lay wires at your customers' homes. Be sure to check everything twice, with electricity there are no jokes!

    Why similar: Life Sim 31.9%, Realistic 18.5%, Simulation 12.6%, Choices Matter 11.9%, First-Person 10.8%

  32. #32 Beauty Store Simulator
    74% matchVery Positive87% of 196 reviews2026
    Dev: NovaraGamesPub: PlayWay S.A.
    Windows · Mac

    Run your own beauty store in Beauty Store Simulator! Manage a variety of cosmetics, fashion items, jewelry, and more. Design your store, keep customers happy, and build a successful beauty empire. Can you become the ultimate beauty mogul?

    Why similar: Job Simulator 49.1% ★, Life Sim 19.4%, Realistic 8.7%, Simulation 6.4%, Sandbox 4.4%

  33. #33 Ultimate Theater Simulator
    74% matchVery Positive89% of 669 reviews2025
    Dev: RAKTWO GamesPub: steelbox Games
    Windows · Mac
    Median: 4.1 hrsMean: 6.9 hrs≥1hr: 82%

    Ultimate Theater Simulator is a first-person cinema management game where you screen movies, serve snacks, hire staff, handle chaos, and grow your dream theater from the ground up.

    Why similar: Job Simulator 32.4% ★, Life Sim 28.8%, Sandbox 14.2%, Simulation 9.3%, First-Person 8.2%

  34. #34 Cabin Crew Life Simulator
    75% matchMostly Positive72% of 542 reviews2025
    Dev: SOGA Std
    Windows · Mac

    Have you ever wondered what flight attendants do on each flight? Let's find out with Cabin Crew Life Simulator, the pioneering flight attendant simulator with variety of aircraft, airports, passenger services, handling emergency situations, in-flight business, teamwork and much more.

    Why similar: Job Simulator 37.4% ★, Life Sim 21.2%, Realistic 11.5%, Sandbox 7.7%, Simulation 6.9%

  35. #35 Saloon Simulator
    73% matchVery Positive90% of 1,007 reviews2025
    Dev: Glivi Games S.A.Pub: RockGame S.A.
    Windows
    Median: 5.7 hrsMean: 9.7 hrs≥1hr: 89%

    Start by running a saloon and carve your own place in the Wild West. Shape your bar, hire help, and get drawn into the lives and troubles of the people who gather around your counter. Out here, honest business is rarely enough. See what it takes to survive the frontier.

    Why similar: Life Sim 26%, Realistic 19.5%, Choices Matter 17.4%, Sandbox 12.3%, Simulation 8.7%

  36. #36 Heart's Medicine - Season One
    76% matchVery Positive81% of 121 reviews2020
    Dev: Big Blue StudiosPub: GameHouse
    Windows · Mac

    Can you be counted on in an emergency? 🚑

    Why similar: Medical Sim 76.4% ★, Simulation 14.5%, Casual 9.1%

  37. #37 Cinema Simulator 2025
    73% matchMostly Positive78% of 599 reviews2025
    Dev: HOGO Games
    Windows
    Median: 3.5 hrsMean: 5.8 hrs≥1hr: 72%

    Cinema Simulator 2025 is a simulation game where you will manage your own movie theater and test your strategy and management skills. Starting from a small movie theater, try to become a giant in the movie industry.

    Why similar: Job Simulator 34.3% ★, Life Sim 19.3%, Choices Matter 13.1%, Realistic 12.1%, First-Person 6.3%

  38. #38 Heart's Medicine - Hospital Heat
    75% matchVery Positive96% of 366 reviews2017
    Dev: Blue GiraffePub: GameHouse
    Windows · Mac
    Median: 5.1 hrsMean: 8.7 hrs≥1hr: 93%

    The long awaited sequel to "Heart's Medicine - Time to Heal". An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring doctor at Little Creek Hospital!

    Why similar: Medical Sim 85.6% ★, Simulation 8.7%, Casual 5.7%

  39. #39 Responding
    73% matchMixed48% of 486 reviews2026
    Dev: Visionary Studios
    Windows

    Responding is an upcoming open-world Emergency Services simulator sandbox that offers a realistic and in-depth Police, Fire, and EMS experience that is set in a fictional version of New York State.

    Why similar: Investigation 24.4%, Realistic 22.4%, Sandbox 15.1%, Simulation 9.6%, Open World 9.5%

  40. #40 Firefighting Simulator - The Squad
    72% matchVery Positive81% of 5,324 reviews2020
    Dev: Chronos UnterhaltungssoftwarePub: astragon Entertainment
    Windows
    Median: 4.2 hrsMean: 18.4 hrs≥1hr: 88%

    Firefighting Simulator lets you experience what it means to fight fires up close as an active part of a major US city's firefighting crew - together with up to 3 friends in the co-op multiplayer- or in the single player mode.

    Why similar: Realistic 37.1%, Simulation 21.7%, 3D 9.3%, Open World 8%, Sandbox 6.7%

  41. #41 Symptoms of Infection
    69% 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 56.3% ★, Life Sim 14.7%, Choices Matter 13.8%, Simulation 12.5%, Singleplayer 2.7%

  42. #42 Autopsy Simulator
    71% matchMixed52% of 1,629 reviews2024
    Dev: Woodland GamesPub: Team17 Digital Ltd
    Windows
    Median: 4.1 hrsMean: 4.6 hrs≥1hr: 79%

    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 68.9% ★, Simulation 12.1%, Realistic 10.4%, First-Person 5%, Atmospheric 2.6%

  43. #43 Monster Lab Simulator
    68% matchMostly Positive73% of 590 reviews2026
    Dev: Round 3 Studios
    Windows
    Median: 2.9 hrsMean: 5.8 hrs≥1hr: 77%

    Ready to become a mad scientist? Synthesize, evolve, and command an army of unique creatures in your own lab. Manage your laboratory, master genetic essences, and dominate the battle arena in this deep creature collection simulator!

    Why similar: Science 40.3%, Life Sim 21.3%, Realistic 13.9%, Simulation 8%, First-Person 6.1%

  44. #44 Food Processing Simulator
    67% matchVery Positive88% of 341 reviews2026
    Dev: Bewolba Studios
    Windows

    Build and manage your own food processing factory. Automate production with machines, work together with skilled employees to keep operations running smoothly, expand your facility, and keep inventory under control as you grow from a small workshop into a large scale production facility.

    Why similar: Job Simulator 44% ★, Life Sim 21%, Sandbox 10.6%, Realistic 9.3%, Simulation 7.2%

  45. #45 Restaurant Owner: A Restaurant Simulator
    70% matchMixed59% of 103 reviews2025
    Dev: Workaround GamesPub: CreativeForge Games
    Windows

    Run your own restaurant. Create your menu, hire staff, decorate the place, take orders, serve guests, and grow your business. Food critics, online orders, events, and kitchen chaos are on the menu!

    Why similar: Job Simulator 45.5% ★, Life Sim 14.8%, Realistic 11.9%, Sandbox 8%, Simulation 6.1%

  46. #46 Accident: The Pilot
    71% matchMixed69% of 823 reviews2020
    Dev: Duality Games
    Windows
    Median: 30 minMean: 2.1 hrs≥1hr: 20%

    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: Life Sim 30.7%, Realistic 17.7%, Simulation 14.8%, Choices Matter 13.2%, First-Person 8.6%

  47. #47 Zoo Simulator
    69% matchMostly Positive72% of 195 reviews2024
    Dev: Games Incubator
    Windows

    In Zoo Simulator, your main task is to run and manage your own zoo. Renew it and take care of all the animals' needs, ensuring them a peaceful life! Will you attract crowds of visitors? Create your own zoo!

    Why similar: Life Sim 27.3%, Realistic 26.2%, Simulation 13.2%, Open World 10%, First-Person 8.3%

  48. #48 EMERGENCY
    68% matchMixed70% of 6,982 reviews2023
    Dev: Sixteen Tons Entertainment
    Windows
    Median: 1.9 hrsMean: 23.4 hrs≥1hr: 61%

    Save lives – be a hero! Join forces against the chaos in the newest title of the award-winning EMERGENCY series. Take up your shift as incident commander and coordinate with other players to fight fires, arrest gangsters and rescue injured civilians. Your city needs you!

    Why similar: Realistic 57.3%, Simulation 24.8%, 3D 11.7%, Singleplayer 6.2%

  49. #49 Firefighting Simulator: Ignite
    66% matchVery Positive81% of 2,693 reviews2025
    Dev: weltenbauer. Software Entwicklung GmbHPub: astragon Entertainment
    Windows
    Median: 6.6 hrsMean: 43.0 hrs≥1hr: 87%

    Face unpredictable dangers, fight perilous fires with your crew, and save lives in Firefighting Simulator: Ignite. Step into the boots of a U.S. firefighter and play with up to 3 friends or with the help of your NPC controlled crew members.

    Why similar: Realistic 43.6%, Simulation 29.4%, Third Person 12.6%, 3D 12.2%, Singleplayer 2.1%

  50. #50 Surgeon Simulator VR: Meet The Medic
    70% matchMostly Positive77% of 598 reviews2016
    Dev: Bossa Studios
    Windows
    Median: 18 minMean: 1.6 hrs≥1hr: 14%

    Surgeon Simulator VR: Meet the Medic – be the Medic and operate on the Heavy in this free and exclusive teaser for the HTC Vive!

    Why similar: Medical Sim 92.5% ★, Simulation 5.9%, First-Person 1.6%

  51. #51 Surgeon Simulator 2
    70% matchMixed42% of 2,614 reviews2021
    Dev: Bossa StudiosPub: Infogrames
    Windows
    Median: 1.9 hrsMean: 4.0 hrs≥1hr: 69%

    It’s time to ‘scrub in’ in this physics-based surgery sim. Unearth the mysteries of the Bossa Labs Medical Facility and save Bob’s life.

    Why similar: Medical Sim 79.4% ★, Simulation 7.3%, First-Person 7.1%, Casual 4.5%, Singleplayer 1.7%

  52. #52 Bakery Simulator
    68% matchMixed66% of 2,450 reviews2022
    Dev: Live Motion GamesPub: Ultimate Games S.A.
    Windows
    Median: 1.2 hrsMean: 10.4 hrs≥1hr: 54%

    Get up before dawn and see what it's like to be a baker! Learn to bake several dozen types of bread. Use realistic bakery machines. Deliver orders to stores, earn, and invest. Use original recipes or experiment with ingredients.

    Why similar: Life Sim 33.9%, Realistic 27.5%, Simulation 12.8%, First-Person 10.7%, Casual 7.1%

  53. #53 Hospitalize
    72% matchMostly Negative40% of 171 reviews2016
    Dev: Illeris
    Windows

    Find the most effective way to construct and manage a hospital. Build your hospital smart and avoid excess time and resources consumed by examining your patients unnecessary. You can choose to micromanage your patients or hope that your doctors are able to identify the cause of their symptoms.

    Why similar: Simulation 100%

  54. #54 Psychiatrist Simulator
    71% 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 56.9% ★, Life Sim 17%, Choices Matter 11.9%, Simulation 6.9%, Casual 4%

  55. #55 Food Delivery Simulator
    66% matchMostly Positive77% of 316 reviews2024
    Dev: Black Sea Studios
    Windows

    Live the life of a food delivery driver. Deliver orders, earn money, upgrade your vehicle, explore a vast city, and make way to your success. Dive into a realistic daily adventure and level up to become the best delivery driver.

    Why similar: Job Simulator 55.1% ★, Life Sim 18.9%, Simulation 8.4%, Casual 4.9%, Realistic 4.8%

  56. #56 Megastore Simulator
    63% matchVery Positive93% of 2,069 reviews2026
    Dev: Yolo Games Studio
    Windows
    Median: 13.4 hrsMean: 39.3 hrs≥1hr: 82%

    Megastore Simulator is a first-person management & tycoon game. Start small and grow into a massive two-floor megastore with forklifts, pallet jacks, and staff. Unlock and manage departments like Bakery, Clothing, Electronics, Sports, Music, Toys, Grocery, Seafood, and Vending Machines

    Why similar: Job Simulator 32.6% ★, Life Sim 26%, Realistic 10.1%, Simulation 9.9%, Sandbox 6.8%

  57. #57 Coffie Simulator
    65% matchVery Positive89% of 106 reviews2026
    Dev: SakneDevPub: PlayWay S.A.
    Windows

    Coffie Simulator is a coffee simulator game. Run your own café, serve 500+ unique customers, and master the art of coffee-making! Customize, upgrade, and manage your shop while handling orders with precision. Every choice matters—your reputation shapes the experience. Can you succeed?

    Why similar: Job Simulator 39.7% ★, Life Sim 18.8%, Choices Matter 11.3%, Sandbox 9.8%, Simulation 7.1%

  58. #58 Negative Atmosphere: Emergency Room Prototype
    67% matchMixed68% of 120 reviews2023
    Dev: Sunscorched
    Windows

    A free, first-person, short medical horror experience that is an early rendition of the prequel we envisioned for Negative Atmosphere.

    Why similar: Medical Sim 79.8% ★, Realistic 10.1%, First-Person 4.9%, Simulation 4.5%, Singleplayer 0.7%

Modeli
Emergency Room Simulator cover art

Games Like Emergency Room Simulator

Based on tag similarity + player behavior
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