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Games Like Fable Hospital

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Management, Strategy, Singleplayer.

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  1. #1 Two Point Hospital
    97% matchVery Positive92% of 34,521 reviews2018
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 35.1 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 53.8%, Management 14.3%, Simulation 8.7%, Building 7.6%, Sandbox 5.5%

  2. #2 Fun Hospital
    96% matchMixed64% of 600 reviews2018
    Dev: OrangesGame Technology Limited
    Windows · Mac
    Median: 1.2 hrsMean: 32.8 hrs≥1hr: 52%

    Build your own theme hospital! Here, you might meet patients with a lot of hair, or no hair; strange aliens, evil guy, super hero…

    Why similar: Medical Sim 71.5%, Strategy 14.4%, Simulation 14.1%

  3. #3 Project Hospital
    95% matchVery Positive89% of 9,130 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 48.5%, Management 12.3%, Sandbox 8.9%, Economy 8.2%, Building 6%

  4. #4 Two Point Museum
    93% matchOverwhelmingly Positive96% of 11,825 reviews2025
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 9.1 hrsMean: 25.6 hrs≥1hr: 88%

    Curate and manage incredible museums! Explore to discover amazing artifacts. Design and refine the layout, keep staff happy, guests entertained, donations plentiful… and children off the exhibits

    Why similar: Sandbox 15.1%, Economy 13.2%, Management 13%, Building 12.1%, Simulation 10.9%

  5. #5 Naheulbeuk's Dungeon Master
    94% matchMostly Positive71% of 1,591 reviews2023
    Dev: Artefacts StudioPub: Dear Villagers
    Windows
    Median: 2.0 hrsMean: 16.7 hrs≥1hr: 61%

    A dungeon in danger ! Build, manage, and defend your tower in the satirical heroic fantasy universe of Dungeon of Naheulbeuk. From a shaky establishment to an infamous lair!

    Why similar: Management 14.7%, Medieval 13.7%, Sandbox 12.7%, Resource Management 9.2%, Building 8.4%

  6. #6 Healing Spree
    94% matchMixed55% of 106 reviews2021
    Dev: ParoPub: Milk Bottle Studio
    Windows

    Healing Spree is a tongue-in-cheek hospital simulator featuring co-op for up to 4 players. Play as doctors on call to diagnose, help, and treat as many patients as humanly possible while maintaining your sanity AND friendships!

    Why similar: Medical Sim 54%, Strategy 8.3%, Cute 7%, Comedy 6.5%, Simulation 5.8%

  7. #7 Potion Tycoon
    92% matchMostly Positive72% of 719 reviews2024
    Dev: Snowhound GamesPub: Daedalic Entertainment
    Windows
    Median: 3.0 hrsMean: 5.4 hrs≥1hr: 72%

    Potion Tycoon is a management simulator with a witchy twist! Build and develop your very own magic shop. Manage resources, set up production lines, mix potions and sell them smartly to stay ahead of the competition. Welcome to the potion business!

    Why similar: Medical Sim 25.3%, Management 12.1%, Economy 10.6%, Sandbox 9.9%, Resource Management 9.4%

  8. #8 Prescribe and Pray
    91% matchMostly Positive77% of 66 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 59.1%, Comedy 11.1%, Management 10.3%, Simulation 7.4%, Point & Click 6.1%

  9. #9 Galacticare
    91% matchVery Positive87% of 633 reviews2024
    Dev: Brightrock GamesPub: Mythwright
    Windows
    Median: 6.0 hrsMean: 12.6 hrs≥1hr: 95%

    Build, manage and optimise intergalactic hospitals! Recruit staff to satisfy the whims of various alien species, and cure their bizarre illnesses - for money! Save the (literal) Galaxy in story mode, or head into sandbox to design the hospital of your dreams.

    Why similar: Medical Sim 46.5%, Economy 13.8%, Management 11.7%, Building 7.9%, Strategy 6.2%

  10. #10 CURE - A Hospital Simulator
    89% matchVery Positive89% of 730 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.6 hrsMean: 8.1 hrs≥1hr: 84%

    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 50.5%, Economy 14.4%, Resource Management 12.6%, Management 12.5%, Simulation 6%

  11. #11 Arcade Tycoon ™ : Simulation Game
    90% matchVery Positive82% of 540 reviews2021
    Dev: Squidpunch StudiosPub: Vincent Ltd
    Windows
    Median: 1.4 hrsMean: 4.9 hrs≥1hr: 62%

    Build stunning Arcade Centre’s, purchase a range of arcades machines, manage troublesome staff in this colourful and humorous simulation management game. Inspired by Two Point Hospital, Let's Build A Zoo and Megaquarium.

    Why similar: Economy 16.8%, Management 15.1%, Sandbox 13%, Building 9.4%, Point & Click 9%

  12. #12 Little Big Workshop
    89% matchVery Positive84% of 3,371 reviews2019
    Dev: Mirage Game StudiosPub: HandyGames
    Windows · Mac
    Median: 4.3 hrsMean: 8.1 hrs≥1hr: 88%

    Manage your workers, stations, machines and create awesome stuff as your little big workshop grows into your dream factory!

    Why similar: Management 16.4%, Simulation 15.5%, Resource Management 15.4%, Strategy 13.6%, Economy 13.2%

  13. #13 Doctor Dash ASMR Hospital
    86% matchVery Positive89% of 94 reviews2024
    Dev: Friedegggames OUPub: Brightika, Inc.
    Windows

    💊 Your dream hospital awaits! 🏥❤️ Addictive levels and unique locations ✈️ Hours of entertainment in the time-management genre ⏰

    Why similar: Medical Sim 63.7%, Management 12.4%, Point & Click 12.4%, Simulation 11.6%

  14. #14 Fabledom
    85% matchVery Positive85% of 7,484 reviews2024
    Dev: Grenaa GamesPub: Dear Villagers
    Windows
    Median: 4.5 hrsMean: 12.2 hrs≥1hr: 78%

    Set in a wholesome fairytale world, Fabledom is a laid-back City builder. Enjoy the growth of your settlement, interact with your neighbors and defend your kingdom from magical creatures. All to find true love and live happily ever after!

    Why similar: Economy 16.9%, Sandbox 14.5%, Resource Management 14.3%, Management 11.8%, Cartoony 7.6%

  15. #15 Fantasy Town Regional Manager
    87% matchVery Positive80% of 91 reviews2021
    Dev: Caps Collective
    Windows · Mac · Linux

    Run a fantasy town for adventurers. Save it from monsters. Save it from itself. Watch it crumble to dust. Do it all again.

    Why similar: Medieval 16.4%, Management 15%, Building 10.6%, Strategy 9.9%, Comedy 9.5%

  16. #16 Hospital Manager
    88% 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 69.2%, Management 22.1%, Simulation 8.7%

  17. #17 Dungeon Tycoon
    84% matchMostly Positive75% of 1,830 reviews2024
    Dev: Lunheim StudiosPub: Goblinz Publishing
    Windows · Mac
    Median: 3.6 hrsMean: 6.4 hrs≥1hr: 68%

    Build your own dungeon and attract heroes from all over the realm! Grow your business by exploiting every facet of your visitors' dungeon exploration experience. Will you be able to keep your evil dungeon business going?

    Why similar: Economy 17.1%, Management 16%, Medieval 13.7%, Sandbox 12.9%, Building 8.3%

  18. #18 Idle Medieval Tavern
    86% matchMixed48% of 170 reviews2023
    Dev: A-GamesPub: Matryoshka
    Windows · Mac

    Once upon a time, in a realm of danger and intrigue, you find yourself entrusted with the management of a quaint medieval tavern. This captivating idle game weaves a tale of daring quests, legendary heroes, and a thriving tavern that serves as the heart of a bustling community.

    Why similar: Economy 21.5%, Management 17.2%, Medieval 12%, Point & Click 11%, Resource Management 9.9%

  19. #19 Two Point Campus
    83% matchVery Positive88% of 7,918 reviews2022
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 19.7 hrs≥1hr: 84%

    Build the university of your dreams with Two Point Campus, the sim with a twist from the makers of Two Point Hospital. Build, hire staff and run an academic institution packed with wild courses.

    Why similar: Management 22.6%, Sandbox 13.9%, Building 12.1%, Simulation 10.5%, Strategy 9.2%

  20. #20 Inn Tycoon
    82% matchMostly Positive78% of 801 reviews2025
    Dev: Evil Goose GamesPub: GameDev.ist
    Windows
    Median: 3.7 hrsMean: 26.5 hrs≥1hr: 84%

    Welcome to Inn Tycoon! Build, design, and manage your dream inn. Serve delightful meals, offer various services, and hire a stellar staff. Create a top-notch hospitality empire and become the ultimate Inn Tycoon!

    Why similar: Medieval 16.9%, Management 15.1%, Resource Management 14%, Economy 13.6%, Sandbox 11.6%

  21. #21 Big Pharma
    84% matchMostly Positive77% of 1,929 reviews2015
    Dev: Twice CircledPub: Positech Games
    Windows · Mac · Linux
    Median: 5.8 hrsMean: 9.5 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 44.6%, Management 13.6%, Economy 9.3%, Resource Management 7.8%, Simulation 6.1%

  22. #22 Doctor Life Simulator
    81% matchMixed67% of 138 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 57%, Management 14%, Economy 11.2%, Simulation 8.2%, Building 6.1%

  23. #23 Plague M.D.
    82% matchMostly Positive76% of 161 reviews2020
    Dev: CosCom Art Group
    Windows · Linux

    Plague M.D. is a medieval medicine simulator. Become a quack doctor stuck in a backwater village in the 16th century.

    Why similar: Medical Sim 40.6%, Simulation 15.6%, Point & Click 14.4%, Medieval 12.2%, Funny 9.3%

  24. #24 Heart's Medicine - Time to Heal
    81% matchVery Positive94% of 883 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 90.9%, Simulation 9.1%

  25. #25 Spellcaster University
    78% matchVery Positive83% of 4,253 reviews2021
    Dev: Sneaky Yak Studio
    Windows · Mac
    Median: 4.5 hrsMean: 7.5 hrs≥1hr: 86%

    Develop a prestigious university of mages. Build rooms, train your students, fight orcs, slay the bureaucrats, manage your budget... a director's life is not a quiet one.

    Why similar: Economy 18.9%, Management 17.2%, Resource Management 13.4%, Medieval 12.5%, Simulation 9.8%

  26. #26 Lords and Villeins
    79% matchMostly Positive71% of 966 reviews2022
    Dev: Honestly GamesPub: Fulqrum Publishing
    Windows
    Median: 1.2 hrsMean: 15.4 hrs≥1hr: 54%

    Build a prosperous settlement in a unique simulation of a feudal economy - each family runs their shop, owns their goods, and trades with other villagers in a free market. You will manage the land, build houses, organise events, set taxes, and balance supply and demand while engaging in diplomacy!

    Why similar: Medieval 16.8%, Management 15.6%, Economy 13.5%, Sandbox 12.4%, Resource Management 12.3%

  27. #27 Prison Tycoon®: Under New Management
    80% matchMixed62% of 184 reviews2021
    Dev: Abylight StudiosPub: Ziggurat
    Windows

    Build an intricate prison, hire the best staff, and pamper your prisoners to create the perfect rehabilitation facility in Prison Tycoon: Under New Management

    Why similar: Medical Sim 28.6%, Resource Management 14%, Management 13.3%, Sandbox 8.8%, Building 8.1%

  28. #28 Let's School
    76% matchVery Positive93% of 7,229 reviews2023
    Dev: Pathea Games
    Windows
    Median: 4.4 hrsMean: 14.6 hrs≥1hr: 83%

    Dive into the exhilarating role of a headmaster entrusted to revive your alma mater! Beyond just bricks and mortar, train teachers, recruit students. Sculpt your school into a unique educational haven! Let's School!

    Why similar: Medical Sim 35.3%, Management 12.2%, Sandbox 10.6%, Economy 9.7%, Building 6.7%

  29. #29 War Hospital
    78% matchMixed60% of 1,228 reviews2024
    Dev: Brave Lamb Studio S.A.Pub: Nacon
    Windows
    Median: 6.4 hrsMean: 10.0 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 54%, Management 13.7%, Economy 13.3%, Building 7.9%, Strategy 7.2%

  30. #30 Tavern Keeper 🍻
    74% matchVery Positive95% of 4,453 reviews2025
    Dev: Greenheart Games 💚
    Windows
    Median: 5.2 hrsMean: 8.4 hrs≥1hr: 84%

    From the creators of Game Dev Tycoon comes Tavern Keeper 🍻, a cosy-chaotic management sim, featuring a powerful decoration sandbox and a magical storybook RPG!

    Why similar: Management 17.7%, Economy 17.7%, Sandbox 16.3%, Building 11.7%, Simulation 9.3%

  31. #31 Hotel Magnate
    76% matchMixed59% of 486 reviews2025
    Dev: Arcade Oven
    Windows · Mac · Linux

    Have you ever wanted to design and manage your own hotel, rundown motel, or elegant resort? With a ridiculous amount of customization tools to wield, a host of facilities to build, and a wide variety of guests to impress, Hotel Magnate has it all. Let your inner hotel manager shine!

    Why similar: Resource Management 16.2%, Management 15.8%, Economy 15.2%, Sandbox 14.4%, Building 10.1%

  32. #32 Ale Abbey - Monastery Brewery Tycoon
    73% matchVery Positive90% of 1,300 reviews2025
    Dev: Hammer & RavensPub: Shiro Unlimited
    Windows
    Median: 3.4 hrsMean: 7.4 hrs≥1hr: 80%

    Build and expand your monastery, craft recipes and brew holy ales in this unique brewery tycoon. No pre-made recipes in Ale Abbey, oh no. It's a canvas for true beer alchemists. It's as simple as: brew, sip, repeat. Welcome to Ale Abbey!

    Why similar: Medieval 15.2%, Management 15%, Economy 14.5%, Resource Management 11.7%, Building 9.3%

  33. #33 Do No Harm
    75% matchMostly Positive75% of 901 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.5 hrsMean: 5.9 hrs≥1hr: 76%

    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 59.7%, Medieval 10.9%, Management 9.2%, Point & Click 7.5%, Lore-Rich 7.2%

  34. #34 Hospitalize
    79% 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 56.4%, Management 43.6%

  35. #35 Inn Tycoon: Prologue
    75% matchVery Positive91% of 69 reviews2024
    Dev: Evil Goose Games
    Windows

    Welcome to Inn Tycoon: Prologue! Build, design, and manage your dream inn. Serve delightful meals, offer various services, and hire a stellar staff. Create a top-notch hospitality empire and become the ultimate Inn Tycoon!

    Why similar: Medieval 15.9%, Resource Management 15%, Economy 14.2%, Sandbox 12.6%, Management 12.5%

  36. #36 Wunderdoktor
    77% 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: Point & Click 29.9%, Comedy 19%, Cute 18.3%, Surreal 16.1%, Colorful 12.4%

  37. #37 Potion Commotion
    77% matchVery Positive82% of 141 reviews2020
    Dev: NerdyBird Studios
    Windows

    Live the CRAZY life of a Wizard’s assistant in this hilarious Clicker game! You’ll be in charge of making wacky and wonderful Potions, using ingredients produced in your garden. With plenty of twists and turns along the way, the fun never stops! Do you have what it takes?

    Why similar: Strategy 27.5%, Simulation 25.9%, Resource Management 13.4%, Management 10.9%, Cute 6.8%

  38. #38 Monster Care Simulator
    71% matchVery Positive93% of 682 reviews2025
    Dev: Banana Tiger Studio
    Windows
    Median: 5.5 hrsMean: 12.3 hrs≥1hr: 90%

    Manage a care center for adorable monsters in Monster Care Simulator! Treat clients' creatures, hatch eggs, raise your own companions, and keep them happy with fun activities. Hire staff, expand your facilities, and customize your space to build the ultimate monster sanctuary!

    Why similar: Management 29.8%, Economy 29.2%, Simulation 16.8%, Sandbox 9.6%, Cute 6.5%

  39. #39 Tavern Master
    72% matchVery Positive92% of 12,957 reviews2021
    Dev: Untitled Studio
    Windows · Mac · Linux
    Median: 7.9 hrsMean: 11.7 hrs≥1hr: 86%

    Tavern Master is all about managing your medieval tavern. You start with a very small room, couple of benches and tables and build your way up to a huge successful tavern with a kitchen, rooms for guests, group of loyal staff and much more!

    Why similar: Management 27.4%, Medieval 19.5%, Resource Management 17.8%, Building 14.6%, Simulation 12.1%

  40. #40 Fantastic Haven: Prologue
    73% matchMostly Positive76% of 283 reviews2024
    Dev: Piece of Cake FabulousPub: Gamera Games
    Windows

    Save fantasy creatures and protect them until releasing them into their natural habitat. Build your shelter, explore the neighboring region, and encounter a series of events.

    Why similar: Sandbox 23.7%, Simulation 14.8%, Building 11.4%, Management 11.2%, Cute 9.7%

  41. #41 Potion Shop Simulator
    73% matchVery Positive83% of 84 reviews2025
    Dev: Pebbles Games
    Windows

    Master the art of alchemy in Potion Shop Simulator, a unique blend of simulation and strategy. Brew potions, manage your shop, and cater to a magical clientele in a single-player or co-op experience of the medieval fantasy world.

    Why similar: Economy 22.6%, Medieval 21.5%, Resource Management 19.3%, Management 18.9%, Simulation 10.2%

  42. #42 Ye Guild Clerk!
    70% matchOverwhelmingly Positive99% of 2,005 reviews2025
    Dev: Devclerk
    Windows

    The local Adventurer's Guild is hiring!... Not for adventurers, but for guild clerks! You play an important role in handing out quests, gold, and equipment as your actions shape the stories of these animal adventurers for better, or for worse..!

    Why similar: Medieval 27.2%, Point & Click 16.7%, Cartoony 13.1%, Cute 11.8%, Simulation 11.1%

  43. #43 Esports Life Tycoon
    74% matchMixed61% of 713 reviews2020
    Dev: UPLAY Online
    Windows · Mac
    Median: 4.1 hrsMean: 6.9 hrs≥1hr: 80%

    Manage your own esports squad, expand your gaming house, and defeat legendary teams to become the best in the world!

    Why similar: Management 14.9%, Economy 14.7%, Resource Management 13.8%, Sandbox 13%, Strategy 7.8%

  44. #44 The Fool's Apprentice
    72% matchMixed53% of 53 reviews2025
    Dev: The Planar Danse
    Windows

    A wizard academy management sim where you—an obviously benevolent professor—must manage & cast spells on your many apprentices so that they might study the right spells… and perhaps even survive the researching process. Some may die, but oh well, can’t save them all!

    Why similar: Management 21.5%, Resource Management 18%, Sandbox 17.8%, Building 9.8%, Simulation 8.9%

  45. #45 Tavern Manager Simulator 🍻
    69% matchVery Positive92% of 4,372 reviews2024
    Dev: One More Time
    Windows
    Median: 7.2 hrsMean: 13.0 hrs≥1hr: 91%

    Restore your fantasy tavern to its full glory. Repair, improve and expand the establishment. Cook delicious food and keep an eye on the mood of the visitors. Create a unique atmosphere for unforgettable adventures!

    Why similar: Economy 17.7%, Resource Management 16.2%, Management 15.1%, Medieval 13.8%, Sandbox 13.4%

  46. #46 United Penguin Kingdom
    70% matchMostly Positive75% of 439 reviews2024
    Dev: Turquoise Revival GamesPub: GrabTheGames
    Windows
    Median: 2.0 hrsMean: 3.7 hrs≥1hr: 70%

    A city-building game where you build a penguin settlement and satisfy the various needs of your penguins while dealing with seals and killer whales. Enjoy the growth of your settlement, become the king, and lead the United Penguin Kingdom.

    Why similar: Resource Management 18.7%, Economy 18.3%, Management 17.2%, Strategy 11%, Building 7.3%

  47. #47 Dungeon Inn
    68% matchVery Positive94% of 658 reviews2024
    Dev: Cat SocietyPub: Spiral Up Games
    Windows · Mac

    This is a cozy strategy management game where you manage an inn placed cleverly at the mouth of a dungeon. Juggle visits and business from 2 rivaling guilds, maximize profits, but keep your double-dealing a secret! Keep everyone happy and watch your inn thrive!

    Why similar: Resource Management 28.1%, Management 18.1%, Simulation 14.5%, Strategy 12.7%, Cute 10%

  48. #48 Blooming Business: Casino
    71% matchMixed70% of 231 reviews2023
    Dev: Homo Ludens
    Windows

    Build your casino empire in Las Venas alongside cute animals! Blooming Business: Casino is a cosy management game. Build and run your casino in a bustling world full of drama. Complete quests and manage your clientele. Keep everyone happy, from the clients, to the employees (and beware of the bear).

    Why similar: Management 14.1%, Resource Management 12.6%, Economy 12%, Sandbox 10.8%, Building 8.8%

  49. #49 Therapy Simulator
    69% 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: Management 34.5%, Comedy 25.3%, Simulation 20.8%, Funny 11.7%, 3D 7.7%

  50. #50 Bathhouse Creatures
    68% matchVery Positive99% of 70 reviews2025
    Dev: Sleepy Rocket
    Windows

    Ready, set, bath! Run your bathhouse for animals in this cozy and wholesome management game. Keep your bathtubs clean and filled, serve a cast of whimsical creatures, decorate your bathhouse with your hard earned cash, and be the best bathhouse there can be!

    Why similar: Management 19.7%, Sandbox 14.4%, Building 13.4%, Point & Click 13.2%, Strategy 9.3%

  51. #51 Heart's Medicine - Hospital Heat
    71% 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 87%, Simulation 13%

  52. #52 Dr. Chatelet: Faith 神医
    69% 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 65.7%, Medieval 17.4%, Simulation 9.8%, Cute 7.1%

  53. #53 Disco Simulator
    68% matchMostly Positive77% of 219 reviews2024
    Dev: Games Incubator
    Windows
    Median: 1.9 hrsMean: 7.8 hrs≥1hr: 64%

    Disco Simulator is a tycoon type game based on club management. Your task will be to set up the club from scratch, put up walls, arrange furniture, hire staff, plan events, invite artists, put on concerts. Create your own club!

    Why similar: Management 19.1%, Economy 18.9%, Resource Management 11.4%, Simulation 10.4%, Sandbox 9.5%

  54. #54 Drafting Tales
    70% matchMixed69% of 88 reviews2020
    Dev: Istotex
    Windows · Mac · Linux

    In Drafting Tales you are new writer working from your apartment. Your goal is to become a well-known and successful author!

    Why similar: Simulation 18%, Strategy 17.9%, Management 13.7%, Economy 13.7%, Sandbox 10.4%

  55. #55 Alchemist Shop Simulator
    67% matchVery Positive82% of 157 reviews2025
    Dev: Kool2Play
    Windows

    Run your own magic business! In Alchemist Shop Simulator you can trade magical wares, brew potions and take on special orders, meet many quirky clients, grow your ingredients in your garden, restock your shelves and manage prices. Keep expanding your business as you gain experience and wealth!

    Why similar: Economy 23.9%, Management 20.1%, Resource Management 17.7%, Medieval 16.9%, Simulation 10.8%

  56. #56 Tingus Goose
    64% matchVery Positive91% of 1,304 reviews2025
    Dev: SweatyChairPub: Playsaurus
    Windows · Mac
    Median: 1.9 hrsMean: 10.8 hrs≥1hr: 68%

    Tingus Goose is a delightfully absurd idle game where you plant seeds in patients, bounce babies for profit, and ascend through surreal worlds toward riches.

    Why similar: Economy 21.8%, Management 21.3%, Sandbox 13.7%, Building 12.7%, Strategy 12.1%

  57. #57 Pretty Sweet! Healing Guardian
    66% matchVery Positive100% of 53 reviews2025
    Dev: BerryLemonade Studio
    Windows

    Fulfill your dream of becoming a magical girl! In this tiny management sim you are in charge of the citizens’ well-being in a cozy town. Balance their emotions with candy magic, manage your sugary stock, upgrade your powers and raise everybody's quality of life!

    Why similar: Management 27.6%, Resource Management 24.5%, Simulation 15.3%, Cute 11.7%, Strategy 10.9%

  58. #58 The Magical Mixture Mill
    66% matchVery Positive84% of 602 reviews2024
    Dev: GlowlightPub: 505 Pulse
    Windows
    Median: 3.5 hrsMean: 11.4 hrs≥1hr: 79%

    Gather exotic ingredients, brew complex mixtures, and expand your magically automated production lines -- keeping your shelves stocked, your customers happy, and your pockets full.

    Why similar: Management 28.3%, Sandbox 16.7%, Cartoony 16%, Colorful 11.3%, Simulation 10.9%

  59. #59 Magic Forge Tycoon
    65% matchMostly Positive72% of 86 reviews2026
    Dev: Clever Trickster StudioPub: Clever Trickster Productions
    Windows

    Become the ultimate fantasy arms dealer. Forge enchanted weapons, fulfill contracts, influence wars, and shape the fate of kingdoms! Master the astral forge, upgrade your gear, use alchemy, dominate the resource market, and rise as the realm’s mythic weaponsmith.

    Why similar: Economy 21%, Management 20.5%, Medieval 11%, Simulation 10.3%, Strategy 8.9%

Modeli
Based on tag similarity + player behavior
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