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Games Like Fool's Court

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

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  1. #1 Two Point Hospital
    97% matchVery Positive92% of 34,907 reviews2018
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 35.3 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 61.7%, Management 15.3%, Building 11.9%, Funny 4.1%, Simulation 3.6%

  2. #2 Royal Dental
    96% match3 user reviews100% of 3 reviews2026
    Dev: Visionaire Labs
    Windows

    Rise from peasant dentist to royal healer in this quirky medieval dental simulation RPG. Treat patients, upgrade tools, improve your clinic, expand your knowledge, and restore Princess Penelope’s legendarily awful smile, all while facing sabotage from a jealous prince.

    Why similar: Medical Sim 57.2%, Medieval 13.1%, Management 8.7%, Funny 6.6%, RPG 4.9%

  3. #3 Hospital Manager
    96% matchMixed46% of 255 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 74.6%, Management 22%, Simulation 3.4%

  4. #4 Mind Scanners
    94% matchMostly Positive75% of 1,459 reviews2021
    Dev: The Outer ZonePub: Brave At Night
    Windows · Mac
    Median: 5.5 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 42.4%, Political Sim 24.9%, Management 9.8%, Choices Matter 6.8%, Multiple Endings 4.6%

  5. #5 Fable Hospital
    94% 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 51.6%, Medieval 14.5%, Management 11.2%, Building 6.9%, Strategy 4.8%

  6. #6 Epi Derick
    93% matchPositive80% of 10 reviews2025
    Dev: Fireslug Studios
    Windows

    You run the only pharmacy in a rural town. Each face at the counter is the same, each ailment slightly different. Provide Care - Follow Our Rules - Stay Safe.

    Why similar: Medical Sim 62.5%, Management 10%, Dialogue Heavy 9.8%, First-Person 5.5%, Simulation 4.1%

  7. #7 Plague Doctor: Life in Pestilence
    92% matchNo user reviews
    Dev: PST Games
    Windows

    From an unknown quack to a reputable Plague Doctor, watch the plague unfold before your eyes. Gather ingredients, brew remedies, expand your clinic, and perform surgeries alone or up to 4 player co-op. Will you uphold the Hippocratic Oath... or watch the world rot and darken with every death.

    Why similar: Medical Sim 46%, Medieval 12.8%, Management 9.5%, Historical 9%, Building 8.8%

  8. #8 The Newspapers of the day
    91% match8 user reviews88% of 8 reviews2026
    Dev: divingstudio
    Windows

    Run a newspaper under censorship. Report, choose your articles, strike out words, lay out the page. Sharp reporting draws the censors; a compliant paper loses its readers. 1920s Gyeongseong — a newspaper management simulation adventure where you complete a single page, every single day.

    Why similar: Political Sim 36.2%, Historical 12%, Management 11%, Choices Matter 9.2%, Dialogue Heavy 9.1%

  9. #9 Very Human Doctor
    90% matchNo user reviews
    Dev: FreeMind S.A.
    Windows

    A Co(s)mic Medical Simulator where healing humanity is just your cover. Treat patients, secretly harvest DNA, experiment with bizarre alien technology, and keep your true identity hidden.

    Why similar: Medical Sim 64.3%, Building 9.5%, Management 7.8%, First-Person 5.2%, Simulation 4.6%

  10. #10 Donor Clinic Simulator
    89% matchNo user reviews
    Dev: 2 Stula Games
    Windows

    Manage your own reproductive medicine clinic! Choose donors based on their physical traits, research the effectiveness of biomaterials, upgrade the donor room, improve your laboratory, purchase new equipment, and help couples have a baby and become happy parents!

    Why similar: Medical Sim 61.7%, Management 16.8%, Simulation 5.5%, Choices Matter 5.3%, First-Person 4.6%

  11. #11 Blood Without a Name
    89% match1 user reviews100% of 1 reviews2026
    Dev: Forgeborn Studios
    Windows

    A voice-acted dark fantasy political life sim. Shape Darian from childhood into rule, forge relationships and skills, uncover buried history, govern a living domain, draft laws and letters, and face consequences that unfold across decades.

    Why similar: Political Sim 43.6%, Medieval 17.4%, Dialogue Heavy 10%, Choices Matter 9.2%, RPG 7.9%

  12. #12 Liar-for-hire
    88% matchNo user reviews2026
    Dev: Neo Vulgate Cycle
    Windows

    Follow the new worker of the disinformation agency day by day. Decide how to oppose news and people through the use of fake scandals and redirections. Ensure a win for your employers - or find some conscience after all.

    Why similar: Political Sim 41%, Visual Novel 13%, Management 12.6%, Choices Matter 10.1%, RPG 6.4%

  13. #13 Save Us, Doctor Faust!
    87% matchNo user reviews2026
    Dev: MIWAVV GAMES
    Windows

    Save Us, Doctor Faust! is an immersive medieval doctor simulator where you diagnose diseases, study medicine, and craft remedies from raw ingredients. Examine your patients, grind and distill ingredients, experiment with recipes — and remember: one mistake could cost a life.

    Why similar: Medical Sim 53.6%, Management 11.6%, Medieval 9.5%, Dialogue Heavy 5.7%, Choices Matter 4.3%

  14. #14 Scalpel, Please!
    86% matchNo user reviews
    Dev: WoolCat Games
    Windows

    Scalpel, Please! is a ridiculous medical simulator where you assist a blindfolded surgeon. Provide tools, talk to him, and give your full support. But be careful: he’ll remember everything you do and react accordingly. Will you manage to keep your job?

    Why similar: Medical Sim 65.5%, Dialogue Heavy 6.8%, Funny 6%, First-Person 5.5%, Simulation 4.9%

  15. #15 Psyhonds
    86% matchMostly Positive70% of 10 reviews2026
    Dev: Meriteri GamesPub: Terrabyte Games
    Windows

    A satirical mental hospital survival simulator: control four unstable characters, craft from junk, forge dubious alliances, communicate with patients and staff, and choose between a quiet life in a ward, a riot, or a risky escape to freedom.

    Why similar: Medical Sim 73%, Visual Novel 11.7%, Choices Matter 6.2%, RPG 3.8%, Simulation 2.9%

  16. #16 Noble's Life: Kingdom Reborn
    84% matchNo user reviews
    Dev: Gentle GriffonsPub: Concept Lab Sp. z o.o.
    Windows

    Realistic medieval noble simulator and, at the same time, a strategy game with historical depth. Manage your city and villages and make decisions in non-linear events. Command defenses in epic sieges and organize dangerous raids.

    Why similar: Medieval 15%, Historical 11.9%, Dialogue Heavy 11.1%, Building 10.6%, Management 9.8%

  17. #17 Мне только спросить!
    84% matchNo user reviews
    Dev: Каракули
    Windows

    "I just want to ask!" is a medical registrar simulator with time management elements set in a provincial Russian hospital, featuring humorous elements. Your main task is to help patients, but each one has their own story.

    Why similar: Medical Sim 73.8%, Management 14%, Choices Matter 7.2%, Simulation 3.3%, Comedy 1.7%

  18. #18 Surgeon Simulator VR: Meet The Medic
    85% matchMostly Positive77% of 591 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 91.9%, Funny 3.4%, Simulation 3.1%, First-Person 1.6%

  19. #19 Golden Years Nursing Home
    83% matchNo user reviews2026
    Dev: Iron Tank StudiosPub: Concaide
    Windows

    A newly hired night‑shift nurse faces unsettling events in the soon‑to‑close Golden Years Nursing Home. Quiet halls, flickering lights, and shifting rooms hint at a past the residents won’t speak of. A slow‑burn psychological horror with no combat—just dread.

    Why similar: Medical Sim 64.8%, Management 13%, First-Person 4.9%, Multiple Endings 4.4%, 3D 3.5%

  20. #20 Noble's Life: Kingdom Reborn - Prologue
    82% matchMostly Positive71% of 86 reviews2024
    Dev: Gentle GriffonsPub: Concept Lab Sp. z o.o.
    Windows

    Experience the first months after a brutal assault on your own estate in the free prologue of a realistic simulator of a medieval noble combined with a strategy game of historical depth. Manage your town and villages and make decisions in non-linear events.

    Why similar: Medieval 16.8%, Dialogue Heavy 12.7%, Building 11%, Visual Novel 10.1%, Historical 9.5%

  21. #21 Oops! INC. Emergency Center
    82% match6 user reviews100% of 6 reviews2026
    Dev: CCS
    Windows

    Run the galaxy’s most chaotic hospital in Oops! INC. Emergency Center! Play as a diploma-free robot doctor, diagnose bizarre space illnesses, craft the right remedies, and treat patients fast before insurance turns you into a fridge. Funny, frantic, and out of this world!

    Why similar: Medical Sim 72.3%, Management 15%, Funny 7.7%, Simulation 3.3%, Comedy 1.8%

  22. #22 MEMORIAPOLIS
    81% matchMostly Positive76% of 1,785 reviews2025
    Dev: 5PM Studio
    Windows
    Median: 4.1 hrsMean: 7.1 hrs≥1hr: 84%

    Memoriapolis is a historical city builder where your city grows organically across 5 ages, from Antiquity to the Industrial Revolution. Manage resources, interact with factions, and shape your dynasty toward building a final Wonder with easy, normal, or hard difficulty levels.

    Why similar: Political Sim 34.7%, Colony Sim 16.9%, Building 11.5%, Management 11.3%, Historical 10.2%

  23. #23 Hot Seat Triage
    81% matchNo user reviews
    Dev: System Two Games
    Windows

    Triage is easy until your own brain starts lying to you. Pick patients from a crowded ER, question them under time pressure, and call NOW, SOON or WAIT before their aura fades. Every case hides a cognitive bias built to fool you. Made by an emergency physician.

    Why similar: Medical Sim 72.4%, Management 12.2%, Choices Matter 6.4%, Strategy 4.8%, Simulation 4.2%

  24. #24 Frontier Governor
    80% matchNo user reviews
    Dev: Sedot Games
    Windows

    Frontier Governor is a city-building game set in 15th-century Korean history. You have been appointed as the local governor, in the historical background of the northern pioneering. Overcome the rough north and lead the frontier through various resources, buildings, technologies, policies, and more.

    Why similar: Political Sim 28.8%, Colony Sim 14.7%, Historical 13.8%, Building 12.7%, Management 12.4%

  25. #25 RPG Town
    79% matchNo user reviews
    Dev: Cardboard Utopia
    Windows

    "Mr Mayor, we have an emergency! A party of adventurers just arrived in town! They're looking for an apothecary, a bladesmith and an inn to spend the night... but we don't have any of that stuff! These guys are getting kinda restless - what should we do?"

    Why similar: Political Sim 29.6%, Colony Sim 17.5%, Medieval 14%, Management 12.8%, Choices Matter 9.4%

  26. #26 Tell me your Problem
    78% matchNo user reviews
    Dev: Alzakprod.Games
    Windows · Mac

    You think you’re healthy? There’re no healthy people — just those who haven’t been checked enough. And you definitely have problems. Try this pill. And, by the way, that’ll be five gold coins from you. A simulator of a rural psychiatrist who badly needs money.

    Why similar: Medical Sim 46.7%, Management 15.1%, Multiple Endings 10.3%, Visual Novel 9.7%, Simulation 5.6%

  27. #27 Valdrin
    78% matchNo user reviews2027
    Dev: Stalwart Fox
    Windows · Linux

    A low-fantasy kingdom sim where you never command a single subject. Shape laws, set priorities, and watch an autonomous society build, trade, worship, and fight under your rule.

    Why similar: Political Sim 50%, Colony Sim 19.5%, Medieval 14.5%, Building 12.9%, Simulation 3.2%

  28. #28 Medical verdict
    79% matchMixed57% of 53 reviews2018
    Dev: Volokitin Andrey
    Windows

    Here is a fun simulator of passing a medical examination in the Chelyabinsk clinic with realistic graphics and interesting gameplay! Take the coronavirus test! Collect as many virtual health points as you can, but remember ... this is just a game!

    Why similar: Medical Sim 93%, Simulation 5.1%, Realistic 2%

  29. #29 Hospital Center Tycoon
    77% matchNo user reviews
    Dev: BronStudio
    Windows

    Build and manage a fully-equipped hospital, hire specialists, treat patients, expand departments, and keep your staff running at maximum efficiency.

    Why similar: Medical Sim 63%, Management 13.3%, Building 8.5%, Choices Matter 5.6%, Strategy 3.8%

  30. #30 Hospital Renovator
    76% matchNo user reviews
    Dev: GamesUP StudioPub: T-Bull
    Windows

    Become a one-man renovation company and take care of the reconstruction of a ruined hospital! Save a neglected facility and create a fully functional emergency complex. The entire process of cleaning, planning, repairing, and arranging is on your side. Build a dream clinic in the Hospital Renovator!

    Why similar: Medical Sim 63.4%, Building 13.3%, Management 11%, Simulation 3.3%, Realistic 3.2%

  31. #31 Prescribe and Pray
    75% 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 59.4%, Choices Matter 12.4%, Management 9.6%, Multiple Endings 7.5%, Comedy 3.8%

  32. #32 Oh My Lord
    76% match5 user reviews100% of 5 reviews2024
    Dev: One Man Down
    Windows

    Manage your fantasy city, balance resources, and navigate the demands of different factions. Unlock new characters to join your city and help maintain order. Earn new cosmetics to customize the look of your lord. But beware the dangers that plague your little city at night.

    Why similar: Political Sim 34.5%, Colony Sim 16.3%, Medieval 13.4%, Management 11.4%, Choices Matter 6.6%

  33. #33 Throne & Conquest: King Arthur
    75% matchNo user reviews
    Dev: Last Man Smiling
    Windows

    Rule as King Arthur and unite a fractured kingdom. Make difficult decisions, conquer rival lands, and balance your kingdom in this strategy adventure.

    Why similar: Political Sim 29.7%, Medieval 21.4%, Choices Matter 14.1%, Management 12%, Strategy 10.6%

  34. #34 Fun Hospital
    77% matchMixed64% of 609 reviews2018
    Dev: OrangesGame Technology Limited
    Windows · Mac
    Median: 1.2 hrsMean: 32.4 hrs≥1hr: 53%

    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 80.5%, Strategy 10.3%, Simulation 5.8%, RPG 3.4%

  35. #35 The Apothecary
    74% matchNo user reviews
    Dev: Rufalicious Gaming
    Windows

    The realm depends on your help: mix ingredients and create potions to cure wild, fantastical illnesses that befall your fellow citizens. But be warned, you are all on your own. Enjoy figuring out which ingredients work and which don't -- curing or killing those who ask for your help!

    Why similar: Medical Sim 71.2%, Medieval 8.9%, RPG 8.2%, Strategy 8%, Simulation 3.8%

  36. #36 Mind Verge
    73% matchNo user reviews
    Dev: 岚爱万七
    Windows

    Step into a psychosomatic clinic as a therapist. Diagnose patients with shooting mechanics and treat them via rhythmic QTEs. Manage dual sanity: you relieve others' mental pain, while endless emotions wear on your own mind. Experience mutual healing — healers carry pain too.

    Why similar: Medical Sim 66.5%, Dialogue Heavy 8.8%, Management 7.3%, RPG 6.3%, Strategy 6.3%

  37. #37 The Book of Plagues
    72% matchPositive90% of 29 reviews2026
    Dev: DiaMMax Games
    Windows

    The city is drowning in Plague. Panic, hunger, and fear are tearing it apart. You are the last one who can change its fate: heal it, hold it back from collapse… or drive it to ruin with your own hands!

    Why similar: Medical Sim 55.5%, Medieval 13.7%, Visual Novel 9.1%, Choices Matter 6.6%, Funny 6.2%

  38. #38 Opawration!
    73% matchNo user reviews
    Dev: chinchingames
    Windows

    A 2D, veterinarian horror game. In this game, select the appropriate treatment and treat patients with topical products injections, surgeries. Treat patients over the course of 7 days, using the in-game computer to research the best treatment option.

    Why similar: Medical Sim 77.7%, Choices Matter 10.5%, Multiple Endings 6.2%, RPG 2.8%, Simulation 2.8%

  39. #39 Goblins Please
    72% matchNo user reviews
    Dev: SoulMeatGames
    Windows

    The dark lord has tasked you to decide which heroes pass and which heroes do not. There are becoming too many papers and to top it off the camp with the other goblins will not last long without you. Decide who passes through during the day and manage the camp at night.

    Why similar: Political Sim 46.7%, Colony Sim 25.2%, Multiple Endings 6.6%, Management 6.5%, Strategy 5.4%

  40. #40 Bacterium / 生命之旅
    74% matchPositive84% of 49 reviews2018
    Dev: Dragon Whisper GamePub: Zodiac Interactive
    Windows

    In the coming decades, a huge breakthrough in nano-medical technology will bring a new light to cure terminally ill patients. As a nano-robot operator, you will be involved in a battle between nanobots and diseases!

    Why similar: Medical Sim 85.6%, RPG 9.3%, Simulation 5.1%

  41. #41 Crisis in the Kremlin
    73% matchVery Positive84% of 1,463 reviews2017
    Dev: Nostalgames
    Windows · Mac · Linux
    Median: 4.6 hrsMean: 9.8 hrs≥1hr: 87%

    Don’t let the Soviet Union collapse, and fall in the darkness of history or lead the Union by a new path – democracy and free market! But before you decide something, think – wouldn’t it cause more harm than good?

    Why similar: Political Sim 67.6%, Strategy 8.5%, Historical 6.7%, Management 5.6%, Choices Matter 4.6%

  42. #42 Clan & Flood
    71% matchNo user reviews
    Dev: XF STUDIO
    Windows · Mac

    Flood. Famine. Betrayal. In ancient times, you lead a small clan to survive in the mud. Build shelters, cultivate fields, construct dams — but the real challenge isn't just nature: your followers have their own ambitions, and your heir may not be who you hoped. The next flood is coming.

    Why similar: Political Sim 33.5%, Colony Sim 21.1%, Building 17.4%, Historical 9.2%, Strategy 8.3%

  43. #43 Do No Harm
    70% matchMostly Positive74% of 939 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.3 hrsMean: 5.7 hrs≥1hr: 74%

    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 57.3%, Medieval 10.1%, Choices Matter 9.4%, Management 8.1%, Multiple Endings 4.8%

  44. #44 Night Shift Hospital
    71% matchNo user reviews
    Dev: Knitted CatsPub: Polden Publishing
    Windows

    A chaotic co-op job sim for up to 4 players about night-shift doctors. Handle a bizarre stream of patients, diagnose illnesses, and assign people to the correct treatment zones. Work as a team, get through nightly crises, and try your best not to get fired!

    Why similar: Medical Sim 70.1%, Management 9.1%, Simulation 5.2%, 3D 4.4%, Funny 4.3%

  45. #45 Epoch Cycle
    69% matchMostly Positive70% of 82 reviews2026
    Dev: GeometricUniverse
    Windows

    Apocalypse is Not the End, It's Your Beginning. Become the supreme leader of a civilization in an apocalyptic world. Every collapse fuels the rise of a new era—your choices will forge a legacy across four monumental epochs.

    Why similar: Political Sim 46.9%, Management 15%, Building 14.1%, Choices Matter 11.9%, Multiple Endings 5.5%

  46. #46 Morbus: The Burden Of The Apothecary
    70% matchNo user reviews
    Dev: Viktor PekarPub: Introverse Interactive
    Windows · Linux

    A top-down plague simulation RPG set in a living medieval tapestry. Play the last apothecary in a dying town treating the sick, containing the outbreak, and navigating the politics of factions who'd sooner see you burn.

    Why similar: Medical Sim 66.2%, Medieval 16.1%, Dialogue Heavy 7%, RPG 4.9%, Multiple Endings 3.4%

  47. #47 Long Live The Queen
    71% matchVery Positive95% of 7,162 reviews2013
    Dev: Hanako Games
    Windows · Mac · Linux
    Median: 3.3 hrsMean: 5.8 hrs≥1hr: 90%

    Rule the world or die trying!Being a Princess is not an easy job. Being a Queen is even harder. Especially when you're only fourteen years old, and the reason you've inherited the throne is that your royal mother has just met an untimely end.Now power is up for grabs.

    Why similar: Political Sim 59.4%, Visual Novel 16.2%, Medieval 7.1%, Strategy 3.7%, Choices Matter 3.5%

  48. #48 Archon
    69% matchNo user reviews
    Dev: Tome & Blade
    Windows

    In this story-rich interstellar political drama, ascend as humanity's next leader. Rebuild a broken empire in a war-torn galaxy through might, diplomacy, or espionage. Every choice has a consequence. What will you choose, Your Eminence?

    Why similar: Political Sim 49.4%, Choices Matter 11.5%, Management 10.6%, Visual Novel 10.5%, RPG 8%

  49. #49 POLIS
    69% matchNo user reviews2026
    Dev: Afterwork Studio
    Windows · Mac

    Become mayor of a small Greek town and govern for 17 years. Citizens write you letters for years, the opposition never sleeps, and every promise is remembered. A satirical political city sim where the town never forgets.

    Why similar: Political Sim 54.6%, Management 15.8%, Choices Matter 11.1%, Simulation 4.3%, Strategy 4.2%

  50. #50 Vital Decisions
    68% matchNo user reviews2027
    Dev: Hazard Wizard
    Windows

    Take charge of a chaotic emergency room up to 8 players. Examine patients’ vitals, diagnose their conditions, and choose the right treatment. Prioritize emergencies and keep the shift under control as your patients’ conditions worsen around you.

    Why similar: Medical Sim 75.2%, Management 14.8%, First-Person 4.1%, Simulation 3%, 3D 2.9%

  51. #51 Reanimation Inc.
    70% matchVery Positive84% of 131 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 94.7%, Simulation 5.3%

  52. #52 GlobalQuarantine
    68% match7 user reviews43% of 7 reviews2025
    Dev: Contagio GamesPub: Mutation Works
    Windows

    Running an international organization called the Global Quarantine Bureau, dealing with pandemics and public health issues worldwide, while also ensuring increasing revenue and personal enrichment.

    Why similar: Medical Sim 47.2%, Political Sim 30.3%, Building 8.7%, Management 6.9%, Strategy 4.3%

  53. #53 Manus Domini
    68% matchNo user reviews
    Dev: Gik Studios
    Windows

    Control multiple nations on their paths through history. While balancing relations with outer powers. Whether your strategy is trade, war or technological superiority you will always need to be one step ahead of your enemies.

    Why similar: Political Sim 43.9%, Colony Sim 19.7%, Building 13.1%, Management 12.2%, Strategy 6%

  54. #54 Paramedics! - EMS Simulator
    67% matchNo user reviews
    Dev: Takendsim
    Windows

    First of its kind emergency medicine simulator, bringing the option for players around the world to try, learn, and experience what it takes to be in emergency medical services, featuring in-depth and real-life systems, and a responsive human body. You choose what protocols to follow.

    Why similar: Medical Sim 59.9%, Management 12.3%, Dialogue Heavy 9.5%, Choices Matter 7.2%, First-Person 4.3%

  55. #55 This Is the Peace
    67% matchNo user reviews2026
    Dev: Nokwite Games
    Windows

    When The President fails to win the 2025 Nobel Peace Prize, he vows to get it next year — by ending every world conflict himself. A darkly funny political strategy inspired by This Is the Police.

    Why similar: Political Sim 45.4%, Management 18.2%, Choices Matter 11%, Strategy 10.5%, Visual Novel 6.3%

  56. #56 Neo Harbor Rescue Squad
    66% matchMostly Positive77% of 13 reviews2024
    Dev: BancyCo
    Windows

    Live the life of a rookie paramedic through frantic minigame action and a wild, funny story. Juggle waves of patients with a battle-like triage system; master dozens of treatment minigames; and win the city's recognition from the rival fire department!

    Why similar: Medical Sim 67.1%, Visual Novel 13.5%, Funny 5.9%, Choices Matter 5.9%, Simulation 5.9%

  57. #57 Tiny Terra Spaces
    65% match9 user reviews89% of 9 reviews2026
    Dev: Ludus Pax Studios
    Windows

    Build your own cosy medieval island with historical inspired 3D buildings. Relax in Sandbox Mode or set sail in Island Hop Mode, shaping lively communities inspired by the beauty and history of Scotland.

    Why similar: Medical Sim 51.3%, Colony Sim 16.2%, Medieval 15.7%, Building 8.4%, Strategy 3.8%

  58. #58 Fantasy Brothel Manager
    66% matchNo user reviews2027
    Dev: Eki-Eki-Eki
    Windows

    A sex comedy game where you build and manage brothels for magical creatures.

    Why similar: Medical Sim 51.3%, Management 14.8%, Building 14.2%, Funny 7.7%, Strategy 5.8%

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