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Games Like Fun Hospital

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

Fun Hospital header art

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

Reviews: Mixed — 64% — of 596 reviews
Released: 2018-06-21
Developer: OrangesGame Technology Limited
Genres: Casual, Indie, RPG, Simulation, Strategy, Free To Play
Platforms: Windows, Mac
Median playtime: 1.2 hrs
Mean playtime: 33.2 hrs
Players ≥ 1 hr: 53%

Overview

Fun Hospital stands out for its quirky, casual approach to hospital management, blending strategic building with humorous, lighthearted medical scenarios. These recommendations focus on games that capture that same satisfying loop of facility design, staff management, and patient care, ranging from deep simulation titles to cozy, casual management experiences.

Similar Games

View all 58 recommendations
  1. #1 Two Point Hospital
    97% matchVery Positive92% of 34,380 reviews2018
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 34.9 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 74.3%, Simulation 16.3%, Strategy 5.8%, Indie 1.8%, Casual 1.7%

    Why You'll Like It: This is the definitive successor to the classic hospital management genre, featuring the same humorous tone and deep building mechanics found in Fun Hospital.

  2. #2 Project Hospital
    96% matchVery Positive89% of 9,018 reviews2018
    Dev: Oxymoron Games
    Windows · Mac · Linux
    Median: 4.4 hrsMean: 24.2 hrs≥1hr: 80%

    Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

    Why similar: Medical Sim 75.3%, Simulation 11.9%, Strategy 10.5%, Indie 2.3%

    Why You'll Like It: For players who want a more detailed and realistic medical simulation experience while maintaining the core facility management loop.

  3. #3 Galacticare
    96% matchVery Positive88% of 626 reviews2024
    Dev: Brightrock GamesPub: Mythwright
    Windows
    Median: 6.3 hrsMean: 12.9 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 68.1%, Strategy 12.4%, Simulation 11.7%, Casual 7.8%

    Why You'll Like It: A sci-fi hospital management game that mirrors the quirky, alien-filled charm and strategic building of Fun Hospital.

  4. #4 Megaquarium
    94% matchOverwhelmingly Positive95% of 3,644 reviews2018
    Dev: Twice Circled
    Windows · Mac · Linux
    Median: 2.4 hrsMean: 14.8 hrs≥1hr: 67%

    The public aquarium simulator. Design your displays, look after your fish, manage your staff and keep your guests happy! It's all in a day's work as the curator of your very own Megaquarium.

    Why similar: Simulation 44.7%, Casual 25%, Strategy 20%, Indie 10.2%

    Why You'll Like It: Shares the same satisfying layout-building and management mechanics as Fun Hospital, but applies them to running a successful aquarium.

  5. #5 Prison Architect
    94% matchVery Positive89% of 73,112 reviews2015
    Dev: Introversion SoftwarePub: Paradox Interactive
    Windows · Mac · Linux
    Median: 6.0 hrsMean: 30.1 hrs≥1hr: 87%

    Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.

    Why similar: Simulation 45.6%, Strategy 42.2%, Indie 7.8%, Casual 4.4%

    Why You'll Like It: Features a similar top-down building and management style where you must balance facility efficiency with the needs of your occupants.

  6. #6 Heart's Medicine - Time to Heal
    93% matchVery Positive94% of 878 reviews2016
    Dev: Blue GiraffePub: GameHouse
    Windows · Mac
    Median: 6.0 hrsMean: 12.1 hrs≥1hr: 92%

    An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring surgeon at Little Creek Hospital!

    Why similar: Medical Sim 75.8%, Simulation 10.3%, Casual 9.2%, Indie 4.7%

    Why You'll Like It: A casual, story-driven medical simulation that focuses on the fast-paced, patient-care aspects of the hospital experience.

  7. #7 Academia : School Simulator
    92% matchVery Positive86% of 3,008 reviews2021
    Dev: Squeaky Wheel Studio IncPub: Paradox Interactive
    Windows · Mac
    Median: 7.4 hrsMean: 12.0 hrs≥1hr: 85%

    Design, build, and manage a high school with terrific teachers and fantastic facilities or simply let your students poop in the bushes? Academia : School Simulator is a management/tycoon game where you get to decide!

    Why similar: Simulation 51.6%, Strategy 48.4%

    Why You'll Like It: Applies the same management and building principles as Fun Hospital to the setting of a school, focusing on staff and student satisfaction.

  8. #8 Game Dev Tycoon
    91% matchOverwhelmingly Positive95% of 44,663 reviews2013
    Dev: Greenheart Games 💚
    Windows · Mac · Linux
    Median: 8.0 hrsMean: 15.4 hrs≥1hr: 94%

    In Game Dev Tycoon you replay the history of the gaming industry by starting your own video game development company in the 80s. Create best selling games. Research new technologies and invent new game types. Become the leader of the market and gain worldwide fans.

    Why similar: Simulation 49.8%, Strategy 25.6%, Casual 12.8%, Indie 11.8%

    Why You'll Like It: Provides a highly addictive casual management loop that focuses on growth and strategy, much like the progression in Fun Hospital.

  9. #9 Spacebase Startopia
    91% matchMixed56% of 648 reviews2021
    Dev: Realmforge StudiosPub: Kalypso Media
    Windows · Mac · Linux
    Median: 3.4 hrsMean: 5.8 hrs≥1hr: 88%

    Spacebase Startopia captivates with its original mixture of economic simulation and empire building strategy paired with classic RTS skirmishes and a good dose of humor.

    Why similar: Strategy 47.8%, Simulation 42.9%, Casual 9.3%

    Why You'll Like It: Combines base-building and management with a humorous sci-fi aesthetic that feels very similar to the tone of Fun Hospital.

  10. #10 War Hospital
    89% matchMixed60% of 1,201 reviews2024
    Dev: Brave Lamb Studio S.A.Pub: Nacon
    Windows
    Median: 7.1 hrsMean: 10.3 hrs≥1hr: 72%

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

    Why similar: Medical Sim 84.4%, Strategy 15.6%

    Why You'll Like It: A more serious take on hospital management that challenges players to make difficult triage decisions in a high-stakes environment.

  11. #11 Hospital Manager
    90% 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 85.4%, Simulation 14.6%

    Why You'll Like It: A straightforward management game that focuses on the core mechanics of running a medical facility.

  12. #12 Software Inc.
    88% matchVery Positive94% of 7,637 reviews2015
    Dev: Coredumping
    Windows · Mac · Linux
    Median: 13.9 hrsMean: 45.6 hrs≥1hr: 85%

    Construct and design buildings for optimal working conditions. Hire people to design and release software, so you can defeat the simulated competition and take over their businesses. Manage and educate your employees to make sure they are skilled and satisfied with their job.

    Why similar: Simulation 47.7%, Strategy 36.3%, Indie 16%

    Why You'll Like It: Offers a deeper dive into building and management simulation for those who enjoy the logistical challenges of facility design.

  13. #13 Dr. Cares - Amy's Pet Clinic
    89% matchMostly Positive79% of 75 reviews2018
    Dev: NitrealPub: GameHouse
    Windows · Mac

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

    Why similar: Medical Sim 72.6%, Simulation 17.5%, Casual 9.9%

    Why You'll Like It: A charming, casual medical simulation game that emphasizes patient care and time management in a veterinary setting.

  14. #14 Big Ambitions
    86% matchVery Positive93% of 12,519 reviews2023
    Dev: Hovgaard Games
    Windows · Mac
    Median: 10.8 hrsMean: 24.0 hrs≥1hr: 88%

    Big Ambitions is a revolutionary role-playing business sim. Go from nothing to the biggest entrepreneur in New York by opening small businesses or slowly building huge corporations any way you like.

    Why similar: Simulation 88%, RPG 12%

    Why You'll Like It: A comprehensive business management simulator that allows for deep control over building layouts and operational strategy.

  15. #15 Healing Spree
    86% 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 69.2%, Strategy 14.9%, Simulation 10.1%, Casual 5.8%

    Why You'll Like It: A cute, fast-paced medical management game that emphasizes cooperative play and quick decision-making.

  16. #16 Potion Craft: Alchemist Simulator
    83% matchVery Positive93% of 42,947 reviews2022
    Dev: niceplay gamesPub: tinyBuild
    Windows
    Median: 5.4 hrsMean: 10.9 hrs≥1hr: 86%

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

    Why similar: Simulation 52%, Casual 20.8%, Indie 15.3%, RPG 12%

    Why You'll Like It: Captures the casual, satisfying simulation feel of managing a specialized shop with a unique, hand-drawn aesthetic.

  17. #17 Hospitalize
    87% matchMixed40% 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 74.6%, Indie 25.4%

    Why You'll Like It: A simulation game that emphasizes the architectural and management challenges of designing a functional hospital.

  18. #18 Wunderdoktor
    85% matchVery Positive92% of 114 reviews2017
    Dev: Ghostbutter
    Windows
    Median: 3.3 hrsMean: 4.2 hrs≥1hr: 87%

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

    Why similar: Casual 58.5%, Indie 21.2%, Simulation 20.4%

    Why You'll Like It: A unique, quirky medical simulation that uses a distinct art style to present its humorous approach to patient treatment.

  19. #19 Vital Signs: Emergency Department
    84% matchMixed56% of 73 reviews2020
    Dev: BreakAway Games
    Windows · Mac

    Play a doctor in Vital Signs: Emergency Department and challenge your medical knowledge to help treat a wide array of cases who come into the ER.

    Why similar: Medical Sim 87.2%, Simulation 12.8%

    Why You'll Like It: A medical management game that focuses specifically on the triage and emergency response aspects of hospital operations.

  20. #20 Cadria Item Shop
    84% matchMostly Positive72% of 1,575 reviews2018
    Dev: Moehaus Co. LtdPub: BEST KIRIN GLOBAL LIMITED
    Windows
    Median: 3.0 hrsMean: 311.5 hrs≥1hr: 76%

    Cadria Item Shop is a casual simulation game with RPG elements. Craft legendary items, hire heroes, and expand your shop to rebuild the town. Join a mighty guild, fight together in faction wars and send your heroes to explore the mystic lands of Cadria! All of this and much more awaits you!

    Why similar: Simulation 45%, Casual 27.1%, Indie 14.2%, RPG 13.7%

    Why You'll Like It: A casual management simulation with RPG elements that focuses on running a successful shop for adventurers.

  21. #21 Travellers Rest
    81% matchVery Positive88% of 16,540 reviews2020
    Dev: Isolated Games
    Windows
    Median: 6.7 hrsMean: 19.4 hrs≥1hr: 82%

    Craft, farm, build and cook! In Travellers Rest you will have to use all the available tools to become the best tavern keeper in the realm. Create unique dishes and drinks to please your customers as you discover the world and its colorful characters.

    Why similar: Simulation 48.7%, RPG 30.1%, Indie 21.2%

    Why You'll Like It: A cozy management game that focuses on building and running a business, sharing the relaxing yet engaging loop of Fun Hospital.

  22. #22 Surgeon Simulator 2
    82% matchMixed44% of 2,495 reviews2021
    Dev: Bossa StudiosPub: Infogrames
    Windows
    Median: 2.1 hrsMean: 4.1 hrs≥1hr: 71%

    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 78%, Simulation 14.3%, Casual 7.8%

    Why You'll Like It: Focuses on the medical theme with a heavy emphasis on physics-based humor and chaotic gameplay.

  23. #23 My Sunny Resort
    82% matchMixed55% of 246 reviews2018
    Dev: upjers
    Windows
    Median: 1.6 hrsMean: 9.5 hrs≥1hr: 60%

    Are you ready for a vacation? Then treat yourself to one! Experience My Sunny Resort – a unique simulation with a holiday feel. In this tycoon you open your own resort. Play free now and put your hotel management skills to the test!

    Why similar: Simulation 57%, Casual 34.8%, Indie 8.2%

    Why You'll Like It: A casual, free-to-play management simulation that shares the lighthearted building and growth mechanics of Fun Hospital.

  24. #24 Good Company
    79% matchMostly Positive74% of 1,764 reviews2022
    Dev: Chasing Carrots
    Windows
    Median: 4.2 hrsMean: 8.7 hrs≥1hr: 84%

    Good Company is an in-depth management sim about building a trail-blazing tech corporation. Assemble complex production lines, manage employee logistics, and sell high-quality products on the market to become the best company in the whole county!

    Why similar: Strategy 51.1%, Simulation 48.9%

    Why You'll Like It: A production and management simulation that rewards careful planning and efficient facility design.

  25. #25 Monster Castle
    81% matchMixed63% of 134 reviews2019
    Dev: Lemix game
    Windows

    Simulating castle, Set up a monster army, Defend the evil empire

    Why similar: Strategy 42.5%, Simulation 33%, Casual 24.5%

    Why You'll Like It: A casual strategy and simulation game that features building mechanics and a humorous, fantasy-themed aesthetic.

  26. #26 Chef Life: A Restaurant Simulator
    78% matchVery Positive84% of 2,520 reviews2023
    Dev: Cyanide StudioPub: Nacon
    Windows
    Median: 3.6 hrsMean: 13.5 hrs≥1hr: 77%

    Create and manage your dream restaurant! Menus, purchasing, décor, staff, equipment, customers… and don't forget the actual cooking! Experience the daily life of a restaurateur and earn your awards from the Michelin Guide.

    Why similar: Simulation 65%, Casual 35%

    Why You'll Like It: A management-focused simulation that requires balancing service, facility layout, and customer satisfaction.

  27. #27 BM General Hospital
    76% matchVery Positive87% of 1,362 reviews2025
    Dev: zzzgame
    Windows

    This is a 18+ hospital simulation game. You will play the role of the hospital director and manage a hospital.

    Why similar: Medical Sim 75.9%, Simulation 15.3%, Indie 5%, RPG 3.8%

  28. #28 Fable Hospital
    77% matchMostly Positive76% of 87 reviews2025
    Dev: AMGames TC
    Windows

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

    Why similar: Medical Sim 71.6%, Strategy 14.5%, Simulation 13.9%

  29. #29 Heart's Medicine - Hospital Heat
    79% matchVery Positive96% of 364 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 71.9%, Simulation 14.4%, Casual 8.4%, Indie 5.2%

    Why You'll Like It: A continuation of the casual medical management series, offering more time-management challenges in a hospital setting.

  30. #30 Rise of Industry
    78% matchMostly Positive73% of 4,155 reviews2019
    Dev: Dapper Penguin StudiosPub: Kasedo Games
    Windows · Mac · Linux
    Median: 4.7 hrsMean: 10.8 hrs≥1hr: 80%

    Put your entrepreneurial skills to the test in the first title in the ROI series as you create & optimise intricate production lines. As an early 20th-Century industrialist, grow your empire & adapt to an ever-changing business landscape with unexpected events that could lead to boom…or bust.

    Why similar: Strategy 47%, Simulation 41.9%, Indie 11.1%

    Why You'll Like It: Focuses on the strategic logistics and management side of simulation, perfect for players who enjoy the planning aspects of Fun Hospital.

  31. #31 Doctor Dash ASMR Hospital
    77% matchVery Positive90% of 93 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 71.3%, Simulation 17.5%, Casual 11.2%

  32. #32 Psychiatrist Simulator
    80% matchMixed40% of 127 reviews2018
    Dev: Eathrabaria
    Windows
    Median: 12 minMean: 16.7 hrs≥1hr: 35%

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

    Why similar: Medical Sim 73.3%, Simulation 17.6%, Casual 9.1%

    Why You'll Like It: A simulation game that focuses on the patient-interaction side of medical care with a dark, psychological twist.

  33. #33 Therapy Simulator
    75% matchVery Positive83% of 69 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: Simulation 61.4%, Casual 25.6%, Indie 13%

  34. #34 Bard Idle
    75% matchMixed69% of 808 reviews2025
    Dev: Illegal Turtle 🐢
    Windows
    Median: 3.9 hrsMean: 157.8 hrs≥1hr: 71%

    Build a unique team, where each character has a random weapon, race and class. Strong combinations of heroes, enhanced by the ballad creation system and jelly dwarfs, will capture your adventure in history!

    Why similar: Strategy 75.7%, RPG 24.3%

  35. #35 Smile More
    74% matchVery Positive98% of 96 reviews2026
    Dev: Pixel Poxet
    Windows · Mac

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

    Why similar: Medical Sim 83.3%, Simulation 14.5%, Indie 2.2%

  36. #36 Prescribe and Pray
    72% matchMostly Positive76% of 62 reviews2026
    Dev: Nuclear Rabbits
    Windows

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

    Why similar: Medical Sim 85.8%, Simulation 14.2%

  37. #37 Blackout Hospital
    73% matchVery Positive96% of 167 reviews2023
    Dev: arcadekitten
    Windows

    When the power goes out while working night shift in the hospital, the emergency lights come on with an eerie glow...

    Why similar: RPG 100%

  38. #38 Medical verdict
    76% 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 72%, Simulation 14.6%, Casual 8%, Indie 5.4%

  39. #39 Surgeon Simulator VR: Meet The Medic
    73% matchMostly Positive77% of 580 reviews2016
    Dev: Bossa Studios
    Windows
    Median: 18 minMean: 1.7 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 86.3%, Simulation 10.9%, Indie 2.8%

  40. #40 Guild Quest
    73% matchMixed65% of 1,725 reviews2017
    Dev: Hyper Hippo Games
    Windows · Mac
    Median: 1.3 hrsMean: 17.7 hrs≥1hr: 55%

    You’ve just bought yourself a new island and it’s time to fill it up with QUESTS! Collect guildians, upgrade their guildhalls, and unleash them onto your own custom quest lines.

    Why similar: Strategy 36.6%, Simulation 29%, Casual 17%, Indie 8.9%, RPG 8.5%

  41. #41 Potion Commotion
    72% 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 34.7%, Simulation 31.6%, Casual 19.7%, Indie 14%

  42. #42 CURE - A Hospital Simulator
    68% matchVery Positive89% of 574 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.6 hrsMean: 7.3 hrs≥1hr: 86%

    Manage 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. Integrate with Twitch chat for even more fun!

    Why similar: Medical Sim 86.4%, Simulation 13.6%

  43. #43 Party Maker Farm Fest
    71% matchMixed65% of 205 reviews2021
    Dev: Forestlight Games
    Windows

    Builder. Designer. Renovator. Unleash your creativity in over a dozen unique places, get the right equipment, prepare the space, use what you find. Have a crazy farm party, here we go!

    Why similar: Simulation 40.4%, Strategy 39.3%, Casual 20.4%

  44. #44 Hero Zero - Multiplayer RPG
    71% matchVery Positive82% of 3,795 reviews2016
    Dev: Playata GmbH
    Windows
    Median: 3.6 hrsMean: 86.1 hrs≥1hr: 66%

    Become a hero, build your own Hide-Out and start by saving your neighbourhood. Level up your skills, collect incredibly weird superhero gadgets, and join a superhero team to save the world!

    Why similar: Strategy 39.4%, Casual 28.1%, RPG 17.1%, Indie 15.4%

  45. #45 Freddy Fazbear's Pizzeria Simulator
    69% matchVery Positive94% of 32,569 reviews2017
    Dev: Scott Cawthon
    Windows
    Median: 1.2 hrsMean: 7.6 hrs≥1hr: 55%

    Start your own Freddy Fazbear's Pizzeria with Freddy Fazbear Pizzeria Simulator!

    Why similar: Simulation 51.6%, Strategy 33.5%, Indie 15%

  46. #46 Dream Park Story
    69% matchVery Positive88% of 143 reviews2023
    Dev: Kairosoft Co.,Ltd
    Windows

    Create your own amusement park with a variety of rides, mascots, and activities!

    Why similar: Simulation 39.8%, Strategy 35.9%, Casual 19.9%, Indie 4.4%

  47. #47 Galaxy Pass Station
    68% matchVery Positive87% of 268 reviews2023
    Dev: Galactic Workshop
    Windows
    Median: 2.4 hrsMean: 6.4 hrs≥1hr: 69%

    Build a space station for 15 alien races! 👽 Inspect IDs, catch criminals, and manage a chaotic galactic hub. A vibrant mix of colony sim & document-checking action. Can you build the ultimate hotel?

    Why similar: Simulation 62.7%, Casual 37.3%

  48. #48 PuPu's Adventure Park
    67% matchMostly Positive72% of 183 reviews2025
    Dev: 西梅树工作室
    Windows

    Build an Adventure Park from the ground up! The PuPu clan had just rented a new "playground" from the Dark Goblins. Manage the park, construct park facilities, and grow your clan to serve the expansion of the Park for "hero" customers summoned from other planets!

    Why similar: Strategy 43.1%, Simulation 41.5%, Indie 15.4%

  49. #49 Horse Farm
    71% matchMixed54% of 322 reviews2018
    Dev: Independent Arts SoftwarePub: upjers
    Windows
    Median: 1.8 hrsMean: 18.3 hrs≥1hr: 54%

    Create the ranch of your dreams, with cute horses, diverse buildings, amazing features and captivating quests. Download Horse Farm now and take care of your horses!

    Why similar: Simulation 58.8%, Casual 41.2%

  50. #50 My Free Zoo
    70% matchMixed62% of 708 reviews2017
    Dev: upjers
    Windows
    Median: 54 minMean: 89.0 hrs≥1hr: 47%

    A small zoo needs your help! As the new manager, it's your job to boost business. Design the zoo of your dreams. From wolves and polar bears all the way to prehistoric beasts – the further you progress in the game, the more exotic the animals you'll be able to keep in your zoo. Play now and save the zoo!

    Why similar: Simulation 41.2%, Strategy 34.8%, Casual 24%

  51. #51 Two Point Museum
    63% matchOverwhelmingly Positive95% of 11,346 reviews2025
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 8.8 hrsMean: 24.8 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: Simulation 41.5%, Strategy 37.6%, Casual 21%

  52. #52 Shiny Ski Resort
    67% matchVery Positive94% of 109 reviews2022
    Dev: Kairosoft Co.,Ltd
    Windows

    Enjoy building and running a ski resort in this cool simulation game!

    Why similar: Simulation 40.4%, Strategy 38.2%, Casual 21.4%

  53. #53 Fear in Hospital
    70% matchMixed48% of 504 reviews2019
    Dev: IO Games
    Windows

    Fear in Hospital is a short survivor horror in hospital where you should find a occult path to escape alive!

    Why similar: Indie 100%

  54. #54 SEX Hospital 💦
    66% matchMostly Positive71% of 200 reviews2024
    Dev: Lust Desires 🖤
    Windows · Mac · Linux

    Step into the world of medical drama and naughty secrets in SEX Hospital 💦 – an adult visual novel fantasizing about a hospital filled with steaming hot staff. Can you balance your work duties while exploring the personal lives of your colleagues and trying to solve the mystery of a new virus?

    Why similar: Medical Sim 90%, Casual 10%

  55. #55 Rhythm Doctor
    61% matchOverwhelmingly Positive98% of 25,916 reviews2025
    Dev: 7th Beat Games
    Windows · Mac · Linux
    Median: 3.5 hrsMean: 8.8 hrs≥1hr: 78%

    Save patients with your rhythm mastery! Rhythm Doctor is a rhythm game where you heal patients by defibrillating in time to their heartbeats. Learn each patient's unique heartbeat and defeat boss viruses trying to sabotage your rhythm, all set to heart-pumping, soul-soothing music.

    Why similar: Indie 100%

  56. #56 Doctor Life Simulator
    66% matchMixed67% of 133 reviews2025
    Dev: Bleeding Edge StudioPub: Blackburne Games Studio FZ LLC
    Windows

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

    Why similar: Medical Sim 76.1%, Simulation 14.7%, Casual 6.7%, Indie 2.5%

  57. #57 Party Maker
    67% matchMixed64% of 106 reviews2022
    Dev: Forestlight Games
    Windows

    Builder. Designer. Renovator. Unleash your creativity in over a dozen unique places, get the right equipment, prepare the space, use what you find. Wanna make a crazy party?

    Why similar: Simulation 64.8%, Casual 35.2%

  58. #58 Zoo Empire
    69% matchMostly Positive74% of 160 reviews2015
    Dev: Enlight Software LimitedPub: Retroism
    Windows
    Median: 42 minMean: 3.8 hrs≥1hr: 46%

    It's a zoo out there, and you're in charge! Go wild with your imagination running the most exotic, fun and exciting zoo ever.

    Why similar: Simulation 40.2%, Strategy 39.4%, Casual 20.4%

Based on tag similarity + player behavior
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