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Games Like 凌晨四点的医院

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

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  1. #1 Supermarket Maker
    97% matchNo user reviews
    Dev: El NanPub: La Blen
    Windows

    Build and manage your very own Supermarket and make it success, with good offers and best selected products. Attract more customers with an aggressive strategy and grow to become the best Supermarket in town.

    Why similar: Medical Sim 29.2%, Farming Sim 19.6%, Life Sim 14.6%, City Builder 12.1%, Simulation 8.6%

  2. #2 Sim Hospital
    96% matchMixed54% of 46 reviews2025
    Dev: Dao Studio
    Windows

    Sim Hospital is a simulation game where you build and manage your own hospital. You'll encounter all kinds of interesting patients and events. Improving the skills of your doctors and nurses is just as important!

    Why similar: Medical Sim 32.7%, Farming Sim 21%, City Builder 17.5%, Life Sim 12.3%, Simulation 6.2%

  3. #3 Ice Land
    96% match3 user reviews67% of 3 reviews2024
    Dev: iceland4021
    Windows

    A game that simulates survival in harsh cold environments, including game elements such as environmental exploration, technology development, and character development.

    Why similar: Farming Sim 30.9%, City Builder 24.6%, Simulation 12%, 2D Platformer 10.9%, Building 6.3%

  4. #4 A Healer's Almanac
    94% matchNo user reviews
    Dev: PINEROOST STUDIO LLC
    Windows

    A cozy pixel-art life sim inspired by traditional Chinese medicine. Grow medicinal herbs, examine symptoms, read the pulse, diagnose patterns, craft remedies, and care for a village through four seasons and the twenty-four solar terms.

    Why similar: Medical Sim 49.2%, Farming Sim 21.7%, Life Sim 16.7%, Simulation 6.3%, Crafting 4.1%

  5. #5 BirdsBorough : Town of Alchemy
    94% match7 user reviews86% of 7 reviews2023
    Dev: Madamé Pigeon Games
    Windows · Mac

    Build and run your own alchemy store, make your own unique custom potions and learn the stories of the residents, in the ominous town of BirdsBorough...

    Why similar: Medical Sim 37.6%, Farming Sim 19.5%, Life Sim 11.9%, Building 8.3%, Emotional 7.7%

  6. #6 Remedy of Balance
    93% matchNo user reviews
    Dev: Azalexes
    Windows

    A farming sim with a potion-crafting twist. Craft and treat patients in Palmia. Climb the ranks to become Guildmaster of the Alchemist Guild. Along with other activities like farming, animal handling, building relationships, and more.

    Why similar: Medical Sim 34.6%, Farming Sim 28.2%, Life Sim 16.2%, Simulation 6.2%, Crafting 5.8%

  7. #7 Beyond the Soil: Farming & Tales Prologue
    92% match3 user reviews50% of 4 reviews2026
    Dev: Mavi Game Lab
    Windows

    In this free prologue to Beyond the Soil: Farming & Tales, build a life from scratch in the heart of nature. Cultivate the land, manage resources, help the valley residents, and write the first pages of a world full of mysteries. Your farming legend starts here!

    Why similar: Farming Sim 33.1%, City Builder 18.4%, Life Sim 17.7%, Simulation 7.3%, Building 6.8%

  8. #8 蘑菇庄园(Mushroom Manor)
    91% matchNo user reviews
    Dev: 节奏互娱
    Windows

    Mushroom Manor is a cozy desktop idle farm game where every mushroom carries a hidden blessing, bringing you moments of joy and tranquility. Let these adorable little companions stay by your side and join you on a healing journey nourished by gentle energy.

    Why similar: Farming Sim 33.4%, City Builder 21.7%, Life Sim 15.1%, 2D Platformer 9.1%, Simulation 8.6%

  9. #9 電視夢工場
    91% matchMixed53% of 19 reviews2025
    Dev: T-Time Technology CO., LTD.
    Windows

    創造自己的夢幻電視台,製作、購買、編排電視節目、賺取廣告費、規劃提高收視率…等。還可以發揮絕妙點子與獨特創意,安排最棒的節目表,以締造驚人收視率,來爭取電視節目比賽獎項。或是努力尋找理想男女主角,來培養下一代偶像,創造夢幻的演員組合,拍攝出超級電視節目。

    Why similar: Medical Sim 28.9%, City Builder 19.2%, Farming Sim 17.8%, Life Sim 13.3%, Simulation 8%

  10. #10 California Escapades
    90% matchMostly Positive71% of 348 reviews2024
    Dev: NUTS POWER ONLINE ENTERTAINMENT LIMITED
    Windows

    In this simulation and adventure game, explore 19th-century Gold Rush California. Join Jim and Emma to build and manage your farm and city. Plant crops, raise animals, construct buildings, complete missions, uncover secrets, and collect treasures. Start your adventure now!

    Why similar: Farming Sim 30.7%, City Builder 25.1%, Life Sim 16.7%, Simulation 8.9%, Building 8.2%

  11. #11 Two Point Hospital
    89% 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 59.9%, Building 11.9%, Simulation 10.8%, Management 10.4%, City Builder 7%

  12. #12 Torp
    89% matchNo user reviews
    Dev: Wobblegoat
    Windows · Linux

    Torp is a viking age colony simulator where you guide a group of norsemen in their quest to build a peaceful and thriving settlement.

    Why similar: Farming Sim 28.1%, City Builder 27.7%, Life Sim 16.4%, Simulation 12.2%, Building 5.9%

  13. #13 Dream Town Island
    88% matchOverwhelmingly Positive96% of 544 reviews2023
    Dev: Kairosoft Co.,Ltd
    Windows
    Median: 6.0 hrsMean: 10.1 hrs≥1hr: 67%

    A town sim where you raise generations of residents. Unlock new stores and facilities, help your residents find love, or cash in on the stock market!

    Why similar: Farming Sim 26.3%, City Builder 25.4%, Life Sim 17.2%, Building 8.5%, Simulation 8.4%

  14. #14 Nursing Simulator—Code Ube
    86% matchNo user reviews100% of 3 reviews2026
    Dev: Mobile Nursing LLC
    Windows · Mac · Linux

    When things aren't as they seem, nobody stands against fate but one nurse. Play as Karen—a nurse who saves lives and kicks butt! Complete tasks, give meds, and document assessments. But when night comes, beware of those who try to steer you away from what's right.

    Why similar: Medical Sim 57.4%, Life Sim 23.7%, Simulation 15.5%, 2D 3.5%

  15. #15 Farm Day 2021
    87% matchMixed60% of 42 reviews2020
    Dev: indiegames3000
    Windows

    Decorate your town with a lot of beautiful decorations to make your fun farm city unique.

    Why similar: Farming Sim 38.9%, City Builder 38.1%, Building 15.8%, Simulation 7.2%

  16. #16 happiness market
    86% match1 user reviews100% of 1 reviews2023
    Dev: luolei
    Windows

    A simple simulation and management game. Build different shops and earn money from passing customers.

    Why similar: City Builder 31.7%, Life Sim 18.4%, 2D Platformer 17.2%, Building 13.7%, Simulation 8.7%

  17. #17 中医模拟传承人
    85% matchPositive87% of 15 reviews2024
    Dev: guizhi0011
    Windows

    A game where everyone can learn traditional Chinese medicine.

    Why similar: Medical Sim 58.9%, Life Sim 18.6%, Simulation 13.7%, 2D Platformer 6.9%, 2D 1.9%

  18. #18 Alanis's Potion
    84% matchNo user reviews
    Dev: MoLab
    Windows

    《艾拉妮丝的魔药》是模拟经营+情感互动游戏。你扮演伪装成药师的巫师,经营药铺,为居民看病并隐藏身份。 核心玩法:采集药材(外出过长增怀疑)、炼药(可中断但病人不等)、诊断病症(选错增怀疑,缺药需备好)、外出触发事件,养子成长影响结局。

    Why similar: Medical Sim 36.9%, Farming Sim 33%, Life Sim 17.9%, 2D Platformer 9.7%, 2D 2.5%

  19. #19 Floating Isle Days
    83% matchPositive95% of 37 reviews2026
    Dev: LiZi
    Windows

    You have traveled to a magical world in your dreams, and there is now a cute little sprite by your side. You will spend many wonderful moments with it on this land.

    Why similar: Farming Sim 32.8%, City Builder 26.4%, Life Sim 14%, Simulation 11.4%, 2D Platformer 8.6%

  20. #20 Brave Village
    84% matchMixed45% of 20 reviews2024
    Dev: Tenten Studio
    Windows · Mac

    This is a casual adventure simulation game where you'll manage a small village and explore dark mines. Upgrade villagers and buildings, craft equipment and food, defeat evil goblins, and reclaim lost lands.

    Why similar: Farming Sim 34.9%, City Builder 27.9%, Simulation 10.1%, Building 7.8%, Crafting 5.3%

  21. #21 Catizens
    82% matchVery Positive81% of 368 reviews2024
    Dev: badopticsgamesPub: HeroCraft PC
    Windows
    Median: 54 minMean: 4.8 hrs≥1hr: 44%

    Inspired by RimWorld and The Sims, Catizens is a colony management simulation game where you watch over unique cats with quirky personalities, as you help them build and grow their settlement while exploring new lands, facing off against wildlife and overcoming the challenges of each environment.

    Why similar: City Builder 23.8%, Farming Sim 22.4%, Life Sim 11.4%, Building 10.8%, Survival 7%

  22. #22 Project Hospital
    82% matchVery Positive89% of 9,301 reviews2018
    Dev: Oxymoron Games
    Windows · Mac · Linux
    Median: 4.4 hrsMean: 24.4 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 45.1%, City Builder 22.2%, Life Sim 8.9%, Building 7.8%, Management 7.4%

  23. #23 Harvest Health
    81% matchNo user reviews
    Dev: Harvest Health LLC
    Windows · Mac · Linux

    You’ve graduated from Xepheria School of Immunis and inherited your grandfather’s clinic in the Springs Hope Village. Design your own clinic. When you are not fighting bacteria inside the body, mingle with villagers by farming, joining festivals, recruiting friends, raising monsters, and dating!

    Why similar: Medical Sim 37.2%, Farming Sim 26%, Life Sim 18.6%, Building 8.1%, Crafting 5.9%

  24. #24 Herbal Haven
    81% matchNo user reviews
    Dev: Reminiscent Realms Studio LLC
    Windows · Linux

    In this life-sim, you are sent by the adventurer’s guild to run a local infirmary. Explore diverse biomes to gather ingredients, nurture your herbs and concoct remedies to aid your guild. Build relationships with your neighbors and engage in community events.

    Why similar: Medical Sim 37.3%, Farming Sim 26%, Life Sim 18.3%, Management 7.2%, Crafting 4.9%

  25. #25 Polaria
    79% matchNo user reviews2026
    Dev: Glocal the BONPub: Superjoy Co., Ltd.
    Windows

    Polarium is a relaxing idle game set in the serene world of Antarctica. Discover peaceful marine life, learn about polar ecosystems, and find comfort in nature. Inspired by real research, the game blends healing gameplay with subtle messages on climate and biodiversity.

    Why similar: Medical Sim 46.8%, Farming Sim 32.8%, Simulation 12.7%, Emotional 7.6%

  26. #26 英雄荣光医院
    77% matchPositive100% of 10 reviews2026
    Dev: Areas RPub: PeopleFirstAI
    Windows

    “Hero Hospital” is a classic hospital management game: send in undercover agents and fake patient brokers, unleash dogs to cause crashes and chaos, dump trash and throw bombs, and even head into outbreak zones to fight viruses. The gameplay can be expanded endlessly.

    Why similar: Medical Sim 46.6%, City Builder 20%, Life Sim 9%, Building 6.9%, Management 4.5%

  27. #27 Planting Trees
    79% matchMostly Negative24% of 33 reviews2023
    Dev: Endulum
    Windows · Mac

    Take on the role of a reforestation expert.

    Why similar: Farming Sim 31%, City Builder 27.7%, Life Sim 18.7%, Building 6.2%, Colorful 4.4%

  28. #28 Beyond the Soil: Farming & Tales
    77% match1 user reviews0% of 1 reviews2026
    Dev: Mavi Game Lab
    Windows

    Beyond the Soil: Farming & Tales offers a unique blend of farming and survival. Build your own farm and survive the wild. Complete quests, rescue your loyal dog, and experience an epic rural adventure with up in online co-op.

    Why similar: Farming Sim 30.8%, City Builder 18.2%, Life Sim 17.4%, Building 10.1%, Survival 6.5%

  29. #29 Venture Towns
    78% matchVery Positive80% of 141 reviews2022
    Dev: Kairosoft Co.,Ltd
    Windows

    Make your own metropolitan utopia! Stores, mansions, towers--anything goes!

    Why similar: City Builder 30.7%, Farming Sim 24.2%, Life Sim 15.7%, Simulation 12%, Building 8.4%

  30. #30 Better Me Tree: Boot Camp
    78% matchNo user reviews2024
    Dev: Better Me Tree
    Windows

    Better Me Tree: Boot Camp is a daily self development application and motivator that encourages you to work on bettering your health, personal growth, wellness, inner peace, life goals, purpose, self awareness, accountability and more.

    Why similar: Medical Sim 34.3%, Farming Sim 31.9%, Life Sim 16.9%, Emotional 9.5%, Simulation 7.5%

  31. #31 Very Human Doctor
    76% 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 58%, Simulation 12.7%, Life Sim 12.3%, Building 8.8%, Management 4.9%

  32. #32 The Blackwood
    76% matchNo user reviews
    Dev: Moonlight Software
    Windows

    After a devastating accident, you are stranded in a breathtaking wilderness. Survive by gathering resources, crafting tools, building bases, and looting. Explore a dangerous open world, face threats, and uncover the mysteries of The Blackwood.

    Why similar: City Builder 29.2%, Farming Sim 22.3%, Life Sim 14.8%, Building 12%, Survival 8.9%

  33. #33 Qteam Simulator
    75% matchNo user reviews
    Dev: zhekuan
    Windows

    Build and manage your own digital game platform. Acquire game licenses, develop original titles, hire employees, analyze market trends, manage your community, and compete with rival platforms as you grow from a small startup into an industry leader.

    Why similar: City Builder 26.5%, Farming Sim 23.2%, 2D Platformer 15%, Life Sim 13.8%, Management 7.9%

  34. #34 Breeding Hospital
    74% match3 user reviews67% of 3 reviews2025
    Dev: びゅびゅ丸★
    Windows

    This is a hospital simulator for those aged 18 and over. You can have various experiences with multiple female nurses. The nurses will satisfy your sexual desires according to your choices. However, if you impregnate a girl, the nurse will bear all the responsibility.

    Why similar: Medical Sim 61.1%, Life Sim 16.1%, 2D Platformer 13.2%, Simulation 7.3%, 2D 2.4%

  35. #35 Infinite Construction
    75% matchMixed52% of 21 reviews2022
    Dev: BackSnow Games
    Windows · Mac · Linux

    This is an infinite sandbox construction game with no boundaries. The game is simulating the reconstruction of a post-war town; there are 18 kinds of resources in the game, and the construction strategy is to increase the resources and maintain the dynamic balance of different resources.

    Why similar: Farming Sim 38.9%, City Builder 30.6%, Building 13.5%, Simulation 8.8%, Base Building 6.1%

  36. #36 Sprout Valley
    73% matchMostly Positive73% of 131 reviews2023
    Dev: Vadzim LiakhovichPub: RedDeer.Games
    Windows

    Sprout Valley is farming simulator game where you can step back from the busy life and grow the garden of your dreams. Captivating story, hand-crafted experience, cute graphics and many more!

    Why similar: Farming Sim 34.5%, Life Sim 20.8%, Building 9.2%, Simulation 9%, Emotional 8.1%

  37. #37 Prison Tycoon®: Under New Management
    74% 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 32.7%, Life Sim 14%, Building 13%, City Builder 11.7%, Management 9.9%

  38. #38 Cozy Gardener Simulator
    72% matchMixed44% of 18 reviews2025
    Dev: Noodels Games World
    Windows

    Cozy Gardener Simulator - a peaceful life where every flower you plant brings joy. Clean streets, grow gardens, help neighbors, and create beauty one task at a time. No stress, just cozy vibes. 🌱

    Why similar: Farming Sim 36.2%, Life Sim 24.2%, Simulation 13.6%, Building 4.9%, Crafting 4.7%

  39. #39 Hospital Renovator
    73% 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 53.8%, Life Sim 16.8%, Building 11.7%, Simulation 8.4%, Management 6.6%

  40. #40 MediSim: Emergency Response
    72% matchNo user reviews
    Dev: Mehmet Hilmi Değirmenci
    Windows

    As a young doctor, save lives in emergencies, advance from a health center to a major hospital, and manage your own facility. Perform first aid, and diagnostics, take on ambulance and helicopter missions, and build your medical team. A realistic medical simulation where every decision matters!

    Why similar: Medical Sim 61.5%, Life Sim 19.4%, Simulation 14.3%, Management 4.8%

  41. #41 Pathless Woods
    70% matchMostly Positive79% of 1,110 reviews2024
    Dev: AniYa Games Studio
    Windows
    Median: 5.2 hrsMean: 11.1 hrs≥1hr: 79%

    Embark on a cozy open-world survival journey inspired by ancient China's heritage. Gather resources, cultivate crops, build your dream home, and defend it from marauders. Team up with friends to explore and uncover a world where adventure meets serenity.

    Why similar: Farming Sim 29.4%, City Builder 23.4%, Building 11%, Survival 8.5%, Crafting 7.5%

  42. #42 Oh! Edo Towns
    71% matchVery Positive86% of 110 reviews2022
    Dev: Kairosoft Co.,Ltd
    Windows

    Plunge into the past for a rousing romp through Edo period Japan!

    Why similar: Farming Sim 25.8%, City Builder 23%, Life Sim 15.6%, Building 9%, 2D Platformer 8.5%

  43. #43 Hospital Manager
    73% 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 74.2%, Management 15.3%, Simulation 10.4%

  44. #44 ゼロから始まる終わりの村/The Village of the End Starting from Zero
    71% matchNo user reviews2026
    Dev: みずブルPub: MIZUBLUE GAMES
    Windows

    A miniature-world slow-life game meets an idle game! Run an inn inside a book and enjoy bug catching, fishing, farming, and dairy work—plus crafting! Pursue romance with heroines! Live life "from scratch" in a soothing post-apocalyptic world—perfect for playing in your spare moments!

    Why similar: Farming Sim 26.4%, City Builder 23.2%, Life Sim 17.7%, 2D Platformer 10.4%, Building 7.7%

  45. #45 Monastery Builder
    70% matchNo user reviews
    Dev: SolidGames
    Windows

    Become a monk in a medieval European monastery. Be diligent with your duties, and develop and expand your friary. Learn plenty of useful skills and contribute to raising the standard of living for the local community.

    Why similar: City Builder 24.5%, Farming Sim 22.8%, Life Sim 13.7%, Building 11.2%, Management 7.5%

  46. #46 My Universe - Doctors & Nurses
    71% matchMostly Negative38% of 16 reviews2022
    Dev: It Matters GamesPub: Microids
    Windows · Mac

    Take turns to play either a doctor or nurse. Diagnose illnesses and infections so as to treat and help your many patients. Set out on an adventure in a buzzing hospital environment. Meet all sorts of different characters and discover a story full of surprises.

    Why similar: Medical Sim 64.2%, Life Sim 19.8%, Simulation 9.1%, Colorful 7%

  47. #47 Hospital Center Tycoon
    69% 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 54.5%, Life Sim 17.8%, Management 8%, Building 7.6%, Simulation 7.5%

  48. #48 Pharmacy Simulator
    69% matchMixed59% of 255 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 51.3%, Life Sim 22.7%, Simulation 13.2%, Building 7%, Management 4.4%

  49. #49 MALL MANAGER SIMULATOR - PROLOGUE
    68% match5 user reviews67% of 5 reviews2025
    Dev: Krisztian BlahaPub: KINETIC MOBILE GAMES
    Windows

    Mall Manager Simulator: Prologue is a limited version of the full game to start running your local Mall now. Wishlist the full version to play the complete Mall Manager Simulator game. Design, build, and manage your own shopping center, where every decision you make impacts your success!

    Why similar: Farming Sim 34.4%, City Builder 28.4%, Life Sim 19.5%, Simulation 9.6%, Management 4.2%

  50. #50 Doraemon Dorayaki Shop Story
    67% matchOverwhelmingly Positive99% of 567 reviews2024
    Dev: Kairosoft Co.,Ltd
    Windows
    Median: 9.1 hrsMean: 19.9 hrs≥1hr: 80%

    A simulation game where you create a wonderful sweets shop with Doraemon

    Why similar: City Builder 33.2%, Life Sim 26%, Simulation 16.8%, 2D Platformer 12.6%, Management 4.2%

  51. #51 Deskside Inn
    69% matchNo user reviews
    Dev: DuDu Games
    Windows

    You’re the odd disciple of Divine Beast Sect — no talent for beast-taming, but a born hand with spatula and account books. Master slams the table: “Go open an inn at the mountain foot!” So you hold onto the sect’s warm vibe and set up this little tavern

    Why similar: Medical Sim 29.3%, Farming Sim 27.1%, City Builder 18.9%, Life Sim 11.8%, Simulation 8.8%

  52. #52 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 63%, Life Sim 17.5%, Management 8.7%, Simulation 7.7%, Colorful 3.1%

  53. #53 My Universe - Pet Clinic Cats & Dogs
    70% matchMixed62% of 29 reviews2020
    Dev: It Matters GamesPub: Microids
    Windows

    Discover the veterinary profession and help cats and dogs that need you. An injury, fever, an animal that refuses to eat: it’s up to you to act!

    Why similar: Medical Sim 56.8%, Life Sim 15.4%, Simulation 10.7%, Management 5.6%, Colorful 5%

  54. #54 Celestial Trails
    68% matchNo user reviews
    Dev: Universal Games
    Windows

    You arrive on a barren island seeking a fresh start. Gather resources, farm, fish, and craft to build a thriving society. Unlock advanced technologies, manage resources, and grow your settlement from humble beginnings to exploring the stars.

    Why similar: Farming Sim 33.2%, City Builder 33%, Life Sim 19.2%, Building 6.4%, Simulation 4.3%

  55. #55 City and War
    67% matchNo user reviews2026
    Dev: Baicheng Zhang
    Windows

    City And War is a single-player strategy game combining city building, production management, and real-time warfare. Develop your population and industries, manufacture supplies and weapons, and command armies across battlefields and an expedition map.

    Why similar: Farming Sim 35.1%, City Builder 27.8%, Simulation 14.5%, 2D Platformer 10.1%, Building 6.4%

  56. #56 Japanese Rural Life Adventure
    65% matchVery Positive80% of 249 reviews2026
    Dev: G-MODE
    Windows

    Japanese Rural Life Adventure is a relaxing slow-life simulation where you can experience the charm of traditional Japanese countryside living, all in a beautifully crafted pixel-art world.

    Why similar: Farming Sim 36.7%, City Builder 27.3%, Life Sim 27.1%, Simulation 8.9%

  57. #57 Fire Station Renovation
    67% matchNo user reviews
    Dev: FrogVille Games
    Windows

    FIRE STATION RENOVATION is a renovator simulator for abandoned and forgotten fire stations. Buy old hovels, repaint, redecorate, clean and even build rodent traps and bring the firehouse back to life!

    Why similar: Medical Sim 46.5%, Life Sim 19.5%, Building 9.8%, Simulation 8.5%, Base Building 6.9%

  58. #58 AI Farm
    66% matchNo user reviews
    Dev: Prefab
    Windows · Mac

    An AI-driven farming simulation game where you manage your farm through natural language conversations instead of traditional controls.

    Why similar: Farming Sim 44.8%, 2D Platformer 23.3%, Simulation 15.4%, Crafting 11.6%, 2D 5%

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Games Like 凌晨四点的医院

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