- #1 Survival Era
97% matchNo user reviews
Dev: DENG BIN
Windows
Era of Survival is a turn-based strategy survival game blending resource management and 攻防 (offensive-defensive) gameplay. As a frontier settler, you’ll build a wilderness stronghold and fend off 30 waves of relentless enemies, proving your strategic skill through shrewd tactics.
Why similar: RTS 30.2%, Simulation 25.6%, Turn-Based Strategy 19.3%, Casual 14.1%, 2D Platformer 8.3%
- #2 SimShock2025
96% match7 user reviews75% of 8 reviews2025
Dev: Pablo Kessler SaizPub: Pablo Kessler
Windows · Mac
SimShock2025 is a free, bilingual (EN/ES) hemodynamic shock simulator. Treat cardiogenic, hemorrhagic, and septic shock using real drugs and interventions. Written in PureBasic, available for Mac and Windows. Apple-signed and notarized.
Why similar: Medical Sim 39.9% ★, RTS 30.6%, Simulation 24.1%, 2D 2.7%, Story Rich 2.4%
- #3 Dr. Cares - Amy's Pet Clinic
96% matchMostly Positive79% of 77 reviews2018
Dev: NitrealPub: GameHouse
Windows · Mac
Get ready to test your vet skills in Dr. Cares - Amy's Pet Clinic!
Why similar: Medical Sim 59.7% ★, Simulation 26.9%, Casual 13.5%
- #4 Medical verdict
95% 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 64% ★, Simulation 24.2%, Casual 11.8%
- #5 Tower of Void
93% match1 user reviews0% of 1 reviews2026
Dev: yhy
Windows
Tower of Void is a tactical roguelike RPG. It features formation strategy, auto combat, loot farming and class progression. The core fun lies in building lineups, adjusting positions, equipping skills and gear to counter diverse enemies.
Why similar: RTS 38.5%, Party-Based RPG 32.7%, Turn-Based Strategy 21%, Casual 4.6%, 2D 2.7%
- #6 Heart's Medicine - Hospital Heat
94% 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 62.4% ★, Simulation 23.4%, Casual 12%, Story Rich 2.1%
- #7 Fun Hospital
94% matchMixed64% of 608 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 57% ★, Simulation 28.3%, Casual 14.6%
- #8 中医模拟传承人
92% matchPositive87% of 15 reviews2024
Dev: guizhi0011
Windows
A game where everyone can learn traditional Chinese medicine.
Why similar: Medical Sim 53.4% ★, Simulation 28.2%, Casual 9.5%, 2D Platformer 6.5%, 2D 1.7%
- #9 Eloquent
91% match3 user reviews100% of 3 reviews2024
Dev: Dingdang
Windows
This game transports you to a world brimming with retro charm, featuring classic pixel art that is vibrant and rich in detail, inviting exploration around every corner.
Why similar: RTS 41.8%, Party-Based RPG 38.3%, Casual 16.2%, 2D 2.8%, Singleplayer 0.9%
- #10 Breeding Hospital
91% 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 53.8% ★, Turn-Based Strategy 17.1%, Simulation 14.5%, 2D Platformer 12%, 2D 2.1%
- #11 Fruity Kitchen
89% match2 user reviews50% of 2 reviews2025
Dev: Play & Enjoy
Windows
"Fruity Kitchen" is a creative 2D strategy-based puzzle game.
Why similar: RTS 35.9%, Turn-Based Strategy 20.3%, Simulation 19.6%, 2D Platformer 11.4%, Casual 10.1%
- #12 Doctor Simulator
89% matchNo user reviews
Dev: Medic Labs
Windows
If you have ever thought of becoming a doctor – here is your chance! Arm yourself in a stethoscope and do a ward round to keep up to date with your patients’ condition. They may complain and question your authority but remember – you’re the doctor!
Why similar: Simulation 41.9%, Medical Sim 38% ★, Casual 19.5%, Singleplayer 0.6%
- #13 Good doktor
90% matchMostly Negative21% of 14 reviews2019
Dev: Niko Belik
Windows
Game simulator of the work of a general practitioner in a hospital. Your goal is to identify diseases in patients and achieve the highest level. Take care of the routine of the physician, control of coupons and carefully check each incoming patient for the presence of certain diseases.
Why similar: Simulation 38.6%, Medical Sim 33.2% ★, Casual 20.2%, Cute 3.8%, 2D 3.3%
- #14 Beauty VS. robot
88% matchNo user reviews
Dev: Super funny game
Windows
"Beautiful Girl vs Mecha" is a card RPG game with the theme of the future eschatology. Players will be transformed into army commanders, and they will fight through card battles by means of instant battles and four different occupations.
Why similar: RTS 38.3%, Simulation 22.1%, Turn-Based Strategy 21.7%, 2D Platformer 12.2%, 2D 3.3%
- #15 Scalpel, Please!
84% 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 54% ★, Simulation 27.7%, Casual 15.2%, Story Rich 2.7%, Singleplayer 0.4%
- #16 Heart's Medicine - Time to Heal
86% matchVery Positive94% of 884 reviews2016
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Median: 6.0 hrsMean: 12.2 hrs≥1hr: 92%
An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring surgeon at Little Creek Hospital!
Why similar: Medical Sim 66.3% ★, Simulation 16.8%, Casual 13.2%, Story Rich 2.9%, Singleplayer 0.8%
- #17 Pi Fu Fighter
85% match3 user reviews67% of 3 reviews2023
Dev: GANG DAN
Windows
This is a game created by me. Players will operate multiple fighter planes to form a fighter formation to deal with endless and uniform enemies. Of course, players can synthesize stronger fighters by picking up fighter cards or use different attribute cards to strengthen their fighters.
Why similar: RTS 33.5%, Simulation 19.2%, Turn-Based Strategy 18.6%, 2D Platformer 14.4%, Casual 9.9%
- #18 Emergency 2014
87% matchMixed64% of 373 reviews2013
Dev: Sixteen Tons Entertainment
Windows
Median: 3.2 hrsMean: 7.1 hrs≥1hr: 71%
You have command of paramedics, fire brigades, police and disaster relief. Send your teams out on tense real-time missions to deal with disasters in Europe's major centres.
Why similar: Simulation 59.9%, RTS 38.9%, Singleplayer 1.3%
- #19 MediSim: Emergency Response
84% 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 56.6% ★, Simulation 29.9%, Casual 13%, Singleplayer 0.6%
- #20 Doctor Dash ASMR Hospital
82% matchVery Positive89% of 98 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 55.2% ★, Simulation 25.4%, Casual 14.5%, 2D 3.8%, Singleplayer 1%
- #21 Lumber Tycoon Island
81% matchNo user reviews
Dev: Gamesforgames
Windows
One axe. A whole island. A logging empire.
Why similar: RTS 49.6%, Simulation 27%, Casual 22.1%, Singleplayer 1.3%
- #22 Reanimation Inc.
82% 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 71.9% ★, Simulation 28.1%
- #23 Ferulorum
79% match1 user reviews100% of 1 reviews2025
Dev: Narcitheus
Windows
Strategy/simulation game/Auto-Battler - Higher mercenaries, equip them, organize them into a team and watch as they fight through the dungeon collecting loot and gold. Clear your way through 5 locations in the Kingdome so you can enter the deepest reaches of the castle and reclaim the lost relic.
Why similar: Party-Based RPG 42.4%, Simulation 34.3%, Casual 18%, 2D 3.1%, Singleplayer 2.2%
- #24 Cafe Dash: Cooking, Diner Game
78% matchVery Positive90% of 100 reviews2024
Dev: Friedegggames OUPub: Brightika, Inc.
Windows
🍽️🍕Your dream restaurants and cafes awaits! ❤️ Addictive levels and unique locations ✈️ Hours of entertainment in the time-management genre ⏰
Why similar: Simulation 66.3%, Casual 33.4%, 2D 0.3%, Singleplayer 0.1%
- #25 Dr Greenstuff
81% matchVery Positive87% of 149 reviews2018
Dev: Black DiskettePub: Black Diskette Studio
Windows
Discover the life of Dr Greenstuff, grow marijuana, coca, make meth', drugs and more to keep your legal/illegal business running.
Why similar: Medical Sim 69.6% ★, Simulation 30.4%
- #26 Heart's Medicine - Doctor's Oath
80% matchMixed64% of 197 reviews2020
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Become a doctor in a romantic medical drama with aspiring intern Allison Heart!
Why similar: Simulation 42.9%, Medical Sim 31.8% ★, Casual 22.2%, Story Rich 3.1%
- #27 MOAI 5: New Generation Collector’s Edition
79% matchMixed68% of 44 reviews2018
Dev: Toyman InteractivePub: ESDigital Games
Windows
Powerful magic is at your fingertips as you prepare for a ceremony that will protect your island home! Guide the young twins Hika-Ri and Kao-Ri as they go their separate ways on a journey that will culminate in a once-in-a-lifetime experience!
Why similar: Simulation 63.8%, Casual 34.1%, Singleplayer 2.1%
- #28 Amber's Airline - High Hopes
77% matchVery Positive88% of 137 reviews2018
Dev: Old Skull GamesPub: GameHouse
Windows · Mac
Fasten your seat belt and take off with Amber Hope in a new airline game!
Why similar: Simulation 68.6%, Casual 31.4%
- #29 Safety Driving Simulator: Motorbike
78% matchMixed46% of 41 reviews2016
Dev: United Independent Entertainment
Windows
Safety Driving Simulator: Motorbike is a driving simulator engaging and enjoyable that teaches the basics of driving immersing the player in a detailed and realistic urban environment.
Why similar: Simulation 68.6%, Casual 31.4%
- #30 Basic Car Repair Garage VR
76% matchMixed62% of 26 reviews2019
Dev: VRXPub: Street Smart VR
Windows
For car shows, trade shows and car people. A basic auto repair garage where you can run vehicle lifts up and down, look at animated transparent engines, install transmissions, and interact with mechanic tools and automotive parts.
Why similar: Simulation 68%, Casual 32%
- #31 Destination: Pluto The VR Experience
77% matchMixed60% of 42 reviews2017
Dev: SkyWorks DigitalPub: CuriosityStream
Windows
Walk on Pluto! Based on actual images and data from NASA's New Horizons mission, Destination Pluto: The VR Experience is an amazing 3D virtual reality excursion to the surface of Planet X.
Why similar: Simulation 68.5%, Casual 31.5%
- #32 Safety Driving Simulator: Car
76% matchMixed52% of 75 reviews2016
Dev: United Independent Entertainment
Windows
Safety Driving Simulator: Car is a driving simulator engaging and enjoyable that teaches the basics of driving immersing the player in a detailed and realistic urban environment.
Why similar: Simulation 69.4%, Casual 30.6%
- #33 The First Track
74% matchPositive80% of 20 reviews2019
Dev: CSF
Windows
Realistic physics simulation tank track's vehicle game
Why similar: Simulation 67.6%, Casual 32.4%
- #34 Virtual Villagers: A New Home
75% matchVery Positive90% of 193 reviews2008
Dev: Last Day of Work
Windows
Care for and nurture a tribe of little people by teaching them the basics of survival. They need to become farmers, builders, scientists, parents and make decisions about unpredictable 'island events'! Guide their day-to-day lives and help them explore and restore their new home.
Why similar: Simulation 69.6%, Casual 30.4%
- #35 AESCULAP® OrthoPilot®Elite VR Palpation
74% matchMostly Positive76% of 29 reviews2017
Dev: NMY Mixed-Reality Communication GmbHPub: B. Braun
Windows
Assume the role of a surgeon during this gamified knee replacement surgery minigame in VR.
Why similar: Simulation 67.6%, Casual 32.4%
- #36 Paws and Claws: Pet Vet
75% matchPositive89% of 18 reviews2009
Dev: dtp – young entertainment Gmbh & Co. KGPub: Cosmi Valusoft
Windows
You love animals and they love you! Congratulations! You’re the owner of your very own Paws & Claws Pet Clinic! It’s your job to nurture and love all of the animals to bring them back to health. Grow your vet clinic into a thriving business and become every animal’s best friend!
Why similar: Simulation 67.7%, Casual 32.3%
- #37 Pizza Connection 3 - Pizza Creator
71% matchVery Positive86% of 77 reviews2018
Dev: Gentlymad StudiosPub: Assemble Entertainment
Windows · Mac · Linux
Mamma mia... Long awaited by fans around the world, the new Pizza Creator of Pizza Connection 3 is now on Steam and playable separately.
Why similar: Simulation 66.9%, Casual 33.1%
- #38 Roadworks Simulator
73% matchMostly Negative20% of 30 reviews2016
Dev: United Independent Entertainment
Windows
You are responsible for the streets and roads in your city. With so many people in a city, there is always the need for new living space, which has to be opened up with roads.
Why similar: Simulation 67.6%, Casual 32.4%
- #39 Virtual Villagers: The Lost Children
73% matchVery Positive93% of 86 reviews2008
Dev: Last Day of Work
Windows
Somewhere in the Pacific, there was a beautiful island, called Isola, where lost villagers made their home. The castaways explored their small part of the island and knew every corner. Only a mysterious cave had not been carefully explored.
Why similar: Simulation 67.5%, Casual 32.5%
- #40 Virtual Villagers - The Secret City
72% matchVery Positive91% of 146 reviews2008
Dev: Last Day of Work
Windows
Embark on a journey with a group of villagers in search of a new part of the island to populate. Land on the hidden shores of the northern side of Isola and explore what was once a secret city. Find new sources of food to nourish your villagers and help them rebuild the remains of this mysterious city. Who lived here before?
Why similar: Simulation 67.5%, Casual 32.5%
- #41 Rail Cargo Simulator
73% matchVery Negative16% of 55 reviews2016
Dev: United Independent Entertainment
Windows
As the head of a marshalling yard you are aiming, according to the single, specified tasks, at coordinating the goods traffic with the available shunting locomotives and by using the hump yards in the most efficient way.
Why similar: Simulation 67.6%, Casual 32.4%
- #42 Virtual Families
72% matchVery Positive88% of 76 reviews2009
Dev: Last Day of Work
Windows
From the developer of the smash-hit Virtual Villagers series comes the new casual game that captures the drama of life—Virtual Families! Virtual Families is a casual family sim that runs in true-real time. Adopt and nurture a needy person in the computer. Help them meet a mate, and start a family.
Why similar: Simulation 67.5%, Casual 32.5%
- #43 All You Can Feed: Sushi Bar
71% matchMostly Positive80% of 15 reviews2018
Dev: DACS Laboratories
Windows
All You Can Feed: Sushi Bar let's you handle your own Sushi place. Create Maki, Nigiri or Futomaki, served with Green Tea, Soy Sauce and Wasabi to satisfy to your customers. Can you handle your own Sushi Bar or will you drown in orders?
Why similar: Simulation 66.6%, Casual 33.4%
- #44 Great Mountain Experience
71% matchMostly Negative33% of 12 reviews2018
Dev: Ncube Inc.
Windows
" The Great Mountain Experience." allows you to experience a new kind of tour. You can enjoy beautiful scenery with VR gear at your home. Distinctive ways to enjoy beautiful scenery await you, so we hope you will enjoy the ride. Bon voyage!
Why similar: Simulation 66.6%, Casual 33.4%
- #45 Content Creator Simulator
70% matchMixed62% of 29 reviews2018
Dev: Epic FirePub: DNB Media
Windows
Median: 5.4 hrsMean: 18.2 hrs≥1hr: 92%
Step into the life of a true content creator! It's your job to produce the best content for your audience! Are you ready?
Why similar: Simulation 66.6%, Casual 33.4%
- #46 Power Tools VR
70% matchMixed64% of 11 reviews2017
Dev: Onteca LtdPub: Onteca Ltd
Windows
VR game that gives you an adrenaline rush from chopping, lopping, slicing, dicing or shaping blocks using different power tools. Or you can even take a more artistic approach and see what you can create using the tools to sculpt the block.
Why similar: Simulation 66.6%, Casual 33.4%
- #47 The Western Hunter
69% match2 user reviews50% of 2 reviews2017
Dev: Wisdom Emprie
Windows
The Western Hunter is a immersive fast-paced first person shooting VR game only for HTC Vive. With in the game, you are able to hunt down different animals in the western wilds.
Why similar: Simulation 66.6%, Casual 33.4%
- #48 My Farm
68% matchMixed47% of 18 reviews2018
Dev: Bip MediaPub: Plug In Digital
Windows · Mac
You start with just a hen, an empty field and a few pennies. You have to feed your hen, take care of it and improve its living conditions!
Why similar: Simulation 66.6%, Casual 33.4%
- #49 Spa Mania 2
69% match6 user reviews33% of 6 reviews2016
Dev: Blue Lizard GamesPub: BFG Entertainment
Windows
Help Jade make her Spas more efficient!
Why similar: Simulation 66.6%, Casual 33.4%
- #50 Fortune Telling
68% match3 user reviews67% of 3 reviews2019
Dev: GreanGame
Windows
Measure the future for you through the mysterious power of the East. Good Luck!
Why similar: Simulation 66.6%, Casual 33.4%
- #51 Desert Ride Coaster
68% matchMixed67% of 60 reviews2016
Dev: iNFINITE Production
Windows
Median: 24 minMean: 12.9 hrs≥1hr: 44%
Short rollercoaster ride synchronized with music.
Why similar: Simulation 66.6%, Casual 33.4%
- #52 Dream Pets VR
69% matchNegative15% of 26 reviews2017
Dev: Subdream Studios
Windows
Dream Pets VR lets you adopt, dress and play with adorable puppies in VR!
Why similar: Simulation 66.6%, Casual 33.4%
- #53 My Arctic Farm
67% match2 user reviews50% of 2 reviews2019
Dev: BIP MediaPub: Plug In Digital
Windows · Mac
My Arctic Farm is a farm building simulation game...
Why similar: Simulation 66.6%, Casual 33.4%
- #54 HiPanda
62% matchNo user reviews
Dev: 成都环娱互动科技有限公司
Windows
Based on 3D and VR technology, we simulate and restore the panda's home scene, panda model, and panda's daily behavior, so that visitors can immerse themselves in the panda's life through VR, and watch the pandas close to the panda, interact with the pandas, feed and so on.
Why similar: Simulation 66.6%, Casual 33.4%
- #55 Colony
67% match8 user reviews38% of 8 reviews2016
Dev: Jamie CunninghamPub: Varitech
Windows
Colony is a space exploration game where you fly around trying to colonize planets, battle alien races, collect resources, and save the human race!
Why similar: Simulation 66.6%, Casual 33.4%
- #56 Anime Bubble Pop
66% matchMixed69% of 16 reviews2017
Dev: ThinkVirtual LLC
Windows
Anime Bubble Pop is a fun relaxing Bubble Shooter with an Anime theme. Help Mysty complete all of the bubble puzzles to beat the game!
Why similar: Simulation 66.6%, Casual 33.4%