Games Like Lost in Vivo

Cry of Fear is a psychological single-player and co-op horror game set in a deserted town filled with horrific creatures and nightmarish delusions. You play as a young man desperately searching for answers in the cold Scandinavian night, finding his way through the city as he slowly descends into madness.

Why similar: Horror 27.4%, Survival Horror 19.7%, Psychological Horror 18.6%, Psychological 10.8%, FPS 5.9%

Why You'll Like It: This game is the closest spiritual relative to Lost in Vivo, featuring similar gritty, retro-inspired, first-person psychological horror and intense claustrophobia.

Fort Oasis is no paradise—it's a decaying nightmare where reality crumbles. The creator of Turbo Overkill unleashes survival-horror stacked with mysteries and monstrosities. Scavenge to craft weapons, while a voice on your walkie-talkie guides you into the island's depths.

Why similar: Psychological Horror 21.7%, Psychological 17.7%, Horror 15.9%, FPS 15%, Surreal 12%

Why You'll Like It: This standalone mod offers a visceral, gritty, and claustrophobic survival horror experience that perfectly matches the aesthetic and tone of the seed game.

Smuggle contraband VHS tapes across the border. Discover the remnants of illicit industry. Prepare for an assassination. This is Paratopic, an atmospheric retro-3D horror adventure through a cursed fever dream.

Why similar: Surreal 19%, Horror 18.4%, Psychological Horror 13.8%, Great Soundtrack 12.8%, Retro 11.3%

Why You'll Like It: Shares the low-poly, surreal, and fragmented narrative style that makes the seed game feel like a fever dream.

A classic survival horror experience set in a dystopian future where humanity has uncovered a dark secret. Unravel a cosmic mystery, escape terrifying creatures, and scavenge an off-world government facility as Elster, a technician Replika searching for her lost dreams.

Why similar: Survival Horror 29%, Lovecraftian 25.5%, Psychological Horror 23.6%, Atmospheric 9.2%, Violent 7%

Why You'll Like It: It captures the surreal, retro-survival horror essence and the feeling of navigating a decaying, nightmarish facility.

A short horror game where you pilot a tiny submarine through an ocean of blood on an alien moon.

Why similar: Psychological Horror 33%, Horror 30.1%, Atmospheric 15%, First-Person 10%, Surreal 7.1%

Why You'll Like It: Focuses on extreme claustrophobia and the terror of the unknown, stripping away all comfort to leave the player in a state of constant anxiety.

Visage is a first-person psychological horror game. Explore a mysterious ever-changing house in a slow-paced, atmospheric world that combines both uncannily comforting and horrifyingly realistic environments, and enjoy a genuinely terrifying experience.

Why similar: Horror 29.2%, Psychological Horror 29.2%, Survival Horror 19.8%, First-Person 5.9%, Surreal 5.1%

Why You'll Like It: The gold standard for modern psychological horror in a confined space, utilizing shifting environments to disorient the player.

Darkwood - a new perspective on survival horror. Scavenge and explore a rich, ever-changing free-roam world by day, then hunker down in your hideout and pray for the morning light.

Why similar: Survival Horror 27.4%, Psychological Horror 24%, Horror 19.8%, Survival 11.4%, Atmospheric 10.6%

Why You'll Like It: Though top-down, it is a masterpiece of building oppressive, psychological dread and isolation in a hostile, shifting environment.

From the creators of Amnesia: The Dark Descent comes SOMA, a sci-fi horror game set below the waves of the Atlantic ocean. Struggle to survive a hostile world that will make you question your very existence.

Why similar: Lovecraftian 23.5%, Survival Horror 18.5%, Psychological Horror 18.5%, Horror 15.9%, Atmospheric 8%

Why You'll Like It: It explores existential dread and psychological horror within a confined, underwater setting that feels just as isolating as the sewers of the seed game.

Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

Why similar: Survival Horror 24%, Psychological Horror 22.7%, Surreal 17.7%, Atmospheric 12.9%, Survival 11.5%

Why You'll Like It: A deeply psychological, survival-focused game that is relentlessly oppressive and forces the player to confront the fragility of their own existence.

Amnesia: The Dark Descent, a first person survival horror. A game about immersion, discovery and living through a nightmare. An experience that will chill you to the core.

Why similar: Horror 27.6%, Survival Horror 16.7%, Lovecraftian 16%, Psychological Horror 14.9%, Atmospheric 6.5%

Why You'll Like It: The foundation of modern first-person psychological horror, focusing on helplessness and the terror of being pursued in dark, enclosed areas.

In Sound Mind is an imaginative first-person psychological horror with frenetic puzzles, unique boss fights, and original music by The Living Tombstone. Journey within the inner workings of the one place you can’t seem to escape—your own mind.

Why similar: Psychological Horror 30.4%, Horror 25.4%, FPS 12.7%, Atmospheric 10.7%, First-Person 8.5%

Why You'll Like It: Blends psychological exploration with creative, surreal level design that feels like a journey through a fractured psyche.

What you are about to do has not been approved by the Vatican. As a young priest, struggle against demons, cultists, and your own weakening faith in this pixel horror game inspired by the era of classic 8-bit gaming and the "Satanic Panic" of the 1980s.

Why similar: Psychological Horror 21%, Horror 17%, Lovecraftian 12.7%, Survival Horror 10.8%, Retro 9.9%

Why You'll Like It: Uses retro aesthetics to deliver intense, psychological, and religious horror that feels deeply personal and disturbing.

A serial killer is terrorizing the city, and Sara's deadbeat boyfriend hasn't done the laundry. Can Sara survive a late-night trip to the laundromat, or will the Womb Ripper perform an early delivery?

Why similar: Survival Horror 24.2%, Psychological Horror 20.1%, Horror 17.9%, FPS 11%, Atmospheric 10.3%

Why You'll Like It: Captures the gritty, retro VHS-style horror aesthetic that makes the seed game feel like a lost relic of the past.

A first-person action horror game set in a nightmarish manor infested with zombies, psychotic cultists, and a horde of other horrors. Utilize an assortment of different weapons in a brutal fight for survival as you try to escape from the Nightmare of Decay.

Why similar: Survival Horror 26%, Horror 19.4%, FPS 17.5%, Retro 9%, First-Person 7.3%

Why You'll Like It: A retro-styled survival horror that feels like a love letter to early genre classics, emphasizing exploration and resource management.

Experience true psychological horror as you explore nightmares inspired by the creator's struggles with depression and OCD. The defenseless protagonist must avoid monstrous manifestations of what haunts his subconscious in his quest to wake up into reality.

Why similar: Psychological Horror 33%, Horror 28.9%, Atmospheric 9.8%, Gore 8.3%, Survival Horror 6.7%

Why You'll Like It: Focuses on the manifestation of mental illness through disturbing, surreal imagery that feels deeply personal and inescapable.

Among Ashes is a terrifying first-person survival horror game. Your friend has sent you a link to a game that someone posted online, but as you play you quickly realise that something is terribly wrong. Whatever you do… K̴͉͚̗̅̃̄E̷͓̤̺̊͠E̴̤̰̿̽P̴̠̳̀́ ̴̨̮̭̕̚P̷̠͇̳͐̓̀L̶̹̔Ả̷̧Y̵̘̺͆̓Ï̸̻̏͂N̷͙̯͊G̵͖̹̠̽̿

Why similar: Survival Horror 21.7%, Psychological Horror 19.5%, Horror 15.4%, FPS 13.2%, First-Person 7.9%

Why You'll Like It: A meta-horror experience that plays with the boundaries of the player's reality, creating a sense of unease that bleeds into the real world.

Walking simulator. Explore, admire and listen. Uncanny. Relaxing. Unnerving. Eerie. Immersive. No monsters chasing you or jumping at your screen, but can feel oppressive at times by invoking fears of getting lost, the dark, tight spaces and liminal space architecture. Inspired by backrooms.

Why similar: Psychological Horror 42.5%, Surreal 23.8%, Atmospheric 16.9%, First-Person 13.1%, Indie 2.1%

Why You'll Like It: Masterfully utilizes liminal spaces to create a sense of unease and isolation that resonates with the seed game's focus on claustrophobia.

Survival, horror at the sunless depths of the Pacific Ocean: Stranded on the seafloor with low light and few tools, an industrial diver takes desperate steps to surface before his oxygen — and sanity — give out.

Why similar: Survival Horror 23.7%, Psychological Horror 22.3%, Horror 21.8%, First-Person 9.8%, Atmospheric 9.1%

Why You'll Like It: An underwater survival horror that emphasizes the psychological toll of isolation and the constant threat of suffocation.

Mundaun is a lovingly hand-penciled horror tale set in a dark, secluded valley of The Alps. Explore various areas full of secrets to discover, survive hostile encounters, drive vehicles, fill your inventory, and solve a variety of handcrafted puzzles.

Why similar: Psychological Horror 28.6%, Horror 20.8%, Surreal 18.5%, First-Person 10.9%, Atmospheric 10.8%

Why You'll Like It: Features a unique, hand-drawn aesthetic and a deeply unsettling, surreal atmosphere that mirrors the seed game's dreamlike quality.

In this original and adult psychological survival horror, the masked protagonist must escape from a city ravaged by disease, by any means necessary.

Why similar: Survival Horror 30.5%, Horror 26%, Psychological Horror 11.2%, Great Soundtrack 10.6%, Atmospheric 8.8%

Why You'll Like It: A 2D survival horror that nails the psychological isolation and resource management required to survive in a ruined world.

A first‑person cyberpunk horror detective story set in a decaying, neon‑scarred future. As an Observer who invades minds to hunt for clues, you will sift through corrupted memories to track down a mysterious killer and confront your own dark past.

Why similar: Psychological Horror 27.7%, Horror 26.4%, Surreal 20.4%, First-Person 13.2%, Stylized 6.9%

Why You'll Like It: A claustrophobic, cyberpunk-infused psychological thriller that forces the player to navigate the broken minds of others.

Penumbra: Overture is a first person survival horror game, emphasizing on survival and problem solving instead of mindless violence and gore.

Why similar: Horror 27.6%, Survival Horror 18.8%, Psychological Horror 16.1%, Lovecraftian 14.9%, First-Person 8.3%

Why You'll Like It: The precursor to Amnesia, focusing on physics-based puzzles and claustrophobic environments that emphasize vulnerability.

Stranded at an abandoned gas station in the middle of the desert. Losing your grip on reality. Dark rituals. Demonic pursuers. No escape.

Why similar: Survival Horror 20.2%, Lovecraftian 19.4%, Psychological Horror 17.7%, Horror 11%, Shooter 8.1%

Why You'll Like It: An immersive, atmospheric horror experience that leans into surreal, demonic imagery and a sense of inescapable dread.

Wander through an interactive nightmare set within the confines of a once-happy household. Piece together the mystery behind a harrowing series of events while struggling to survive encounters with an entity that relentlessly stands in the way of finding absolution.

Why similar: Psychological Horror 27%, Horror 22.2%, Surreal 10.9%, Violent 10.4%, Gore 9.1%

Why You'll Like It: A first-person psychological horror game focused on exploring a haunted, domestic space that feels increasingly hostile.

A tense, atmospheric descent into psychological horror—trapped in a place where reality fades and fear takes hold.

Why similar: Psychological Horror 35.1%, Horror 24.1%, Violent 10.7%, Psychological 9%, Gore 8.2%

Why You'll Like It: A surreal, low-poly psychological horror game that captures a similar sense of dreamlike confusion and isolation.

Psychological single-player first-person horror. Explore dark environments, fight with melee and guns, and solve puzzles in this retro 2000s-inspired nightmare where the truth is more terrifying than the monsters.

Why similar: Survival Horror 16.1%, Psychological Horror 14.8%, FPS 10.2%, Horror 9.3%, Retro 8%

The era-defining first-person psychological horror in all its terrifying glory. All of the game’s chapters collected into one convenient package that allows you to plumb the depths of madness in pursuit of artistic revelation.

Why similar: Psychological Horror 37%, Horror 27.1%, First-Person 13.9%, Atmospheric 13.3%, Multiple Endings 7.2%

Why You'll Like It: Features a surreal, shifting environment that mirrors the protagonist's deteriorating mental state and obsession.

The Cat Lady follows Susan Ashworth, a lonely 40-year old on the verge of suicide. She has no family, no friends and no hope for a better future. One day she discovers that five strangers will come along and change everything...

Why similar: Psychological Horror 25.6%, Horror 24.8%, Psychological 18.8%, Surreal 12.7%, Atmospheric 8.3%

Why You'll Like It: A dark, psychological journey that tackles heavy themes with a unique, gritty art style and a focus on mental health.

Trapped in an abandoned asylum with the sinister Doctor Viscera, who will stop at nothing to keep you there as his test subject for cruel experiments. Explore the old GrimmHaus Asylum in this PSX-style survival horror game.

Why similar: Survival Horror 24.8%, Psychological Horror 18.3%, Horror 15.7%, Retro 11.5%, Atmospheric 8.4%

Chorus of Carcosa is a first-person psychological horror game about an anxious sculptor who is trapped in a dark and ever-changing building. Stay silent, survive its twisted labyrinths and escape the monsters. Just don’t lose your way in the shadows or within your own mind.

Why similar: Lovecraftian 17.3%, Psychological Horror 17.2%, Survival Horror 13.7%, Horror 12.1%, Surreal 11.8%

PSX style horror game about a boy looking for his dog, kidnapped by an evil corporation that runs experiments with pets.

Why similar: Horror 22.8%, Psychological Horror 20%, Survival Horror 19.4%, Retro 13%, First-Person 9.8%

Your entire life has been a lie. There are catacombs under every home and building, stretching down for miles. Something calls you deeper into the labyrinth. Delve into the depths, and discover the monstrosities below.

Why similar: Psychological Horror 27.2%, Psychological 15.9%, Horror 15.2%, Survival Horror 9.7%, Surreal 8.7%

The Beast Inside is a unique, gripping twist on thriller and survival horror. Immerse in the story of long-buried secrets, personal tragedies, and madness. Play as two protagonists bounded by dark heritage. Combat the enemies, solve riddles and experience real terror in the 3D-scanned environment.

Why similar: Horror 27.4%, Survival Horror 19.5%, Psychological Horror 14.8%, First-Person 7.5%, Great Soundtrack 6.4%

Short atmospheric first person horror game with elements of quest and shooter about being lost in the middle of nowhere, surrounded by weird mist.

Why similar: Psychological Horror 27.9%, Horror 19.9%, FPS 11.4%, Atmospheric 10.6%, First-Person 8%

A psychological first-person horror game where you enter a memory-erasing protocol and relive a trauma. Uncover dark secrets, and experience fear through immersive atmosphere.

Why similar: Psychological Horror 29.2%, Horror 23.3%, FPS 17.6%, Atmospheric 11.8%, First-Person 9%

Gynophobia is a horror themed shooter about abnormal fear of women. Gynophobia is using classic first person shooter gameplay, to convey story about Mark, who is suffering from different phobias, including abnormal fear of woman.

Why similar: Survival Horror 19.9%, Psychological Horror 16.3%, Horror 13.5%, Psychological 12.4%, FPS 8.5%

Syndrome, a sci-fi survival horror game that places you in a living hell inside a doomed starship. Find out what happened to your lost crew. Run. Hide. Fight. Survive.

Why similar: Survival Horror 19%, Psychological Horror 13.7%, Horror 13.5%, FPS 13.2%, Psychological 11.4%

Astray is a first-person horror/puzzle game set in an abandoned museum based on unusual cultures, legends, and supernatural themes. But something more sinister lurks beneath the surface..

Why similar: Horror 20.8%, Lovecraftian 18.4%, Survival Horror 17.7%, Psychological Horror 13.1%, First-Person 9.5%

Luto is a psychological horror experience where you take on the role of someone unable to leave their home. Every attempt to escape will lead you deeper into the unknown, where nothing is as it seems and everything will test your senses.

Why similar: Psychological Horror 38.7%, Psychological 31.7%, Atmospheric 13%, First-Person 7.8%, Horror 5.5%

A first-person psychological horror with a strong emphasis on atmosphere and storytelling. Explore an ever-shifting Victorian mansion as a painter seeking to complete his masterpiece, even at the cost of his own sanity.

Why similar: Horror 59.9%, Psychological Horror 16.7%, Atmospheric 5.2%, Great Soundtrack 4.1%, Lovecraftian 4.1%

Silver Chains is a first-person horror game with a strong emphasis on story and exploration. Search for clues within an old abandoned manor to unravel the truth about the terrible events which have happened.

Why similar: Horror 30.5%, Psychological Horror 27.4%, First-Person 7.3%, Psychological 6.9%, Survival 5.7%

This is a short, first-person psychological horror game with VHS effects. Be careful, you are facing a terrifying being.

Why similar: Psychological Horror 38.1%, Horror 31%, Retro 10%, First-Person 7.8%, Atmospheric 6.8%

Don't Be Afraid is an adventure horror game, that allows you to personate a boy, kidnapped by a psychopath. You have to survive, escape and find out how you were kidnapped. Exploring the gigantic, mysterious house of your torturer, you will soon reveal many secrets, hidden inside it’s walls…

Why similar: Survival Horror 20.9%, Psychological Horror 16.6%, Horror 15.5%, Survival 9.1%, First-Person 8.7%

You're driving away on a forest road, late at night, under a heavy storm. Your car breaks down. Luckily, there might be a gas station nearby. But a misfortune never comes alone. The storm has brought something else, something otherworldly that oddly smells of spilled diesel oil.

Why similar: Psychological Horror 19%, Lovecraftian 16.9%, Horror 14.8%, Surreal 14.2%, Psychological 10.9%

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

Why similar: Survival Horror 25%, Psychological Horror 23.3%, Horror 18.1%, Atmospheric 9.3%, Violent 8%

This is an indie horror game with first-person puzzles. Terror and fear have enveloped the city. The maniac has returned. You sneak into his lair to try and stop him before he goes too far...

Why similar: Psychological Horror 35.9%, Horror 27.8%, Psychological 22.1%, First-Person 13.1%, Indie 0.6%

Prepare to question what is reality, and what is insanity in one of the scariest psychological horrors in years. The tenants are going missing, screams echo and blood seeps through the walls of Clover Hill.

Why similar: Lovecraftian 22.7%, Survival Horror 20.3%, Psychological Horror 16.5%, Horror 13.9%, FPS 13.3%

Delirium is a psychological horror game set in a suburban house. After a mysterious explosion, reality begins to unravel.

Why similar: Psychological Horror 30.3%, Horror 21.3%, Psychological 12.1%, Atmospheric 11.5%, Surreal 9.1%

The Echo Paradox is a first-person psychological horror game. Humanity stands on the brink of an unsettling revelation – alternate dimensions are real, but eerily without signs of life.

Why similar: Lovecraftian 22.3%, Psychological Horror 20.3%, Survival Horror 14.7%, Horror 14%, Surreal 10.3%

Dark Places is a psychological single-player game set in a surreal world filled with horrific creatures and nightmarish delusions. Solve puzzles and try to survive.

Why similar: Horror 19.1%, Survival Horror 15%, Violent 12.5%, Retro 12.3%, Psychological Horror 10.2%

The Backrooms: 1998 is a first-person found footage psychological horror survival game where it tells the story of a young teen after accidentally falling into the depths of The Backrooms in 1998. Roam freely, mark, explore and try unravel the story - however you are not alone. Don't scream.

Why similar: Survival Horror 31.6%, Psychological Horror 28.9%, Survival 12.8%, FPS 10.7%, Gore 9.8%

Evil Inside is a first-person psychological horror game. After the death of his mother and the arrest of his father for it, Mark decides to contact her using the Spiritual board. But it fades away, and here is when all begins... Mark will face his greatest fears to discover the truth.

Why similar: Psychological Horror 20.8%, Psychological 20.2%, Survival Horror 15.2%, Horror 15%, Atmospheric 7.6%

Cave Crawler is a short horror game where you pilot a drone into a cave and discover something horrible.

Why similar: Horror 35.1%, Psychological Horror 29.8%, First-Person 14.1%, Retro 9%, Atmospheric 8.3%

Step into a liminal, cosmic horror experience set in an abandoned amusement park. Uncover the haunting narrative behind its twisted rides and empty tunnels to discover what lurks within a reality that shouldn't exist…

Why similar: Lovecraftian 29.9%, Psychological Horror 20.6%, Horror 16.2%, Psychological 10.1%, Surreal 7.8%

Concluse is an atmospheric horror game which features puzzles, outstanding cutscenes, and something a little twisted..

Why similar: Horror 25.8%, Psychological Horror 23%, Survival Horror 22.3%, Atmospheric 11.4%, Retro 7.1%

Surrounded by enemies and assaulted by terror from all sides, Philip must collect clues and solve vexing puzzles while combating the gnawing psychological terrors that assail his mind and threaten to strip him of his sanity.

Why similar: Horror 23.9%, Psychological Horror 19.6%, Lovecraftian 15.8%, Survival Horror 13.4%, First-Person 8.5%

Оne day your life changes dramatically and you become a hostage of your own home. Your task is to survive but to do this you need to get outside.

Why similar: Survival Horror 17.4%, Psychological Horror 15.4%, Great Soundtrack 12.6%, Horror 12.1%, Indie 9.9%

A psychological first-person horror about a house that hides a disturbing truth beneath its walls. Explore, uncover fragments of the past, and decide whether to confront what lies below… or leave it buried forever.

Why similar: Psychological Horror 35.7%, Horror 25.7%, First-Person 13.6%, Atmospheric 13.4%, Multiple Endings 6.4%

IMMURE is a story driven, psychological horror game. Will, the protagonist, has found himself trapped inside a foreboding Mansion with no exit. To escape, he must travel through strange doors which lead into other dimensions, filled with tormented souls.

Why similar: Psychological Horror 33%, Horror 22.7%, Violent 22.3%, Gore 15.5%, Indie 6.4%