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Games Like Lost in Vivo

60+ similar titles based on shared tags and player behavior. Themes include Horror, Psychological Horror, Atmospheric, Singleplayer.

Lost in Vivo header art

A horror game about claustrophobia. During a storm your service dog is forced down a broken sewer drain. You find the nearest sewer entrance and run in after it. Along the way you will meet others that are also stricken by abnormal or psychological fear.

Reviews: Very Positive — 92% — of 3,869 reviews
Released: 2018-11-05
Developer: KIRA
Genres: Indie
Platforms: Windows
Median playtime: 3.5 hrs
Mean playtime: 4.9 hrs
Players ≥ 1 hr: 80%

Overview

Lost in Vivo is a masterclass in claustrophobic, surreal psychological horror that leans heavily into PS1-era aesthetics and deep, personal trauma. These recommendations prioritize games that capture that same oppressive, low-fidelity atmosphere, surreal environmental storytelling, and the feeling of being trapped in a waking nightmare.

Similar Games

View all 59 recommendations
  1. #1 Paratopic
    97% matchMostly Positive74% of 2,101 reviews2018
    Dev: Arbitrary MetricPub: Serenity Forge
    Windows · Mac · Linux
    Median: 54 minMean: 5.3 hrs≥1hr: 47%

    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 18.3%, Psychological Horror 13.9%, Great Soundtrack 12.7%, Retro 11.2%

    Why You'll Like It: A surreal, low-poly horror experience that mirrors the disjointed and unsettling narrative style of the seed game.

  2. #2 Cry of Fear
    96% matchVery Positive89% of 82,586 reviews2013
    Dev: Team Psykskallar
    Windows
    Median: 1.3 hrsMean: 7.6 hrs≥1hr: 57%

    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 27.5%, Survival Horror 19.6%, Psychological Horror 18.6%, Psychological 11%, FPS 5.8%

    Why You'll Like It: This is the closest spiritual cousin to Lost in Vivo, featuring intense psychological horror, urban decay, and a deeply personal narrative.

  3. #3 Iron Lung
    96% matchVery Positive92% of 10,453 reviews2022
    Dev: David Szymanski
    Windows
    Median: 1.5 hrsMean: 2.0 hrs≥1hr: 68%

    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%, Atmospheric 14.9%, First-Person 10.1%, Surreal 7.1%

    Why You'll Like It: A short, intense, and claustrophobic experience that relies on atmosphere and the fear of the unknown to terrify the player.

  4. #4 Total Chaos
    95% matchVery Positive88% of 1,238 reviews2025
    Dev: Trigger Happy InteractivePub: Apogee Entertainment
    Windows
    Median: 3.4 hrsMean: 7.2 hrs≥1hr: 73%

    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 18%, Horror 15.9%, FPS 14.8%, Surreal 12%

    Why You'll Like It: A standalone mod that perfectly captures the gritty, low-poly aesthetic and claustrophobic survival mechanics of the seed game.

  5. #5 Stay Out of the House
    94% matchVery Positive95% of 1,761 reviews2022
    Dev: Puppet Combo
    Windows · Mac
    Median: 3.0 hrsMean: 5.2 hrs≥1hr: 82%

    Can you escape the home of a cannibal serial killer? It's only a matter of time until you're dinner!

    Why similar: Survival Horror 31.6%, Horror 19.8%, Retro 14.2%, Gore 8.8%, Atmospheric 8.5%

    Why You'll Like It: This game excels at creating a claustrophobic, retro-inspired survival experience where you are constantly being hunted.

  6. #6 Amnesia: The Bunker
    92% matchVery Positive93% of 11,497 reviews2023
    Dev: Frictional Games
    Windows
    Median: 4.0 hrsMean: 8.0 hrs≥1hr: 76%

    Amnesia: The Bunker is a first-person horror game set in a WW1 bunker. A relentless, AI-driven monster stalks you. Survival depends on finding tools, crafting items, and keeping the lights on.

    Why similar: Survival Horror 23.7%, Psychological Horror 18.4%, Horror 16.1%, FPS 14%, Survival 9.3%

    Why You'll Like It: The ultimate claustrophobic survival experience, forcing you to manage limited resources while trapped in a confined, terrifying space.

  7. #7 CONCLUSE
    93% matchMostly Positive75% of 532 reviews2018
    Dev: concluse_dev
    Windows · Mac

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

    Why similar: Horror 25.8%, Psychological Horror 23.1%, Survival Horror 22.1%, Atmospheric 11.4%, Retro 7.1%

    Why You'll Like It: A retro-style horror game that nails the PS1-aesthetic and surreal, dream-like exploration found in Lost in Vivo.

  8. #8 SOMA
    91% matchOverwhelmingly Positive96% of 50,500 reviews2015
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 5.6 hrsMean: 10.2 hrs≥1hr: 89%

    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 23.4%, Psychological Horror 18.5%, Survival Horror 18.4%, Horror 15.9%, Atmospheric 8%

    Why You'll Like It: A deeply psychological, existential horror game that shares the oppressive, dark, and story-rich nature of the seed game.

  9. #9 Amnesia: The Dark Descent
    91% matchVery Positive95% of 35,239 reviews2010
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 1.2 hrsMean: 10.2 hrs≥1hr: 54%

    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 27.7%, Survival Horror 16.6%, Lovecraftian 16%, Psychological Horror 14.9%, Atmospheric 6.5%

    Why You'll Like It: The foundation of modern first-person psychological horror, focusing on vulnerability and atmosphere over combat.

  10. #10 Visage
    90% matchVery Positive84% of 10,620 reviews2020
    Dev: SadSquare Studio
    Windows
    Median: 3.0 hrsMean: 7.6 hrs≥1hr: 77%

    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 19.5%, First-Person 6%, Surreal 5.1%

    Why You'll Like It: A high-intensity psychological horror game that captures the feeling of being trapped in a house that is actively trying to break your mind.

  11. #11 FAITH: The Unholy Trinity
    89% matchOverwhelmingly Positive95% of 8,412 reviews2022
    Dev: Airdorf GamesPub: New Blood Interactive
    Windows
    Median: 2.6 hrsMean: 5.1 hrs≥1hr: 73%

    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 21.2%, Horror 17.2%, Lovecraftian 12.4%, Survival Horror 10.8%, Retro 10%

    Why You'll Like It: A retro, surreal, and deeply unsettling experience that uses limited graphics to create maximum psychological impact.

  12. #12 SIGNALIS
    89% matchOverwhelmingly Positive97% of 31,986 reviews2022
    Dev: rose-enginePub: Balor Games
    Windows
    Median: 5.4 hrsMean: 9.0 hrs≥1hr: 79%

    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 28.8%, Lovecraftian 25.4%, Psychological Horror 23.8%, Atmospheric 9.2%, Violent 7%

    Why You'll Like It: A masterful psychological horror game that uses a retro aesthetic to tell a deeply haunting and surreal story.

  13. #13 In Sound Mind
    88% matchOverwhelmingly Positive95% of 6,654 reviews2021
    Dev: We Create StuffPub: Maximum Entertainment
    Windows
    Median: 3.8 hrsMean: 7.7 hrs≥1hr: 87%

    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 30.3%, Horror 25.5%, FPS 12.6%, Atmospheric 10.7%, First-Person 8.5%

    Why You'll Like It: A psychological horror game that features creative, surreal level design and a focus on mental health themes.

  14. #14 Crow Country
    86% matchOverwhelmingly Positive98% of 7,186 reviews2024
    Dev: SFB Games
    Windows
    Median: 5.2 hrsMean: 5.7 hrs≥1hr: 81%

    The year is 1990. It’s been two years since the mysterious disappearance of Edward Crow and the abrupt closure of his theme park, Crow Country. But your arrival has broken the silence, Mara Forest. If you want answers, you’ll have to venture deep into the darkness of Crow Country to find them…

    Why similar: Survival Horror 31%, Psychological Horror 19.7%, Horror 16%, Retro 11.2%, Violent 7.2%

    Why You'll Like It: A retro-styled survival horror game that excels at environmental storytelling and building a thick, unsettling atmosphere.

  15. #15 Bloodwash
    87% matchVery Positive92% of 1,359 reviews2021
    Dev: Black Eyed PriestPub: Torture Star Video
    Windows
    Median: 1.7 hrsMean: 2.0 hrs≥1hr: 86%

    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 24.1%, Psychological Horror 20.1%, Horror 17.9%, FPS 10.9%, Atmospheric 10.4%

    Why You'll Like It: A VHS-style horror game that perfectly replicates the lo-fi, gritty atmosphere of 90s survival horror.

  16. #16 Psychopomp
    85% matchOverwhelmingly Positive98% of 7,339 reviews2024
    Dev: Fading Club
    Windows

    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 16%, Horror 15.4%, Survival Horror 9.7%, Surreal 8.5%

    Why You'll Like It: A surreal, low-poly horror game that feels like a fever dream, mirroring the abstract nature of the seed game.

  17. #17 Among Ashes
    84% matchVery Positive95% of 410 reviews2024
    Dev: Rat Cliff Games
    Windows

    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 21.6%, Psychological Horror 19.7%, Horror 15.3%, FPS 13.1%, First-Person 7.9%

    Why You'll Like It: A meta-horror game that plays with the medium in a way that feels very similar to the psychological depth of the seed game.

  18. #18 Narcosis
    86% matchMostly Positive76% of 1,427 reviews2017
    Dev: Honor Code, Inc.
    Windows · Mac
    Median: 2.9 hrsMean: 4.0 hrs≥1hr: 84%

    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 23.6%, Psychological Horror 22.3%, Horror 21.8%, First-Person 9.8%, Atmospheric 9.1%

    Why You'll Like It: A claustrophobic underwater survival horror game that emphasizes the psychological toll of isolation.

  19. #19 KinitoPET
    82% matchVery Positive93% of 14,022 reviews2024
    Dev: troy_en
    Windows
    Median: 2.1 hrsMean: 3.3 hrs≥1hr: 87%

    KinitoPET is a psychological horror experience that takes place through Kinito, an early 2000s virtual assistant. Kinito is able to walk, talk, browse, adapt, and play games as Kinito is like no other with its adaptive technology!

    Why similar: Psychological Horror 36.3%, Horror 23.2%, Psychological 16.7%, Retro 13.9%, Multiple Endings 5%

    Why You'll Like It: A surreal, psychological horror game that breaks the fourth wall to create a deeply uncomfortable experience.

  20. #20 Darkwood
    83% matchVery Positive95% of 23,842 reviews2017
    Dev: Acid Wizard StudioPub: Hooded Horse
    Windows · Mac · Linux
    Median: 2.7 hrsMean: 8.8 hrs≥1hr: 77%

    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 27.2%, Psychological Horror 24.1%, Horror 19.8%, Survival 11.3%, Atmospheric 10.6%

    Why You'll Like It: Despite the top-down perspective, it offers an unmatched level of tension and oppressive atmosphere that rivals the seed game.

  21. #21 Penumbra Overture
    84% matchVery Positive91% of 4,061 reviews2009
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 1.6 hrsMean: 3.7 hrs≥1hr: 58%

    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 18.6%, Psychological Horror 16.2%, Lovecraftian 14.9%, First-Person 8.4%

    Why You'll Like It: The precursor to Amnesia, featuring excellent physics-based puzzles and a dark, underground setting.

  22. #22 Mundaun
    81% matchVery Positive93% of 1,419 reviews2021
    Dev: Hidden FieldsPub: Annapurna Interactive
    Windows
    Median: 5.2 hrsMean: 5.5 hrs≥1hr: 76%

    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 28.5%, Horror 20.7%, Surreal 18.5%, First-Person 10.9%, Atmospheric 10.8%

    Why You'll Like It: A surreal, hand-drawn horror game with a unique, unsettling tone that feels like a dark folk tale.

  23. #23 Nightmare of Decay
    80% matchOverwhelmingly Positive96% of 4,249 reviews2022
    Dev: Checkmaty
    Windows
    Median: 2.6 hrsMean: 5.1 hrs≥1hr: 68%

    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 25.9%, Horror 19.5%, FPS 17.3%, Retro 9.1%, First-Person 7.4%

    Why You'll Like It: A love letter to classic survival horror that captures the retro feel and tension of the seed game.

  24. #24 Infliction
    82% matchVery Positive81% of 936 reviews2018
    Dev: Caustic Reality
    Windows
    Median: 3.8 hrsMean: 9.0 hrs≥1hr: 88%

    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 22.1%, Surreal 11%, Violent 10.4%, Gore 9%

    Why You'll Like It: A haunting, domestic psychological horror experience that focuses on trauma and family secrets.

  25. #25 Pneumata
    81% matchMixed53% of 85 reviews2024
    Dev: Deadbolt InteractivePub: Perp Games
    Windows

    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 20.2%, Psychological Horror 16.6%, Horror 14%, FPS 13.2%

    Why You'll Like It: A gritty, retro-inspired survival horror game that emphasizes exploration and psychological tension.

  26. #26 Cave Crawler
    78% matchOverwhelmingly Positive95% of 3,108 reviews2022
    Dev: Evan Youssef
    Windows

    Cave Crawler is a short, 2D side-scrolling action platformer. Explore caves filled with interesting enemies and fun platforming challenges.

    Why similar: Shooter 42.9%, Retro 31.6%, Stylized 22.7%, Singleplayer 2.8%

    Why You'll Like It: A claustrophobic, first-person exploration horror game that shares the subterranean setting of the seed game.

  27. #27 CANINE
    78% matchVery Positive97% of 329 reviews2023
    Dev: Puko
    Windows
    Median: 54 minMean: 1.1 hrs≥1hr: 40%

    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 19.3%, Retro 13.1%, First-Person 9.8%

  28. #28 Lair of Torment
    79% matchMostly Positive73% of 183 reviews2023
    Dev: Admia
    Windows

    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 35.8%, Horror 27.7%, Psychological 22.3%, First-Person 13%, Indie 0.7%

    Why You'll Like It: An atmospheric, psychological horror game that leans into the feeling of being trapped in a nightmarish environment.

  29. #29 Locked in my Darkness
    79% matchMostly Positive72% of 68 reviews2022
    Dev: Blusagi TeamPub: indie.io
    Windows · Linux
    Median: 3.2 hrsMean: 4.0 hrs≥1hr: 95%

    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%, Violent 10.7%, Psychological 9.1%, Gore 8.2%

    Why You'll Like It: A surreal, low-poly exploration horror game that focuses on atmosphere and abstract storytelling.

  30. #30 Chorus of Carcosa
    77% matchMostly Positive79% of 188 reviews2025
    Dev: Chameleon 42
    Windows

    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: Psychological Horror 17.2%, Lovecraftian 17.1%, Survival Horror 13.6%, Horror 12.1%, Surreal 11.9%

  31. #31 DOCTOR VISCERA
    76% matchVery Positive100% of 67 reviews2025
    Dev: Liminal RoadPub: Nuntius Games
    Windows

    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 30.7%, Horror 18%, Psychological Horror 12.6%, Atmospheric 9.4%, First-Person 8.1%

  32. #32 Mist
    74% matchVery Positive81% of 180 reviews2024
    Dev: 43N34SPub: Nota Art
    Windows

    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 11.3%, Atmospheric 10.6%, First-Person 8%

  33. #33 White Room Protocol
    73% matchMostly Positive80% of 54 reviews2025
    Dev: Lefto Studio
    Windows

    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 29.3%, Horror 23.3%, FPS 17.4%, Atmospheric 11.8%, First-Person 9%

  34. #34 Gynophobia
    77% matchMixed66% of 773 reviews2015
    Dev: Gua
    Windows · Mac
    Median: 2.7 hrsMean: 17.0 hrs≥1hr: 88%

    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 18.9%, Psychological Horror 15.6%, Horror 12.9%, Psychological 12%, FPS 8%

  35. #35 AUTO-CRISIS
    73% matchVery Positive88% of 84 reviews2025
    Dev: The Otherworldly Studios
    Windows

    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 16.8%, Horror 14.8%, Surreal 14.3%, Psychological 11.1%

  36. #36 The Beast Inside
    73% matchVery Positive83% of 11,932 reviews2019
    Dev: Illusion Ray
    Windows
    Median: 3.3 hrsMean: 8.9 hrs≥1hr: 72%

    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 19.6%, Psychological Horror 14.7%, First-Person 7.5%, Survival 6.4%

  37. #37 Luto
    71% matchVery Positive85% of 1,226 reviews2025
    Dev: Broken Bird Games
    Windows
    Median: 5.2 hrsMean: 5.5 hrs≥1hr: 86%

    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 40.6%, Psychological 33.8%, Atmospheric 13.7%, First-Person 8.2%, Indie 2.8%

  38. #38 Syndrome
    76% matchMixed64% of 361 reviews2016
    Dev: Camel 101
    Windows · Mac
    Median: 4.2 hrsMean: 5.6 hrs≥1hr: 94%

    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 18.9%, Psychological Horror 13.8%, Horror 13.5%, FPS 13%, Psychological 11.6%

  39. #39 Cave Crawler
    72% matchVery Positive85% of 576 reviews2023
    Dev: Technomancy Studios
    Windows · Linux
    Median: 42 minMean: 1.5 hrs≥1hr: 26%

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

    Why similar: Horror 35.4%, Psychological Horror 29.9%, First-Person 14.2%, Retro 8.8%, Atmospheric 8.2%

  40. #40 Astray
    75% matchMixed69% of 230 reviews2015
    Dev: Aegon Games Ltd
    Windows
    Median: 1.5 hrsMean: 3.1 hrs≥1hr: 56%

    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 20.9%, Lovecraftian 18.3%, Survival Horror 17.6%, Psychological Horror 13.1%, First-Person 9.5%

  41. #41 Blackout
    75% matchMixed51% of 87 reviews2019
    Windows

    You will be lost in the labyrinthine house and chased by the devil in the blacked out house. You will experience tremendous fear, stress and madness playing this game and something invisible makes you get panicked and lost your mind.

    Why similar: Survival Horror 19.8%, Psychological Horror 17.7%, Horror 16.8%, Mature 12.8%, Indie 8.7%

  42. #42 Don't Be Afraid
    72% matchVery Positive83% of 944 reviews2020
    Dev: Limo GamesPub: Eneida Games
    Windows
    Median: 3.2 hrsMean: 4.3 hrs≥1hr: 86%

    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 20.8%, Psychological Horror 16.6%, Horror 15.5%, Survival 9.2%, First-Person 8.8%

  43. #43 POOLS
    68% matchOverwhelmingly Positive95% of 6,027 reviews2024
    Dev: Tensori
    Windows · Mac · Linux
    Median: 1.7 hrsMean: 5.6 hrs≥1hr: 62%

    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 42.3%, Surreal 23.7%, Atmospheric 16.9%, First-Person 13.3%, Indie 2.2%

  44. #44 The Echo Paradox
    70% matchMostly Positive78% of 60 reviews2025
    Dev: Virtuzilla
    Windows

    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 22.2%, Psychological Horror 20.4%, Survival Horror 14.6%, Horror 14%, Surreal 10.3%

  45. #45 Delirium
    70% matchVery Positive88% of 89 reviews2025
    Dev: IndividualKex
    Windows

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

    Why similar: Psychological Horror 30.2%, Horror 21.3%, Psychological 12.2%, Atmospheric 11.5%, Surreal 9.1%

  46. #46 Fear in Hospital
    74% 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: Survival Horror 24.8%, Psychological Horror 23.4%, Horror 18.1%, Atmospheric 9.3%, Violent 8%

  47. #47 The Backrooms 1998 - Found Footage Survival Horror Game
    69% matchVery Positive85% of 799 reviews2025
    Dev: Steelkrill Studio
    Windows
    Median: 1.2 hrsMean: 2.1 hrs≥1hr: 55%

    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 31.4%, Psychological Horror 29.2%, Survival 12.8%, FPS 10.6%, Gore 9.9%

  48. #48 Evil Inside
    71% matchMixed62% of 327 reviews2021
    Dev: JanduSoft
    Windows

    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 20.4%, Survival Horror 15.1%, Horror 15%, Atmospheric 7.7%

  49. #49 Lone Survivor: The Director's Cut
    71% matchVery Positive85% of 1,304 reviews2012
    Dev: Jasper ByrnePub: Superflat Games
    Windows · Mac
    Median: 24 minMean: 1.3 hrs≥1hr: 29%

    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 30.4%, Horror 26.1%, Psychological Horror 11.2%, Great Soundtrack 10.4%, Atmospheric 8.8%

  50. #50 IMMURE
    70% matchVery Positive93% of 111 reviews2019
    Dev: Wither Studios
    Windows · Mac · Linux

    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 22.2%, Gore 15.5%, Indie 6.5%

  51. #51 EMOTIONLESS : The Last Ticket
    67% matchVery Positive82% of 136 reviews2025
    Dev: X1 Games
    Windows

    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 29.8%, Psychological Horror 20.6%, Horror 16.2%, Psychological 10.2%, Surreal 7.9%

  52. #52 Layers of Fear (2016)
    67% matchVery Positive88% of 27,237 reviews2016
    Dev: Bloober Team SA
    Windows · Mac · Linux
    Median: 3.1 hrsMean: 8.3 hrs≥1hr: 82%

    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 60%, Psychological Horror 16.7%, Atmospheric 5.2%, Great Soundtrack 4%, Lovecraftian 4%

  53. #53 The Dark Occult
    69% matchMixed69% of 1,264 reviews2018
    Dev: RYM GAMES
    Windows
    Median: 3.6 hrsMean: 10.0 hrs≥1hr: 79%

    The Dark Occult is a psychological driven horror game that puts players in a constant state of anxiety that crescendos into raw panic and terror. You will encounter grotesque creatures, who will take your life at any moment.Your only goal -- survive.

    Why similar: Horror 34.2%, Psychological Horror 26.1%, Violent 15.1%, Gore 10.6%, First-Person 7.9%

  54. #54 Penumbra: Black Plague Gold Edition
    67% matchVery Positive94% of 2,897 reviews2009
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 2.9 hrsMean: 4.9 hrs≥1hr: 62%

    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 19.7%, Lovecraftian 15.7%, Survival Horror 13.3%, First-Person 8.5%

  55. #55 Welcome to Kowloon
    65% matchVery Positive82% of 1,836 reviews2023
    Dev: a1esskaPub: N4bA
    Windows
    Median: 1.1 hrsMean: 1.9 hrs≥1hr: 56%

    This is an indie horror from the first person, in which you find yourself in an area called Kowloon in search of cheap housing. The inhabitants of this place only at first glance seem to be ordinary people, but if we dig deeper, we will see their real faces.

    Why similar: Psychological Horror 28.2%, Horror 26.4%, Atmospheric 13%, First-Person 9.3%, Violent 8.7%

  56. #56 Hollow Cocoon
    64% matchVery Positive92% of 886 reviews2023
    Dev: NAYUTA STUDIO
    Windows
    Median: 3.6 hrsMean: 5.0 hrs≥1hr: 84%

    "Trapped in a cocoon, the silkworm weaves her final dream." Hollow Cocoon is a first-person horror adventure game set in 1980s Japan. Immerse yourself in meticulously recreated environments as you venture into the depths of unspeakable horrors that await you.

    Why similar: Survival Horror 21.8%, Psychological Horror 20.3%, Horror 16.4%, Surreal 11.4%, Atmospheric 7.5%

  57. #57 Mists of Aiden
    66% matchVery Positive91% of 1,138 reviews2020
    Dev: Steppe Hare Studio
    Windows
    Median: 2.0 hrsMean: 3.1 hrs≥1hr: 79%

    Mists of Aiden is a first-person story driven horror game. You play as a thief trapped in an eerie mansion. Each choice can open a new mystery of the house and lead to a unique walkthrough and ending. Uncover final secret of the house. Uncover your own secrets.

    Why similar: Horror 29.1%, Psychological Horror 22.3%, Violent 13.8%, Mature 9.5%, First-Person 7.7%

  58. #58 Last Floor
    68% matchMostly Positive71% of 367 reviews2020
    Dev: AK Studio
    Windows
    Median: 3.2 hrsMean: 4.6 hrs≥1hr: 88%

    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 17.3%, Psychological Horror 15.5%, Great Soundtrack 12.5%, Horror 12.1%, Indie 10.1%

  59. #59 DEAD END
    66% matchVery Positive83% of 59 reviews2024
    Dev: PHANTOM PIXEL
    Windows

    Trapped in a hallucinatory, liminal-space style underground passageway, explore and unravel the endless "dead-end" paths to find a way forward. "Dead Path is a short ambient horror puzzle game that references Exit 8, but with a completely different core mechanic.

    Why similar: Psychological Horror 31.9%, Horror 22%, FPS 14.5%, Surreal 12%, Atmospheric 11.3%

Based on tag similarity + player behavior
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