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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, Adventure.

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 — 91% — of 3,974 reviews
Released: 2018-11-05
Developer: KIRA
Genres: Indie
Platforms: Windows
Median playtime: 3.5 hrs
Mean playtime: 4.8 hrs
Players ≥ 1 hr: 80%

Overview

Lost in Vivo is a masterclass in claustrophobic, surreal psychological horror that utilizes a distinct retro aesthetic to evoke deep-seated dread. These recommendations focus on games that prioritize atmospheric tension, first-person perspective, and the unsettling exploration of fractured mental states.

Similar Games

View all 59 recommendations
  1. #1 Paratopic
    97% matchMostly Positive73% of 2,173 reviews2018
    Dev: Arbitrary MetricPub: Serenity Forge
    Windows · Mac · Linux
    Median: 54 minMean: 5.2 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 18.8%, Horror 18.5%, Psychological Horror 13.7%, Great Soundtrack 13%, Retro 11.5%

    Why You'll Like It: It shares the surreal, fragmented, and low-poly aesthetic that makes the narrative of Lost in Vivo feel so dreamlike and unsettling.

  2. #2 Cry of Fear
    96% matchVery Positive89% of 86,798 reviews2013
    Dev: Team Psykskallar
    Windows
    Median: 1.3 hrsMean: 7.8 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 10.7%, FPS 6%

    Why You'll Like It: This game is the spiritual ancestor to Lost in Vivo, featuring similar gritty, industrial, and deeply psychological first-person horror gameplay.

  3. #3 Total Chaos
    96% matchVery Positive87% of 1,598 reviews2025
    Dev: Trigger Happy InteractivePub: Apogee Entertainment
    Windows
    Median: 3.1 hrsMean: 7.8 hrs≥1hr: 74%

    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 21.6%, Psychological 17.5%, Horror 16.2%, FPS 15.2%, Surreal 11.9%

    Why You'll Like It: This standalone mod captures the same industrial, gritty, and low-poly survival horror atmosphere found in the sewer levels of Lost in Vivo.

  4. #4 Iron Lung
    95% matchVery Positive92% of 11,191 reviews2022
    Dev: David Szymanski
    Windows
    Median: 1.5 hrsMean: 2.1 hrs≥1hr: 69%

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

    Why similar: Psychological Horror 32.9%, Horror 30.5%, Atmospheric 14.9%, First-Person 10%, Surreal 6.9%

    Why You'll Like It: A masterclass in extreme claustrophobia and atmospheric dread, forcing the player into a tiny, inescapable space.

  5. #5 SIGNALIS
    94% matchOverwhelmingly Positive97% of 34,140 reviews2022
    Dev: rose-enginePub: Balor Games
    Windows
    Median: 5.5 hrsMean: 9.2 hrs≥1hr: 80%

    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 29.2%, Lovecraftian 25.5%, Psychological Horror 23.5%, Atmospheric 9.1%, Violent 7%

    Why You'll Like It: While top-down, it perfectly captures the retro-tech aesthetic and heavy psychological survival horror themes that define the genre.

  6. #6 Nightmare of Decay
    94% matchOverwhelmingly Positive96% of 4,395 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 25.8%, Horror 19.8%, FPS 17.3%, Retro 9.4%, First-Person 7.2%

    Why You'll Like It: A first-person, retro-styled survival horror game that focuses on tight combat and exploration in claustrophobic environments.

  7. #7 FAITH: The Unholy Trinity
    93% matchVery Positive95% of 8,858 reviews2022
    Dev: Airdorf GamesPub: New Blood Interactive
    Windows
    Median: 2.5 hrsMean: 5.0 hrs≥1hr: 72%

    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 20.7%, Horror 17.2%, Lovecraftian 12.5%, Survival Horror 10.8%, Retro 9.9%

    Why You'll Like It: Uses a minimalist retro art style to deliver deep, unsettling psychological horror that feels both nostalgic and terrifying.

  8. #8 Amnesia: The Dark Descent
    92% matchVery Positive95% of 35,628 reviews2010
    Dev: Frictional Games
    Windows · Mac · Linux
    Median: 1.2 hrsMean: 10.5 hrs≥1hr: 55%

    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 27.8%, Survival Horror 16.7%, Lovecraftian 16.1%, Psychological Horror 14.8%, Atmospheric 6.4%

    Why You'll Like It: The foundational title for modern first-person psychological horror that emphasizes helplessness and environmental puzzle-solving.

  9. #9 Bloodwash
    91% matchVery Positive92% of 1,394 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 24.2%, Psychological Horror 20%, Horror 18.1%, FPS 11.1%, Atmospheric 10.2%

    Why You'll Like It: It excels at replicating the specific PS1-era indie horror aesthetic and the feeling of being trapped in a hostile, mundane location.

  10. #10 Psychopomp
    90% matchOverwhelmingly Positive98% of 7,672 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 26.7%, Psychological 15.9%, Horror 15.3%, Survival Horror 9.8%, Surreal 9.1%

    Why You'll Like It: A surreal, low-poly experience that leans heavily into the strange, psychological, and atmospheric elements of indie horror.

  11. #11 Murder House
    91% matchOverwhelmingly Positive95% of 2,337 reviews2020
    Dev: Puppet Combo
    Windows
    Median: 2.5 hrsMean: 5.0 hrs≥1hr: 68%

    A local news team breaks into an abandoned house to chase a salacious ghost story... until a MANIAC chases them! ...VHS era 80's slasher. PS1 style survival horror!

    Why similar: Survival Horror 23.5%, Horror 20.5%, Psychological Horror 17.1%, Retro 13%, Violent 6.9%

    Why You'll Like It: Features a strong retro aesthetic paired with intense, claustrophobic stalking mechanics that mirror the tension of being hunted.

  12. #12 Visage
    89% matchVery Positive84% of 10,917 reviews2020
    Dev: SadSquare Studio
    Windows
    Median: 3.0 hrsMean: 7.5 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 29.4%, Psychological Horror 29%, Survival Horror 19.9%, First-Person 5.9%, Surreal 5%

    Why You'll Like It: An intense psychological horror game that excels at creating oppressive, shifting environments that mirror the player's mental state.

  13. #13 In Sound Mind
    89% matchVery Positive95% of 6,936 reviews2021
    Dev: We Create StuffPub: Black Lantern Collective
    Windows
    Median: 3.9 hrsMean: 8.1 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 30.1%, Horror 25.7%, FPS 12.8%, Atmospheric 10.5%, First-Person 8.5%

    Why You'll Like It: Offers creative psychological horror with strong environmental storytelling that explores the protagonist's inner trauma.

  14. #14 Among Ashes
    86% matchVery Positive95% of 472 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 21.5%, Psychological Horror 19.5%, Horror 15.6%, FPS 13.3%, First-Person 7.8%

    Why You'll Like It: A meta-horror experience that plays with the player's perception of reality through a game-within-a-game narrative.

  15. #15 Penumbra Overture
    88% matchVery Positive91% of 4,159 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 27.9%, Survival Horror 18.7%, Psychological Horror 16%, Lovecraftian 14.9%, First-Person 8.3%

    Why You'll Like It: Focuses on physics-based puzzles and intense isolation, setting the stage for the mechanics seen in later psychological horror titles.

  16. #16 SOMA
    84% matchOverwhelmingly Positive96% of 52,486 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%, Survival Horror 18.6%, Psychological Horror 18.4%, Horror 16.1%, Atmospheric 7.9%

    Why You'll Like It: Deeply psychological and atmospheric, this game excels at existential dread and navigating claustrophobic, high-stakes environments.

  17. #17 Narcosis
    86% matchMostly Positive76% of 1,466 reviews2017
    Dev: Honor Code, Inc.
    Windows · Mac
    Median: 2.9 hrsMean: 4.0 hrs≥1hr: 83%

    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 22.1%, Horror 22%, First-Person 9.7%, Atmospheric 9%

    Why You'll Like It: Focuses on the extreme, crushing claustrophobia of being trapped in a deep-sea suit with limited resources.

  18. #18 Mundaun
    84% matchVery Positive93% of 1,499 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 28.6%, Horror 21%, Surreal 18.5%, First-Person 10.9%, Atmospheric 10.7%

    Why You'll Like It: Features a unique hand-drawn aesthetic paired with surreal, psychological horror that feels distinct yet thematically aligned.

  19. #19 Neverending Nightmares
    85% matchMostly Positive76% of 3,035 reviews2014
    Dev: Infinitap Games
    Windows · Mac · Linux
    Median: 3.3 hrsMean: 3.8 hrs≥1hr: 91%

    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 29.2%, Atmospheric 9.7%, Gore 8.4%, Survival Horror 6.7%

    Why You'll Like It: Explores dark, psychological themes with a distinct, haunting art style that reflects the protagonist's descent into madness.

  20. #20 Alien: Isolation
    83% matchVery Positive93% of 66,577 reviews2014
    Dev: Creative AssemblyPub: SEGA
    Windows · Mac · Linux
    Median: 4.9 hrsMean: 17.1 hrs≥1hr: 82%

    Discover the true meaning of fear in Alien: Isolation, a survival horror set in an atmosphere of constant dread and mortal danger.

    Why similar: Survival Horror 28.8%, Horror 24.2%, Atmospheric 9%, First-Person 7.8%, Psychological Horror 7.1%

    Why You'll Like It: The gold standard for claustrophobic, tense survival horror where the environment itself feels like a trap.

  21. #21 The Mortuary Assistant
    81% matchVery Positive92% of 8,717 reviews2022
    Dev: DarkStone DigitalPub: DreadXP
    Windows
    Median: 3.3 hrsMean: 6.0 hrs≥1hr: 87%

    Alone with the dead... Embalm corpses, banish demons, save your soul.

    Why similar: Horror 51.9%, Surreal 20.3%, Atmospheric 12.9%, First-Person 10.2%, Indie 3.3%

    Why You'll Like It: Combines a highly claustrophobic setting with high-tension psychological elements and unpredictable supernatural events.

  22. #22 Infliction
    82% matchVery Positive81% of 962 reviews2018
    Dev: Caustic Reality
    Windows
    Median: 3.7 hrsMean: 8.9 hrs≥1hr: 89%

    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 26.8%, Horror 22.4%, Surreal 10.9%, Violent 10.5%, Gore 9.2%

    Why You'll Like It: A deeply personal and claustrophobic ghost story that focuses on uncovering the dark history of a family home.

  23. #23 Locked in my Darkness
    82% matchMostly Positive73% of 75 reviews2022
    Dev: Blusagi TeamPub: indie.io
    Windows · Linux
    Median: 3.3 hrsMean: 4.0 hrs≥1hr: 96%

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

    Why similar: Psychological Horror 34.9%, Horror 24.3%, Violent 10.8%, Psychological 8.9%, Gore 8.3%

    Why You'll Like It: A surreal, first-person exploration of psychological trauma that emphasizes atmosphere over traditional combat.

  24. #24 Layers of Fear
    80% matchMostly Positive79% of 1,706 reviews2023
    Dev: Anshar StudiosPub: Bloober Team SA
    Windows · Mac
    Median: 4.2 hrsMean: 7.2 hrs≥1hr: 77%

    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 36.9%, Horror 27.4%, First-Person 13.9%, Atmospheric 13.2%, Multiple Endings 7.1%

    Why You'll Like It: Focuses on shifting environments and psychological instability, mirroring the surreal nature of the seed game.

  25. #25 Lone Survivor: The Director's Cut
    81% 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%, Great Soundtrack 10.9%, Atmospheric 8.7%

    Why You'll Like It: Psychological survival horror that emphasizes resource management and isolation in a decaying, surreal world.

  26. #26 Fears to Fathom - Home Alone
    79% matchVery Positive90% of 11,040 reviews2021
    Dev: Rayll
    Windows
    Median: 30 minMean: 3.9 hrs≥1hr: 14%

    Fears to Fathom is an episodic psychological horror game where each episode unveils a short story narrated by the ones who survived.

    Why similar: Horror 33.9%, Psychological Horror 28.7%, Psychological 16.5%, First-Person 9.5%, Atmospheric 6.9%

    Why You'll Like It: An indie horror title that excels at building tension through mundane, claustrophobic settings and realistic psychological threats.

  27. #27 Saint of Chains
    78% matchVery Positive86% of 83 reviews2026
    Dev: MystiveDev
    Windows

    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 16.2%, Psychological Horror 14.7%, FPS 10.3%, Horror 9.4%, Retro 8.1%

  28. #28 Observer: System Redux
    79% matchVery Positive85% of 2,998 reviews2020
    Dev: Bloober TeamPub: Bloober Team SA
    Windows
    Median: 3.0 hrsMean: 8.3 hrs≥1hr: 69%

    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 27.5%, Horror 26.7%, Surreal 20.4%, First-Person 13.2%, Stylized 6.8%

    Why You'll Like It: Cyberpunk-infused psychological horror that uses cramped, decaying environments to heighten the sense of unease.

  29. #29 DOCTOR VISCERA
    77% matchVery Positive93% of 118 reviews2025
    Dev: Liminal RoadPub: Nuntius Games
    Windows

    Trapped in an abandoned asylum, survive by exploring, solving puzzles, and escaping the terrifying Doctor Viscera. Hide, fight back with limited resources, and uncover documents that reveal the way out before you become the next victim of his gruesome experiments.

    Why similar: Survival Horror 22.2%, Psychological Horror 15.5%, Horror 12.2%, Retro 9.8%, Survival 8.7%

  30. #30 Chorus of Carcosa
    78% matchMostly Positive77% of 203 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: Lovecraftian 17.3%, Psychological Horror 17.1%, Survival Horror 13.7%, Horror 12.3%, Surreal 11.8%

  31. #31 CANINE
    77% matchVery Positive97% of 354 reviews2023
    Dev: Puko
    Windows
    Median: 54 minMean: 1.1 hrs≥1hr: 41%

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

    Why similar: Horror 23.2%, Psychological Horror 19.6%, Survival Horror 19.2%, Retro 13.3%, First-Person 9.7%

  32. #32 SUBSUMED
    75% matchVery Positive84% of 57 reviews2026
    Dev: HazzyPub: adjective noun
    Windows

    A claustrophobic first-person horror game about crawling through a dark, winding cave system in search of three missing divers.

    Why similar: Psychological Horror 31.6%, Horror 30.1%, Atmospheric 15.7%, First-Person 8.4%, Multiple Endings 6.9%

  33. #33 6 Floors
    74% matchMostly Positive73% of 52 reviews2026
    Dev: Ghoul World
    Windows

    You find yourself in a strange place and the only way out is within. Navigate liminal corridors and rooms filled with psychological terrors as you traverse all six floors of this mysterious place in order to save your soul.

    Why similar: Lovecraftian 23.7%, Psychological Horror 19.7%, Horror 16.2%, Surreal 14.2%, Psychological 14.1%

  34. #34 Mist
    75% matchVery Positive81% of 193 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 27.7%, Horror 20.1%, FPS 11.6%, Atmospheric 10.5%, First-Person 8%

  35. #35 Static Dread: The Submarine
    73% matchVery Positive84% of 275 reviews2026
    Dev: solarsuit.gamesPub: Polden Publishing
    Windows

    Descend into Lovecraftian horror aboard a claustrophobic military submarine. Assign tasks as a captain’s right hand, analyze sonar signals, make hard decisions, and keep the crew from madness. Dark horrors lurk both within… and beyond the hull.

    Why similar: Lovecraftian 24.5%, Psychological Horror 18.8%, Horror 13.8%, Retro 9.7%, Surreal 9.2%

  36. #36 White Room Protocol
    73% matchMostly Positive78% of 55 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%, Horror 23.5%, FPS 17.8%, Atmospheric 11.6%, First-Person 8.9%

  37. #37 Gynophobia
    76% matchMixed66% of 780 reviews2015
    Dev: Gua
    Windows · Mac
    Median: 2.7 hrsMean: 16.9 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 19.9%, Psychological Horror 16.2%, Horror 13.8%, Psychological 12.3%, FPS 8.6%

  38. #38 Astray
    76% 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 21%, Lovecraftian 18.4%, Survival Horror 17.7%, Psychological Horror 13%, First-Person 9.5%

  39. #39 ELEVATOR: AVICI
    71% matchVery Positive91% of 70 reviews2026
    Dev: Southern Cross
    Windows

    "ELEVATOR: AVICI" is a 1st-person psychological horror with a retro, HK lo-fi aesthetic. Trapped in a decaying apartment elevator, your only link to the outside is a strange voice on the intercom claiming to be a repairman. Will you follow his commands, or find your own escape from the darkness?

    Why similar: Psychological Horror 31.7%, Horror 22%, Retro 15.2%, First-Person 11.7%, Atmospheric 11%

  40. #40 The Beast Inside
    71% matchVery Positive83% of 12,117 reviews2019
    Dev: Illusion Ray
    Windows
    Median: 3.3 hrsMean: 8.9 hrs≥1hr: 71%

    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 27.5%, Survival Horror 19.5%, Psychological Horror 14.6%, First-Person 7.4%, Great Soundtrack 6.6%

  41. #41 FEED IT
    70% matchVery Positive82% of 71 reviews2026
    Dev: Games On A ChairPub: Pretty Soon
    Windows · Mac

    A first-person, PSX-style horror game about living with a monster. Do as you're told... or don't. Just be ready for the consequences.

    Why similar: Psychological Horror 22.4%, Surreal 16.5%, Psychological 14.2%, Horror 14%, Atmospheric 9.2%

  42. #42 Layers of Fear (2016)
    71% matchVery Positive88% of 27,656 reviews2016
    Dev: Bloober Team SA
    Windows · Mac · Linux
    Median: 3.1 hrsMean: 8.4 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 16.6%, Atmospheric 5.1%, Great Soundtrack 4.3%, Lovecraftian 4.1%

  43. #43 Fear in Hospital
    74% matchMixed48% of 521 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 25%, Psychological Horror 23.1%, Horror 18.3%, Atmospheric 9.2%, Violent 8.1%

  44. #44 Silver Chains
    72% matchMixed69% of 1,357 reviews2019
    Dev: Cracked Heads GamesPub: Headup
    Windows
    Median: 3.1 hrsMean: 4.1 hrs≥1hr: 87%

    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 30.8%, Psychological Horror 27.1%, First-Person 7.2%, Psychological 6.8%, Survival 5.7%

  45. #45 Unwilling Host
    69% matchVery Positive91% of 67 reviews2026
    Dev: HeZhiQiang
    Windows

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

    Why similar: Psychological Horror 37.8%, Horror 31.3%, Retro 10%, First-Person 7.8%, Atmospheric 6.7%

  46. #46 Dark Places
    73% matchMixed56% of 146 reviews2019
    Dev: Madbox Entertainment
    Windows

    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 19.2%, Survival Horror 15%, Violent 12.6%, Retro 12.3%, Psychological Horror 10.1%

  47. #47 Luto
    68% matchVery Positive85% of 1,351 reviews2025
    Dev: Broken Bird Games
    Windows
    Median: 5.1 hrsMean: 5.6 hrs≥1hr: 88%

    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 38.9%, Psychological 31%, Atmospheric 12.9%, First-Person 7.8%, Horror 6.1%

  48. #48 AUTO-CRISIS
    69% matchVery Positive88% of 94 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 18.9%, Lovecraftian 17%, Horror 15%, Surreal 14.2%, Psychological 10.8%

  49. #49 Don't Be Afraid
    70% matchVery Positive82% of 1,000 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 20.9%, Psychological Horror 16.4%, Horror 15.6%, Survival 9.1%, First-Person 8.7%

  50. #50 Lair of Torment
    70% matchMostly Positive70% of 206 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 28.2%, Psychological 21.9%, First-Person 13.1%, Indie 0.6%

  51. #51 Syndrome
    72% matchMixed64% of 371 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 15.3%, Psychological 13.2%, Horror 12.1%, FPS 10.7%

  52. #52 Ad Infernum
    68% matchVery Positive94% of 89 reviews2024
    Dev: Glass Knuckle Games
    Windows · Mac · Linux

    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 17.5%, Horror 11.1%, Shooter 8.2%

  53. #53 Delirium
    67% matchVery Positive87% of 92 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 30.1%, Horror 21.6%, Psychological 11.9%, Atmospheric 11.4%, Surreal 9.1%

  54. #54 Pneumata
    69% matchMixed49% of 110 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 22.6%, Survival Horror 20.3%, Psychological Horror 16.4%, Horror 14%, FPS 13.4%

  55. #55 POOLS
    65% matchOverwhelmingly Positive95% of 6,637 reviews2024
    Dev: Tensori
    Windows · Mac · Linux
    Median: 1.6 hrsMean: 6.1 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 41.2%, Surreal 24.1%, Atmospheric 17.5%, First-Person 12.8%, Indie 2.8%

  56. #56 Cave Crawler
    67% matchVery Positive85% of 582 reviews2023
    Dev: Technomancy Studios
    Windows · Linux
    Median: 42 minMean: 1.4 hrs≥1hr: 25%

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

    Why similar: Horror 35.5%, Psychological Horror 29.6%, First-Person 14.1%, Retro 9%, Atmospheric 8.2%

  57. #57 The Echo Paradox
    66% matchMostly Positive79% of 67 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 22.4%, Psychological Horror 20.2%, Survival Horror 14.7%, Horror 14.2%, Surreal 10.2%

  58. #58 Evil Inside
    68% matchMixed62% of 340 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 19.9%, Horror 15.3%, Survival Horror 15.2%, Atmospheric 7.6%

  59. #59 EMOTIONLESS : The Last Ticket
    64% matchVery Positive81% of 138 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 30%, Psychological Horror 20.5%, Horror 16.4%, Psychological 10%, Surreal 7.8%

Modeli
Based on tag similarity + player behavior
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