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Games Like Mind Scanners

60+ similar titles based on shared tags and player behavior. Themes include Story Rich, Simulation, Multiple Endings, Singleplayer.

Mind Scanners header art

Greetings. Your Mind Scanner request has been approved. Your duty is to diagnose and treat the citizens of The Structure. The patient list is long so don't waste your time. We’ll let you see your daughter soon...

Reviews: Mostly Positive — 75% — of 1,459 reviews
Released: 2021-05-20
Developer: The Outer Zone
Publisher: Brave At Night
Genres: Adventure, RPG, Simulation, Strategy
Platforms: Windows, Mac
Median playtime: 5.5 hrs
Mean playtime: 6.5 hrs
Players ≥ 1 hr: 85%

Overview

Mind Scanners is a unique blend of dystopian bureaucracy, medical simulation, and high-pressure moral decision-making that forces players to balance professional duty with personal conscience. These recommendations focus on titles that emphasize oppressive atmospheres, resource management under time constraints, and the heavy weight of choices that impact the lives of others within a fractured society.

Similar Games

View all 60 recommendations
  1. #1 Papers, Please
    97% matchOverwhelmingly Positive97% of 80,270 reviews2013
    Dev: Lucas PopePub: 3909
    Windows · Mac · Linux
    Median: 4.3 hrsMean: 10.2 hrs≥1hr: 85%

    Congratulations. The October labor lottery is complete. Your name was pulled. For immediate placement, report to the Ministry of Admission at Grestin Border Checkpoint. An apartment will be provided for you and your family in East Grestin. Expect a Class-8 dwelling.

    Why similar: Dystopian 35.7%, Multiple Endings 12.7%, Simulation 11.9%, Pixel Graphics 10.9%, Retro 9.2%

    Why You'll Like It: This is the definitive bureaucratic simulation that mirrors the oppressive, high-stakes document-processing gameplay of Mind Scanners.

  2. #2 Beholder
    96% matchVery Positive92% of 31,023 reviews2016
    Dev: Alawar Stargaze (Warm Lamp Games)Pub: Alawar
    Windows · Mac · Linux
    Median: 4.3 hrsMean: 14.0 hrs≥1hr: 82%

    You’re a state-installed landlord in a totalitarian country. Place listening devices, steal and sneak into your tenants’ apartments. Use what you uncovered to report anyone capable of plotting against the state. You MUST! But WILL you?

    Why similar: Political Sim 32.2%, Dystopian 24.1%, Choices Matter 10.4%, Multiple Endings 10.1%, Story Rich 5.9%

    Why You'll Like It: You manage a dystopian apartment complex while spying on tenants, perfectly capturing the theme of moral compromise under an authoritarian regime.

  3. #3 Not For Broadcast
    96% matchVery Positive94% of 12,650 reviews2022
    Dev: NotGamesPub: tinyBuild
    Windows
    Median: 3.2 hrsMean: 6.3 hrs≥1hr: 81%

    A new political Party has won a landslide in the General Election, and for some reason the editor at the news station you work at has done a runner. Now it’s up to you, the Janitor, to take over the editing booth in this tumultuous time - will you help the government, or stand in their way?

    Why similar: Political Sim 25.3%, Dystopian 19.6%, Choose Your Own Adventure 12.2%, Management 10.6%, Multiple Endings 9.1%

    Why You'll Like It: This game forces you to manage live media feeds under extreme pressure, reflecting the chaotic, time-sensitive nature of the work in Mind Scanners.

  4. #4 Orwell: Keeping an Eye On You
    95% matchVery Positive90% of 15,558 reviews2016
    Dev: Osmotic StudiosPub: Daedalic Entertainment
    Windows · Mac · Linux
    Median: 3.2 hrsMean: 8.4 hrs≥1hr: 86%

    Big Brother has arrived - and it’s you. Investigate the lives of citizens to find those responsible for a series of terror attacks. Information from the internet, personal communications and private files are all accessible to you. But, be warned, the information you supply will have consequences.

    Why similar: Choices Matter 38.6%, Simulation 23.9%, Political Sim 22.8%, Dystopian 9.1%, Story Rich 2.4%

    Why You'll Like It: A surveillance-based narrative game that requires you to make difficult judgments about citizens based on fragmented information.

  5. #5 Death and Taxes
    94% matchVery Positive86% of 8,511 reviews2020
    Dev: Placeholder Gameworks
    Windows · Mac · Linux
    Median: 2.9 hrsMean: 4.6 hrs≥1hr: 82%

    In this 2D, short narrative-based game, you assume the role of the Grim Reaper... on an office job. Your job is to decide which people are going to live or die. The consequences of your choices are yours to bear, while the mystery of your incarnation awaits revelation!

    Why similar: Choose Your Own Adventure 23.4%, Choices Matter 18.1%, Multiple Endings 17.6%, Story Rich 11.4%, Simulation 10.6%

    Why You'll Like It: This game puts you in the role of a bureaucrat deciding who lives and who dies, echoing the moral weight of the patient treatments in Mind Scanners.

  6. #6 Silicon Dreams | cyberpunk interrogation
    94% matchVery Positive94% of 256 reviews2021
    Dev: James PattonPub: Clockwork Bird
    Windows · Mac · Linux

    It’s 2065, and you are an interrogator-model android tasked with rooting out deviants among your own kind. You must probe for lies, monitor and exploit emotional spikes, earn the trust of your subjects, and make the final call: release, or destroy?

    Why similar: Cyberpunk 24%, Dystopian 20.3%, Choices Matter 13.8%, Multiple Endings 13.3%, Futuristic 12.6%

    Why You'll Like It: Focuses on high-stakes interrogation and dialogue choices in a dystopian setting where every response matters.

  7. #7 Do No Harm
    93% matchMostly Positive74% of 939 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.3 hrsMean: 5.7 hrs≥1hr: 74%

    Lovecraftian Doctor Simulator. Diagnose patients by analyzing unsettling symptoms and treat them using your Book of Medicine. Make moral choices — decide who to save or kill, discover whom to trust, and unlock multiple endings! Can you endure 30 days of perilous decisions?

    Why similar: Medical Sim 49.2%, Time Management 17.2%, Choices Matter 8.8%, Multiple Endings 8%, Management 7.9%

    Why You'll Like It: A medical simulation that forces you to make impossible moral choices while treating patients in a dark, high-pressure environment.

  8. #8 CorpoNation: The Sorting Process
    92% matchMostly Positive74% of 135 reviews2024
    Dev: CanteenPub: Playtonic Friends
    Windows

    Greetings, valued employee. You have been tasked with sorting the Ringo CorpoNation's genetic samples. With the credits that you earn, you can shop, game and pay your bills on time. Rogue workers may try to entice you into betraying your beloved employer, but we know you'll give 110%.

    Why similar: Political Sim 31.1%, Dystopian 22.9%, Management 12.4%, Retro 10.1%, Story Rich 6.2%

    Why You'll Like It: A dystopian job simulator where you must perform repetitive tasks while navigating the pressures of a corporate-controlled society.

  9. #9 Minds Beneath Us
    91% matchOverwhelmingly Positive96% of 6,307 reviews2024
    Dev: BearBoneStudio
    Windows
    Median: 11.1 hrsMean: 12.8 hrs≥1hr: 83%

    MINDS BENEATH US is an emotional sci-fi narrative game. Through the eyes of a humble individual, experience a mad world where humans are exploited as computing devices for AI. Listen to the concerns of those you meet and offer guidance. Together, face challenges and confront an uncertain destiny.

    Why similar: Dystopian 20%, Cyberpunk 17.5%, Choose Your Own Adventure 14%, Psychological 12.2%, Multiple Endings 9.2%

    Why You'll Like It: An atmospheric cyberpunk narrative that explores the relationship between technology and humanity through deep, choice-driven gameplay.

  10. #10 Citizen Sleeper
    90% matchVery Positive92% of 10,481 reviews2022
    Dev: Jump Over The AgePub: Fellow Traveller
    Windows · Mac
    Median: 3.5 hrsMean: 7.3 hrs≥1hr: 84%

    Roleplaying in the ruins of interplanetary capitalism. Live the life of an escaped worker, washed-up on a lawless station at the edge of an interstellar society. Inspired by the flexibility and freedom of TTRPGs, explore the station, choose your friends, escape your past and change your future.

    Why similar: Dystopian 26.4%, Cyberpunk 24.8%, Futuristic 16.2%, Multiple Endings 12.6%, Story Rich 8.4%

    Why You'll Like It: A narrative-heavy RPG that captures the feeling of surviving in a cold, dystopian environment where every resource is precious.

  11. #11 The Westport Independent
    91% matchMostly Positive77% of 346 reviews2016
    Dev: Double Zero One Zero
    Windows · Mac · Linux
    Median: 1.0 hrsMean: 9.5 hrs≥1hr: 50%

    The Westport Independent is a censorship simulator taking place in a post-war country, governed by the recently elected Loyalist Party. As the editor of one of the last independent newspapers in the country, your job is to remove and edit the content of your paper, affecting the people’s opinion of both the rebels and the Loyalist...

    Why similar: Dystopian 57%, Simulation 27.9%, Choices Matter 15%

    Why You'll Like It: You act as a newspaper editor in a dystopian state, deciding what information to censor or publish while facing the consequences of your choices.

  12. #12 Field Hospital: Dr. Taylor's Story
    89% matchVery Positive89% of 111 reviews2020
    Dev: Gard Interactive
    Windows · Mac

    Field Hospital is a text-based bureaucratic detective game about hard decisions. Decide who to treat and whom to refuse. Face consequences. Study patients’ info and read their stories. Investigate the tangled case of Dr. Taylor.

    Why similar: Medical Sim 44%, Choose Your Own Adventure 18.9%, Multiple Endings 11.3%, Choices Matter 9.9%, Story Rich 7.5%

    Why You'll Like It: Combines medical management with narrative-driven choices in a setting where you are constantly overwhelmed by the needs of others.

  13. #13 No Umbrellas Allowed
    89% matchVery Positive81% of 1,474 reviews2021
    Dev: Hoochoo Game Studios
    Windows · Mac
    Median: 6.1 hrsMean: 10.6 hrs≥1hr: 89%

    Reveal the true value of the items coming into the shop. Each item has their own history. Dig deep to see what is behind them and become an expert appraiser. Begin a tug of war with customers. With their own expectations and knowledge, they never give up on money.

    Why similar: Dystopian 19.9%, Management 16.1%, Choices Matter 12.1%, Simulation 11%, Pixel Graphics 8.9%

    Why You'll Like It: A shopkeeping simulator that involves investigating items and managing a business within a dystopian city, requiring careful judgment.

  14. #14 HEADLINER
    88% matchMostly Positive77% of 937 reviews2017
    Dev: Unbound Creations
    Windows · Mac · Linux
    Median: 2.0 hrsMean: 2.7 hrs≥1hr: 70%

    Short, thought-provoking adventure where you are a News Editor and decide what stories get published, set in a fictional city where most people are genetically modified. Multiple unique endings let you share your story and see what the Headliner before you did.

    Why similar: Political Sim 33.1%, Dystopian 20.3%, Choices Matter 13.2%, Multiple Endings 12.6%, Story Rich 5%

    Why You'll Like It: You control the flow of information in a dystopian society, directly influencing public opinion and the fate of the city.

  15. #15 For the People
    87% matchMostly Positive73% of 815 reviews2020
    Dev: Brezg StudioPub: 101XP
    Windows · Mac · Linux
    Median: 2.1 hrsMean: 3.8 hrs≥1hr: 69%

    For the People is a mix of a political management sim and a visual novel, putting players in the shoes of an idealistic young state official tasked with shaping the future of a communist factory town. Will the party provide for the people, or are the people just cogs in its machine?..

    Why similar: Political Sim 24.3%, Time Management 13.7%, Dystopian 12.6%, Choose Your Own Adventure 12.3%, Management 8.3%

    Why You'll Like It: A political management game that focuses on the bureaucratic pressures and moral dilemmas of governing a struggling state.

  16. #16 Beholder 2
    86% matchVery Positive87% of 8,130 reviews2018
    Dev: Alawar Stargaze (Warm Lamp Games)Pub: Alawar
    Windows · Mac · Linux
    Median: 4.8 hrsMean: 20.3 hrs≥1hr: 88%

    You are an intern at the central ministry of a totalitarian state with your whole career ahead of you. Work your way up the ladder by scheming against employees, spying on your boss, and completing paperwork. Or do you turn against the state and expose corruption. The choice is still yours to make!

    Why similar: Political Sim 31.2%, Dystopian 24.3%, Choices Matter 10.4%, Multiple Endings 9.9%, Story Rich 6%

    Why You'll Like It: Expands the dystopian management formula into a workplace setting where you must climb the corporate ladder of a totalitarian government.

  17. #17 Suzerain
    86% matchVery Positive92% of 11,790 reviews2020
    Dev: Torpor Games
    Windows · Mac
    Median: 5.5 hrsMean: 18.4 hrs≥1hr: 73%

    Assume the role of President Anton Rayne and guide the nation of Sordland. Amidst brewing international conflicts, need for reform, deep-seated corruption, and economic recession, you must make the decisions in this political drama. How will you lead?

    Why similar: Political Sim 34.9%, Choose Your Own Adventure 21.6%, Multiple Endings 11%, Choices Matter 10%, Story Rich 6.4%

    Why You'll Like It: A political management game where you must navigate complex social and economic issues while making difficult, often heart-wrenching decisions.

  18. #18 Contraband Police
    84% matchOverwhelmingly Positive95% of 25,591 reviews2023
    Dev: Crazy RocksPub: PlayWay S.A.
    Windows
    Median: 8.0 hrsMean: 16.9 hrs≥1hr: 91%

    Take over the duties of a border guard inspector in a communist country of the 80's. Smuggling, corruption and forgery are the order of the day here. Be vigilant and earn the respect of your superiors.

    Why similar: Management 30.9%, Multiple Endings 29.2%, Simulation 19.3%, Story Rich 14.9%, Singleplayer 5.6%

    Why You'll Like It: A gritty border-control simulator that requires careful inspection of documents and vehicles in a hostile, authoritarian climate.

  19. #19 Organs Please
    85% matchVery Positive83% of 334 reviews2023
    Dev: TECHHOMEPub: HeroCraft PC
    Windows
    Median: 3.3 hrsMean: 4.2 hrs≥1hr: 82%

    A dark and satirical management sim, where you take control of a recycling factory with a twist: it recycles humans. Your job is to decide who gets to escape our dying planet in a cozy spaceship and who sacrifices their blood, sweat and tears for humanity. Literally.

    Why similar: Political Sim 26.7%, Dystopian 18.8%, Management 10.2%, Multiple Endings 10.2%, Choices Matter 7.9%

    Why You'll Like It: A dark, satirical management game where you must decide who is worthy of survival in a dystopian world.

  20. #20 Yes, Your Grace
    84% matchVery Positive87% of 14,150 reviews2020
    Dev: Brave At NightPub: No More Robots
    Windows · Mac
    Median: 4.0 hrsMean: 5.4 hrs≥1hr: 85%

    These are troubling times, Your Grace. The petitioners’ petty matters exceed our limited resources, to say nothing of the war. A careful balance must be struck. Your throne awaits.

    Why similar: Choose Your Own Adventure 17.2%, Management 15.9%, Choices Matter 15%, Multiple Endings 12.7%, Pixel Graphics 8.8%

    Why You'll Like It: A resource management game where you must balance the needs of your kingdom against the limited resources available to you.

  21. #21 Hypnospace Outlaw
    82% matchOverwhelmingly Positive97% of 5,534 reviews2019
    Dev: TendershootPub: No More Robots
    Windows · Mac · Linux
    Median: 3.4 hrsMean: 6.9 hrs≥1hr: 77%

    Greetings Enforcer, and thank you for enlisting in the Hypnospace Patrol Department! As the world falls into its slumber, Hypnospace becomes a bustling global village. These virtual streets aren't going to police themselves!

    Why similar: Retro 34.3%, Simulation 24.9%, Psychological 18.9%, Story Rich 13.4%, Adventure 4.3%

    Why You'll Like It: A retro-styled investigation game that captures the unique, slightly surreal aesthetic and investigative feel of the era.

  22. #22 Not Tonight
    83% matchVery Positive82% of 2,785 reviews2018
    Dev: PanicBarnPub: No More Robots
    Windows
    Median: 4.5 hrsMean: 6.5 hrs≥1hr: 91%

    Person of European Heritage #112: Welcome to Relocation Block B, your new home. Your designated role is 'Bouncer'. Work hard, stay out of trouble, and we might let you stay in the UK.

    Why similar: Dystopian 35.9%, Simulation 16%, Pixel Graphics 14.3%, RPG 10.7%, Multiple Endings 7%

    Why You'll Like It: A life-simulation game set in a dystopian version of the UK where you must work as a bouncer and manage your life under strict regulations.

  23. #23 Cultist Simulator
    82% matchMostly Positive80% of 14,130 reviews2018
    Dev: Weather Factory
    Windows · Mac · Linux
    Median: 3.8 hrsMean: 11.7 hrs≥1hr: 80%

    Seize forbidden treasures. Summon alien gods. Feed on your disciples. Cultist Simulator is a game of apocalypse and yearning. Play as a seeker after unholy mysteries, in a 1920s-themed setting of hidden gods and secret histories.

    Why similar: Choose Your Own Adventure 24%, Management 22.5%, Choices Matter 14.7%, Simulation 10.2%, RPG 10.1%

    Why You'll Like It: Features intense time-pressured management and dark, narrative-heavy consequences that mirror the stress of Mind Scanners.

  24. #24 Frostpunk
    80% matchVery Positive93% of 137,048 reviews2018
    Dev: 11 bit studios
    Windows
    Median: 6.2 hrsMean: 22.4 hrs≥1hr: 87%

    Frostpunk is the first society survival game. As the ruler of the last city on Earth, it is your duty to manage both its citizens and infrastructure. What decisions will you make to ensure your society's survival? What will you do when pushed to breaking point? Who will you become in the process?

    Why similar: Strategy 31.9%, Management 30.2%, Choices Matter 19.9%, Simulation 13.6%, Singleplayer 4.4%

    Why You'll Like It: A society-survival game that forces you to make brutal moral trade-offs to keep your people alive in a dying world.

  25. #25 Beholder 3
    81% matchMixed65% of 2,841 reviews2022
    Dev: Paintbucket GamesPub: Alawar
    Windows
    Median: 3.6 hrsMean: 49.8 hrs≥1hr: 89%

    When a high-ranking security officer saves you from prison, you end up a pawn in her schemes. Now you must eliminate anyone standing in the way of her secret plans and try to get your life back while working two jobs. No tenant, employee or superior is safe from your spying.

    Why similar: Political Sim 29.7%, Dystopian 20.4%, Choose Your Own Adventure 12.3%, Management 8.9%, Simulation 5.5%

    Why You'll Like It: Continues the series' focus on surveillance and moral compromise, offering more opportunities to navigate a repressive state.

  26. #26 NeuroNet: Mendax Proxy
    81% matchVery Positive81% of 67 reviews2023
    Dev: Dream Harvest
    Windows

    You are Arc, a city management AI. Designed to manage a city-wide AR metaverse known as the NeuroNet. Meet its many users, build relationships and help or hinder their lives while trying to balance the wider needs of the city. Find your humanity in a world losing theirs to technology.

    Why similar: Cyberpunk 22.2%, Choose Your Own Adventure 17.5%, Futuristic 17.1%, Management 14.6%, Choices Matter 10.9%

    Why You'll Like It: A dialogue-heavy narrative game that explores the ethics of AI and governance in a futuristic city.

  27. #27 The Pale Beyond
    79% matchVery Positive89% of 2,234 reviews2023
    Dev: Saltstone StudiosPub: Fellow Traveller
    Windows · Mac
    Median: 2.4 hrsMean: 13.0 hrs≥1hr: 63%

    You didn’t ask to lead this expedition, but here you are. Stuck in the ice, Captain missing, miles from civilisation. Someone has to take charge. Manage your meagre resources, balance safety and morale, make the hard calls, and head in the only direction you can - through The Pale Beyond.

    Why similar: Choose Your Own Adventure 20.1%, Psychological 19.6%, Choices Matter 17.3%, Story Rich 10.8%, Simulation 10.2%

    Why You'll Like It: A survival management game that focuses on leadership and the heavy moral cost of keeping your crew alive in extreme conditions.

  28. #28 Thank You For Your Application
    77% matchVery Positive82% of 963 reviews2026
    Dev: IceLemonTea Studio
    Windows · Mac
    Median: 2.9 hrsMean: 4.0 hrs≥1hr: 77%

    Thank You for Your Application is a story-driven interview simulation game. After 15 rounds of interviews, you are reassigned as a junior interviewer, tasked with screening candidates’ resumes according to company requirements and issuing the appropriate thank letters.

    Why similar: Dystopian 26.9%, Political Sim 21.5%, Multiple Endings 11.1%, Choices Matter 9.9%, Pixel Graphics 8.1%

  29. #29 Beholder: Conductor
    77% matchVery Positive91% of 5,237 reviews2025
    Dev: Alawar
    Windows · Mac
    Median: 3.5 hrsMean: 5.2 hrs≥1hr: 86%

    A Beholder series spin-off. Become a conductor of the Determination Bringer train: monitor passengers, report incidents, and carry out important Ministry assignments — whose level of secrecy depends only on your loyalty. And remember: mission success is very important to you!

    Why similar: Political Sim 36%, Dystopian 15.4%, Choose Your Own Adventure 8.5%, Management 7%, Choices Matter 6.7%

  30. #30 The Shrouded Isle
    79% matchMostly Positive70% of 1,525 reviews2017
    Dev: Jongwoo KimPub: Kitfox Games
    Windows · Mac
    Median: 2.4 hrsMean: 3.2 hrs≥1hr: 77%

    Your Excellency, in this short systems-management survival game, we prepare for the awakening of our Lord. He hungers for human sacrifice. Sinners try to hide their dark secrets, but all must be purged...

    Why similar: Political Sim 44.4%, Management 17%, Multiple Endings 11.1%, Choices Matter 9.8%, Story Rich 7%

    Why You'll Like It: Requires you to manage a community and perform sacrifices, emphasizing the theme of making horrific choices for the 'greater good.'

  31. #31 Reigns
    78% matchVery Positive87% of 8,124 reviews2016
    Dev: NerialPub: Devolver Digital
    Windows · Mac · Linux
    Median: 2.9 hrsMean: 4.8 hrs≥1hr: 81%

    Sit on the throne as a benevolent (or malevolent) medieval monarch of the modern age and swipe your royal controller either left or right to impose your will upon the kingdom.

    Why similar: Choices Matter 33.2%, Choose Your Own Adventure 29.4%, RPG 9.7%, Simulation 8.2%, Strategy 6.4%

    Why You'll Like It: A choice-based management game that uses a simple interface to present complex, long-term consequences for your decisions.

  32. #32 Prescribe and Pray
    75% matchMostly Positive74% of 81 reviews2026
    Dev: Nuclear Rabbits
    Windows

    Awaken the incompetent doctor within you! Diagnose strange patients, examine their absurd symptoms… and prescribe treatments that could change their lives… or cut them short. Your actions will have consequences.

    Why similar: Medical Sim 51.7%, Multiple Endings 12.8%, Choices Matter 11.9%, Management 9.4%, Simulation 5.9%

  33. #33 Underchoice
    75% matchMostly Positive76% of 123 reviews2026
    Dev: TG IndiePub: Targem Games
    Windows

    Become the overseer and shape the fate of those who come knocking at the door. Each decision you make, whether it is to let in a stranger, to use your resources on something, or to risk the safety of the bunker.

    Why similar: Dystopian 26.2%, Choose Your Own Adventure 17.4%, Choices Matter 13%, Multiple Endings 11.6%, Pixel Graphics 8.3%

  34. #34 Mainlining
    78% matchMostly Positive77% of 368 reviews2017
    Dev: RebelephantPub: ReadGraves
    Windows
    Median: 3.0 hrsMean: 3.3 hrs≥1hr: 92%

    After MI7 has been hacked, your primary goal is to bring a cyber-criminal network to justice. Played entirely from your computer's desktop, Mainlining is a thrilling point and click hacking adventure that features a gripping narrative which will have you hooked from the very first case.

    Why similar: Simulation 38.3%, Pixel Graphics 21.3%, Adventure 18%, Story Rich 16.8%, Singleplayer 5.6%

    Why You'll Like It: A hacking and investigation game that requires you to make moral judgments about the targets you are researching.

  35. #35 Sanatorium - A Mental Asylum Simulator
    76% matchMixed61% of 227 reviews2025
    Dev: ZeitglasPub: Shoreline Games
    Windows · Mac

    The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.

    Why similar: Medical Sim 51.2%, Psychological 13.5%, Multiple Endings 9.4%, Choices Matter 8.4%, Story Rich 5.3%

  36. #36 Smile More
    73% matchVery Positive96% of 313 reviews2026
    Dev: Pixel Poxet
    Windows · Mac

    A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!

    Why similar: Medical Sim 57.1%, Dystopian 21.8%, Multiple Endings 11.2%, Simulation 6.3%, 2D 2.9%

  37. #37 Not Tonight 2
    76% matchMostly Positive77% of 484 reviews2022
    Dev: PanicBarnPub: No More Robots
    Windows
    Median: 2.0 hrsMean: 5.4 hrs≥1hr: 61%

    Immigration Enforcement Case #112: You are under arrest. Unless your friends can cross a broken America, retrieve your identifying documents and stay out of trouble... this is the end of the American dream for you.

    Why similar: Political Sim 26%, Dystopian 20.4%, Time Management 13.2%, Pixel Graphics 6.4%, Choose Your Own Adventure 6.3%

  38. #38 Doctor Life Simulator
    74% matchMixed65% of 141 reviews2025
    Dev: Bleeding Edge StudioPub: Blackburne Games Studio FZ LLC
    Windows

    Step into the shoes of a dedicated medical professional in Doctor Life Simulator. Experience the challenges and triumphs of running your own medical practice, from diagnosing complex illnesses to performing life-saving surgeries.

    Why similar: Medical Sim 52.6%, Management 13.5%, Time Management 11.8%, Choices Matter 8.5%, Simulation 6.9%

  39. #39 Lightracer: For Judge
    72% matchVery Positive93% of 499 reviews2025
    Dev: Smartmelon Games
    Windows

    In a dystopian future, as The Judge with immense power, you journey through space to find hope in a divided society. This sci-fi adventure explores hope amidst adversity.

    Why similar: Political Sim 30.4%, Dystopian 18.5%, Cyberpunk 13.3%, Multiple Endings 9.4%, Choices Matter 8.5%

  40. #40 KingSim
    74% matchVery Positive84% of 211 reviews2020
    Dev: Fuzzy Pixel Game Studio
    Windows
    Median: 2.2 hrsMean: 4.2 hrs≥1hr: 80%

    Become the King in a story-driven 8-bit style game, where choice matters. And try not to die instantly...

    Why similar: Political Sim 27.4%, Choose Your Own Adventure 14.6%, Management 12.1%, Multiple Endings 9.6%, Choices Matter 8.5%

  41. #41 Lacuna – A Sci-Fi Noir Adventure
    72% matchVery Positive92% of 2,943 reviews2021
    Dev: DigiTales InteractivePub: Assemble Entertainment
    Windows
    Median: 3.0 hrsMean: 4.9 hrs≥1hr: 76%

    A murder. A hack. A bombing. All it takes to plunge the solar system into war – unless you do something about it. Help CDI agent Neil Conrad make a string of increasingly difficult decisions in this modern dialog-driven adventure set in a gorgeous 2D sci-fi noir universe.

    Why similar: Cyberpunk 26.2%, Futuristic 17.2%, Multiple Endings 15.5%, Choices Matter 13.3%, Pixel Graphics 9.5%

  42. #42 Citizen Sleeper 2: Starward Vector
    70% matchVery Positive91% of 2,629 reviews2025
    Dev: Jump Over The AgePub: Fellow Traveller
    Windows · Mac
    Median: 3.5 hrsMean: 5.8 hrs≥1hr: 86%

    A dice-driven RPG, in a human and heartfelt sci-fi world. You are an escaped android, with a malfunctioning body, a price on your head and no memory of your past. Get a ship, find a crew, and take on contracts while you navigate across the Starward Belt.

    Why similar: Dystopian 27.2%, Cyberpunk 25.4%, Futuristic 15.2%, Multiple Endings 12.2%, Story Rich 8.6%

  43. #43 Friendsim 2
    73% matchVery Positive89% of 106 reviews2022
    Dev: Studio June
    Windows · Mac

    In this episodic visual novel, follow the adventures of MSPA Reader as they return to Alternia once more to save their friends... and realize that nothing is as it seems.

    Why similar: Dystopian 17.6%, Choose Your Own Adventure 16.4%, Multiple Endings 13.3%, Choices Matter 11.9%, Cyberpunk 11.6%

  44. #44 FACEMINER
    69% matchVery Positive90% of 1,509 reviews2025
    Dev: WristworkPub: Wristwork Ltd
    Windows · Mac · Linux
    Median: 3.5 hrsMean: 19.9 hrs≥1hr: 85%

    Build a biometric data harvesting empire from scratch in FACEMINER, the hardcore thriller clicker set in 1999. Classify data, upgrade mining infrastructure, and scale up your A.I. surveillance empire to obscene ends in this creepy narrative-driven incremental management sim with a dystopian twist.

    Why similar: Dystopian 29.5%, Retro 14.5%, Time Management 13%, Management 12.3%, Simulation 8.6%

  45. #45 Robot Hospice
    69% matchVery Positive100% of 95 reviews2026
    Dev: dokogames
    Windows · Mac

    "Robot Hospice" is a 2D pixel art adventure game where beloved robots spend their final days in a hospice. As a new staff member, you will gently yet painfully bid farewell to these cherished machines that once lived alongside humans.

    Why similar: Choose Your Own Adventure 22.8%, Futuristic 17.7%, Retro 12.9%, Pixel Graphics 10.6%, Multiple Endings 10.6%

  46. #46 Vital Signs: Emergency Department
    73% matchMixed57% of 74 reviews2020
    Dev: BreakAway Games
    Windows · Mac

    Play a doctor in Vital Signs: Emergency Department and challenge your medical knowledge to help treat a wide array of cases who come into the ER.

    Why similar: Medical Sim 60.5%, Time Management 21.2%, Choices Matter 7.2%, Simulation 6%, 2D 3.3%

  47. #47 Justice.exe
    71% matchMixed69% of 103 reviews2022
    Dev: Late Game ClutchPub: Gameclaw Studio
    Windows · Mac

    Justice.exe is a dialogue-heavy dystopian legal drama in which you defend sentient AI in court. Discover key story elements in dialogue, build your case by studying arguments, and engage the opposing counsel in wits, charisma and skullduggery. Small choices might alter the fate of your clients.

    Why similar: Dystopian 24.3%, Cyberpunk 17.6%, Multiple Endings 10.2%, Retro 10%, Choices Matter 10%

  48. #48 Freud's Bones-the game
    70% matchVery Positive82% of 84 reviews2022
    Dev: Katabasi StudioPub: Fortuna Imperatore AxelFox
    Windows

    Infiltrate, rule and rescue the mind of the father of Psychoanalysis: Sigmund Freud, in this surreal and obscure adventure. Take control of his inner voice, choose his destiny, solve clinical cases, save or condemn your patients, all whilst trying to save Freud from himself.

    Why similar: Choose Your Own Adventure 26.3%, Psychological 20.8%, Multiple Endings 17.8%, Story Rich 9.6%, RPG 6.1%

  49. #49 The Red Strings Club
    69% matchVery Positive93% of 14,255 reviews2018
    Dev: DeconstructeamPub: Devolver Digital
    Windows · Mac · Linux
    Median: 3.7 hrsMean: 5.0 hrs≥1hr: 85%

    The Red Strings Club is a cyberpunk narrative experience about fate and happiness featuring the extensive use of pottery, bartending and impersonating people on the phone to take down a corporate conspiracy.

    Why similar: Cyberpunk 40.6%, Choices Matter 14.9%, Pixel Graphics 13.1%, Dystopian 11.8%, Story Rich 11.4%

  50. #50 Heart's Medicine - Time to Heal
    70% 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 66.7%, Time Management 19.7%, Simulation 6.1%, Story Rich 3.5%, Adventure 2.9%

  51. #51 The Reeve
    68% matchVery Positive87% of 53 reviews2024
    Dev: Gray Muscat
    Windows · Mac

    You are an Administrator serving your probationary period in a medieval town. Make decisions to affect the town's reputation, order, military and supplies. Choose wisely to deal with bandits, famines, cultists and plagues. The most difficult choices will decide the fate of your town!

    Why similar: Management 19.5%, Choose Your Own Adventure 17.7%, Choices Matter 13.4%, Multiple Endings 13%, RPG 8.6%

  52. #52 You are the Judge!
    68% matchMostly Positive71% of 262 reviews2023
    Dev: Steel Games
    Windows

    As a judge of the Kobardde court, solve complex cases inspired by actual events. Your decisions will directly affect people's (and perhaps yours) lives. You may have to make difficult decisions for your family, country, and life. What kind of judge will you be?

    Why similar: Political Sim 41.7%, Choose Your Own Adventure 20.7%, Choices Matter 6.8%, RPG 6.6%, Multiple Endings 6.3%

  53. #53 Buddy Simulator 1984
    67% matchVery Positive93% of 4,346 reviews2021
    Dev: Not a Sailor Studios
    Windows
    Median: 4.3 hrsMean: 7.1 hrs≥1hr: 88%

    Thanks to next generation AI technology, BUDDY SIMULATOR 1984 simulates the experience of hanging out with a best buddy! Your buddy learns from you, constantly adapting to your interests and personality. But most importantly, your buddy can play games with you!

    Why similar: Retro 24.2%, Choose Your Own Adventure 16%, Story Rich 14%, Pixel Graphics 13.4%, Simulation 10.4%

  54. #54 MONOTONIA: First Contact
    67% matchVery Positive91% of 69 reviews2023
    Dev: GDH Studio
    Windows

    MONOTONIA: First Contact is a prologue-format experience, free and essential to pave the challenging and definitive cycle of MONOTONY. Work, pay your bills, and survive!

    Why similar: Political Sim 31.7%, Time Management 19.7%, Dystopian 19.2%, Multiple Endings 10%, Pixel Graphics 5.8%

  55. #55 Project Hospital
    68% matchVery Positive89% of 9,301 reviews2018
    Dev: Oxymoron Games
    Windows · Mac · Linux
    Median: 4.4 hrsMean: 24.4 hrs≥1hr: 80%

    Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

    Why similar: Medical Sim 67.2%, Management 17.9%, Simulation 7.2%, Strategy 5.3%, 2D 2.4%

  56. #56 Oyabu Clinic Deathcare Corporation
    66% matchVery Positive94% of 238 reviews2023
    Dev: Flying Panjandrum / ふらいんぐパンジャンドラムPub: GAMER Plan
    Windows

    Alchemy with patients' lives and health insurance! A quack doctor simulation game. DON'T imitate any of this!

    Why similar: Medical Sim 48.4%, Cyberpunk 13.6%, Management 10.9%, Multiple Endings 5.8%, RPG 5.3%

  57. #57 Security 51
    65% matchMostly Positive71% of 416 reviews2026
    Dev: Alawar
    Windows · Mac
    Median: 1.4 hrsMean: 2.2 hrs≥1hr: 61%

    You're a security officer deep within Area 51. Scan the staff, verify clearances, and decide who can enter the elevator and who absolutely mustn't leave. The deeper you go, the less certain you are that anyone standing before you is still human.

    Why similar: Political Sim 42.1%, Multiple Endings 16.1%, Choices Matter 15.2%, Simulation 9.6%, Pixel Graphics 9.4%

  58. #58 Pathologic 3
    64% matchVery Positive80% of 2,770 reviews2026
    Dev: Ice-Pick LodgePub: HypeTrain Digital
    Windows
    Median: 4.7 hrsMean: 17.5 hrs≥1hr: 85%

    In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.

    Why similar: Dystopian 27.5%, Psychological 25.3%, Choices Matter 14.5%, Story Rich 11%, RPG 8.9%

  59. #59 The Test
    66% matchOverwhelmingly Positive97% of 20,140 reviews2020
    Dev: Randumb Studios
    Windows
    Median: 30 minMean: 2.8 hrs≥1hr: 23%

    You will answer a series of questions that will reveal truths from deep within. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Test, and if you do, are you sure you want the answers you seek?

    Why similar: Choose Your Own Adventure 22.8%, Psychological 18.3%, Multiple Endings 15.1%, Choices Matter 10.7%, Simulation 8.3%

  60. #60 PRODUCER 2021
    66% matchVery Positive100% of 176 reviews2022
    Dev: Stuffed Wombat
    Windows

    a ~2 hour long graphic adventure novella. Tasked with disrupting the end of the world, you explore, investigate and produce your way through a strangely familiar world.

    Why similar: Cyberpunk 34.8%, Choose Your Own Adventure 34.3%, RPG 15.2%, 2D 8%, Adventure 7.8%

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