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Games Like Negative Atmosphere: Emergency Room Prototype

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

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  1. #1 Smile More
    96% matchVery Positive98% of 96 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 82.2%, Horror 8.8%, Simulation 6%, Puzzle 3%

  2. #2 Fear in Hospital
    97% 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: Horror 32.4%, Puzzle 28.3%, Realistic 23.7%, First-Person 15.6%

  3. #3 Effugium
    96% matchMixed60% of 67 reviews2023
    Dev: Souporno GhoshPub: Team Glasses
    Windows

    Explore a cold, abandoned, and dreary facility to piece together its mysteries and find a means for escape from the horror that lurks within.

    Why similar: Space 42.6%, Horror 35%, First-Person 22.4%

  4. #4 White Room Protocol
    95% 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: Horror 34.9%, Realistic 30.9%, First-Person 19.9%, Puzzle 9.9%, Simulation 4.4%

  5. #5 SCP: Daybreak
    94% matchMostly Positive74% of 377 reviews2022
    Dev: SquiffyDev
    Windows

    An open-ended, SCP-based, atmospheric, exploration-focused, survival-horror game with puzzle elements and replayability.

    Why similar: Cinematic 25.7%, Puzzle 18.9%, Realistic 17.7%, First-Person 13.9%, Simulation 12%

  6. #6 50 Floors: The Paranormal Investigators Prologue
    94% matchMostly Positive76% of 457 reviews2024
    Dev: Arsonist Studio
    Windows

    Find a way out.

    Why similar: Horror 30.2%, Realistic 29.3%, First-Person 23.9%, Simulation 16.6%

  7. #7 Shadow of Pharos
    93% matchMixed69% of 90 reviews2024
    Dev: Team Gaivot
    Windows

    Shadow of Pharos is a short first-person horror game.

    Why similar: Horror 72.7%, First-Person 27.3%

  8. #8 Doorways: Old Prototype
    92% matchVery Positive86% of 670 reviews2016
    Dev: Saibot Studios
    Windows · Mac · Linux
    Median: 30 minMean: 21.5 hrs≥1hr: 24%

    An immersive and twisted adventure created before the official development of the Doorways saga

    Why similar: Horror 68.9%, First-Person 31.1%

  9. #9 SEPTEMBER 1999
    91% matchVery Positive84% of 2,446 reviews2018
    Dev: 98DEMAKE
    Windows · Mac

    A free, VHS styled, first-person found footage horror game, which runs exactly for 5 minutes and 30 seconds.

    Why similar: Horror 74.7%, First-Person 25.3%

  10. #10 Jack Is Missing
    91% matchMixed48% of 166 reviews2018
    Dev: Kevin Yang GamesPub: SA Industry
    Windows · Mac · Linux

    Jack Is Missing is a prototype for one room based horror game.

    Why similar: Horror 49.2%, First-Person 28.4%, Simulation 22.3%

  11. #11 The Backrooms Project
    90% matchMostly Positive70% of 143 reviews2022
    Dev: 3AM Studios
    Windows · Linux

    Scientists made a new discovery about the Backrooms. Noclipping out of bounds in normal reality was a myth for long, but now it can be real! Now they are looking for subjects to test it on civil people. There are already scientists inside, so you have nothing to worry about, they say. Or do you?

    Why similar: Outbreak Sim 52.3%, Crime 22.8%, Realistic 8.5%, Horror 8%, First-Person 5.1%

  12. #12 The Closing Shift
    89% matchMixed68% of 109 reviews2025
    Dev: Bird Box Games
    Windows

    A short interactive first-person horror game. Walk, look around, and talk to people to finish the short story about closing your restaurant. Complete the story with immersive sounds, and spooky tension and jumpscares to keep you focused.

    Why similar: Crime 63.6%, Simulation 18.3%, Horror 18.1%

  13. #13 Mimic Search
    88% matchVery Positive88% of 966 reviews2024
    Dev: Gemezl
    Windows

    Mimic Search is a short indie horror game, in which you take the role of a police officer investigating a recent mimic attack.

    Why similar: Horror 40.2%, Immersive Sim 38%, First-Person 21.7%

  14. #14 Our Elusive Suffering
    89% matchMixed65% of 86 reviews2022
    Dev: 👁️Pub: ⚰️
    Windows

    🩸🌌💀🌫️⛪️

    Why similar: Horror 51.5%, Puzzle 28.5%, First-Person 20%

  15. #15 Escape Room - Der kranke Kollege
    87% matchVery Positive81% of 12,462 reviews2020
    Dev: Bitbeast Games
    Windows
    Median: 1.3 hrsMean: 5.7 hrs≥1hr: 62%

    You only wanted to make a visit to your sick colleague, but what you encounter is beyond your imagination. Discover the secrets of your colleague and find a way to escape the trap.

    Why similar: Detective 20.9%, Puzzle 20.1%, Horror 19.5%, Crime 17.2%, Immersive Sim 9.6%

  16. #16 Unsorted Horror
    86% matchOverwhelmingly Positive98% of 3,264 reviews2023
    Dev: Mike Klubnika
    Windows

    A collection of 5 short first-person horror games, that revolve around detailed machinery and dread.

    Why similar: Puzzle 33.9%, First-Person 30.7%, Simulation 23.1%, Horror 12.3%

  17. #17 CURE - A Hospital Simulator
    84% matchVery Positive89% of 574 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.6 hrsMean: 7.3 hrs≥1hr: 86%

    Manage an ER during the apocalypse, solo or with friends online: diagnose patients, design and grow your hospital, and defend against the undead while treating the living. Integrate with Twitch chat for even more fun!

    Why similar: Medical Sim 41.4%, Outbreak Sim 36.1%, Immersive Sim 11%, Realistic 4.9%, First-Person 3.9%

  18. #18 AfterHours
    85% matchMostly Positive71% of 607 reviews2022
    Dev: Runway Studios
    Windows

    Experience psychological horror in a large abandoned hospital. Hide, explore and survive from a mysterious creature living in the ruins of this hospital.

    Why similar: Horror 43.9%, Artificial Intelligence 28.4%, First-Person 15.4%, Realistic 12.2%

  19. #19 Pact of Joy: Prologue
    83% matchVery Positive94% of 63 reviews2023
    Dev: Just Sauce Studio
    Windows

    As Jack Argyle, you are tasked with restoring communication at the underwater ex-Aegis facility known as Phorcys Station. Be careful, or risk joining the spirits trapped inside.

    Why similar: Robots 41.5%, Artificial Intelligence 31%, Horror 16.7%, First-Person 10.8%

  20. #20 REDSHIFT
    82% matchVery Positive81% of 93 reviews2025
    Dev: Gravity Interactive
    Windows

    A short solo developed psychological narrative horror game where you close your eyes to reveal a hidden layer of reality, the REDSHIFT. Uncover the secrets of the facility, Tower 7, and survive what hunts you within the REDSHIFT.

    Why similar: Horror 100%

  21. #21 Watertight
    81% matchVery Positive88% of 175 reviews2025
    Dev: Tiny Studio
    Windows

    A short first-person horror game. An accident cripples your submarine while trying to find the wreck of the Titanic. In the darkness, you must restore life-support systems through tense puzzles, only to discover that you are not alone.

    Why similar: Horror 48.2%, Puzzle 39.6%, First-Person 12.1%

  22. #22 SCP022
    84% matchMostly Positive73% of 818 reviews2019
    Dev: KL GAMES
    Windows

    This is a short physics game about escaping from a closed chamber.

    Why similar: Horror 59.2%, Puzzle 26.4%, First-Person 14.4%

  23. #23 NIGHT SHIFT NIGHTMARE
    81% matchVery Positive83% of 103 reviews2025
    Dev: Taco Al Pastor Dev
    Windows

    First-person horror game where you work the night shift at a Mexican convenience store, handling daily tasks while facing eerie and unexpected events.

    Why similar: Crime 49.4%, Horror 25.3%, First-Person 16.7%, Simulation 8.6%

  24. #24 Vigil
    79% matchVery Positive86% of 2,025 reviews2025
    Dev: Singularity Studios
    Windows

    Vigil is a short Narrative Horror Game that takes place in an unsettling underground facility. Your job is to dispose of boxes, however, you’re not alone. A terrifying automaton roams the facility, moving only when you look away or when you blink in real life.

    Why similar: Horror 42.8%, First-Person 29.7%, Realistic 27.5%

  25. #25 Evil Inside - Prologue
    82% matchMixed68% of 1,036 reviews2021
    Dev: JanduSoft
    Windows
    Median: 24 minMean: 1.2 hrs≥1hr: 11%

    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: Horror 54.7%, Realistic 24.3%, First-Person 21%

  26. #26 Cassiculus
    80% matchMostly Positive78% of 174 reviews2024
    Dev: Craig LawrencePub: LockleyGames
    Windows

    This terrifying first-person horror experience immerses the player into a world of isolation, fear, paranoia and claustrophobia as you make your way through the Oberon Cave. Throughout the game, you will experience atmospheric environments, disturbing audio and horrifying visuals.

    Why similar: Immersive Sim 36.4%, Cinematic 21.3%, Realistic 12.2%, Horror 12%, First-Person 10%

  27. #27 Albert Innovation
    79% matchVery Positive91% of 171 reviews2022
    Dev: Delirium Den
    Windows

    Albert Innovation is an immersive, narrative, atmospheric semi-horror game, where you will attempt to unravel the mysteries of what was once the most brilliant technological innovation company of the olden days. Manipulate machines, run away, and put an end to this nightmare.

    Why similar: Horror 45.3%, Cinematic 36.3%, Immersive Sim 18.3%

  28. #28 異ノ故リ-Isolated Hours-
    76% matchVery Positive88% of 51 reviews2025
    Dev: Byking RooKIESPub: Byking Inc.
    Windows

    A 3D horror game where your only goal is to finish your work… and survive the night. Unnatural anomalies creep into the office as you complete your tasks. Can you make it to the end of your shift alive.

    Why similar: Horror 43.9%, Realistic 21.6%, First-Person 18.3%, Simulation 16.3%

  29. #29 Beyond the Doors
    76% matchMostly Positive73% of 62 reviews2026
    Dev: Dream Error
    Windows · Linux

    An atmospheric horror, exploration and automation game all set in the dim halls of an apartment building

    Why similar: Automation 54.5%, Horror 17%, Puzzle 15.6%, First-Person 12.9%

  30. #30 Fragments of Dread - False Haven
    74% matchVery Positive92% of 207 reviews2025
    Dev: Domnaier
    Windows

    Fragments of Dread is an episodic psychological horror series. Each episode tells a self-contained story of dread, fear, and survival.

    Why similar: Horror 29.2%, Cinematic 20.3%, First-Person 18.5%, Puzzle 17.9%, Simulation 14%

  31. #31 Unlasting Horror
    78% matchMixed64% of 120 reviews2021
    Dev: Matt Sowards Games
    Windows

    Experience the story of a Private Detective and find out what happened on the day of the accident in this First Person horror Adventure. play solo or with up to five friends using unique features from solving puzzles, buying equipment to stun the monsters and progress through the story.

    Why similar: Puzzle 33.6%, Horror 26.7%, First-Person 23.7%, Simulation 16%

  32. #32 Stories of Liane
    78% matchMostly Positive75% of 113 reviews2021
    Dev: Gearshift Media
    Windows

    An experimental narrative-focused walking-simulator experience that explores dark settings and stories through multiple perspectives.

    Why similar: Space 46.2%, Cinematic 37.5%, Horror 16.4%

  33. #33 First Session
    77% matchVery Positive81% of 89 reviews2021
    Dev: Lappi Soft
    Windows

    First Person Psychological Horror. Addicted to virtual ecstasy, trapped in digital hell. Navigate glitchy dreamscapes and a city that never sleeps. Every mission brings you closer to your next dose, but will you follow your protective AI, or the man behind a liberating new drug?

    Why similar: Horror 64%, First-Person 36%

  34. #34 Microbial Sector
    74% matchVery Positive99% of 273 reviews2024
    Dev: MadBug Studio
    Windows

    It's your first day as a lifeform researcher, and while you don’t know much about the job, you're desperate for the paycheck. What could possibly go wrong?

    Why similar: First-Person 58.1%, Horror 41.9%

  35. #35 The Cubicle.
    77% matchVery Positive87% of 620 reviews2016
    Dev: Roel van BeekPub: Pelican Party Studios
    Windows
    Median: 12 minMean: 9.5 hrs≥1hr: 18%

    The Cubicle is a short VR experience about your regular everyday job in an office, or is it?

    Why similar: Horror 62.9%, Simulation 37.1%

  36. #36 THE MULLER-POWELL PRINCIPLE: Foreword
    75% matchVery Positive82% of 265 reviews2023
    Dev: Three Dots GamesPub: Take Aim Games
    Windows

    This prologue was created to present an overall concept of the main game through a pair of gameplay hours to introduce you to some of the game’s mechanics, creatures, and ideas.

    Why similar: First-Person 100%

  37. #37 The Permanent Residence : Souls Kept
    73% matchMostly Positive80% of 99 reviews2024
    Dev: Rizzvix
    Windows

    Permanent Residence invites players into an episodic journey of psychological horror, where each chapter reveals a sinister short story woven into the eerie legacy of a cursed place.

    Why similar: Horror 56.9%, First-Person 43.1%

  38. #38 Stay Out Of The Farm: Prologue
    75% matchMixed58% of 66 reviews2023
    Dev: Yasha
    Windows

    Free Prologue to Stay Out Of The Farm, a ps1 styled horror game where you try to escape from a serial killer.

    Why similar: Horror 51.8%, Simulation 48.2%

  39. #39 Days Without Incident
    70% matchVery Positive95% of 484 reviews2025
    Dev: We Create StuffPub: Black Lantern Collective
    Windows

    It has been -̷̯͙̔̈́-̴̱̽̓͝-̷̍̊̕͠ days without incident. Your investigation has brought you to an old metalworks factory, abandoned after a series of mysterious deaths. But something’s been growing in the quiet. A short first-person survival horror experience.

    Why similar: Horror 45.2%, Puzzle 35.9%, First-Person 18.9%

  40. #40 Autopsy Simulator
    73% matchMixed51% of 1,516 reviews2024
    Dev: Woodland GamesPub: Team17 Digital Ltd
    Windows
    Median: 4.4 hrsMean: 4.9 hrs≥1hr: 81%

    Autopsy Simulator is a first-person horror-sim hybrid where players take on the role of a practice pathologist and study case files, created in collaboration with real-world forensic doctors, to help guide their dissection of anatomically accurate bodies to determine each subject’s cause of death.

    Why similar: Medical Sim 64.1%, Simulation 9.5%, Horror 8.3%, Realistic 6.3%, First-Person 5.1%

  41. #41 Exit The Abyss
    71% matchMostly Positive70% of 64 reviews2025
    Dev: Veloneer Games
    Windows

    Exit the Abyss is a psychological horror game where you are trapped in an abandoned, haunted hospital. The game focuses on an oppressive atmosphere, exploration, and mysteries, with minimalist puzzle elements. Immerse yourself in a distorted reality, confront your fears, and find the way out!

    Why similar: Cinematic 28.5%, Puzzle 20.8%, Horror 17.9%, Realistic 17.1%, First-Person 15.8%

  42. #42 Satellite Odyssey: Prologue
    69% matchVery Positive93% of 967 reviews2024
    Dev: Antifreeze Games
    Windows
    Median: 1.6 hrsMean: 1.9 hrs≥1hr: 77%

    Satellite Odyssey: Prologue is a short first-person story-driven adventure with horror elements. Immerse yourself in the atmosphere of classic science fiction and retro-futurism inspired by Soviet sci-fi films. Your partner is Zarya, the artificial intelligence.

    Why similar: Robots 20.9%, Artificial Intelligence 19.1%, Space 18%, Cinematic 12.2%, Realistic 9%

  43. #43 TEST RE
    72% matchMostly Positive73% of 172 reviews2022
    Dev: K App.
    Windows

    A short 5 minute horror game!

    Why similar: Horror 39.7%, Realistic 39.3%, First-Person 21%

  44. #44 When the Darkness comes
    70% matchVery Positive92% of 8,408 reviews2019
    Dev: Sirhaian
    Windows
    Median: 1.3 hrsMean: 3.9 hrs≥1hr: 65%

    When the Darkness comes is a walking simulator whose glitchy and dark tale tries to illustrate the hardships of depression and anxiety through a variety of imaginary digital landscapes.

    Why similar: Horror 47%, First-Person 41.3%, Puzzle 11.6%

  45. #45 NiGHT SIGNAL
    71% matchVery Positive80% of 101 reviews2022
    Dev: Night Signal Entertainment
    Windows

    NiGHT SIGNAL is a short first-person horror experience that sees you breaking in a new television set, only to find that it picks up strange signals after dark. Hand crafted from flesh and clay.

    Why similar: Cold War 50.4%, Horror 22.4%, Simulation 14.8%, First-Person 12.4%

  46. #46 Investigator
    73% matchMixed69% of 1,025 reviews2016
    Dev: AdroVGames
    Windows
    Median: 3.7 hrsMean: 4.9 hrs≥1hr: 94%

    Investigator is a first-person exploration game with horror elements, where the events take place in a world of extreme weather cataclysms.

    Why similar: Horror 57.9%, Simulation 28.3%, First-Person 13.8%

  47. #47 Nevrosa: Prelude
    72% matchVery Positive87% of 223 reviews2017
    Dev: GexagonVR
    Windows
    Median: 24 minMean: 7.0 hrs≥1hr: 27%

    You wake up in a strange, but yet familiar place. You feel like you are supposed to be here for something.VR roomscale puzzle-horror game with redirect walking locomotion.

    Why similar: Horror 34.4%, Puzzle 28.7%, Cinematic 20.3%, Simulation 16.6%

  48. #48 In Our Parlor
    68% matchVery Positive87% of 55 reviews2025
    Dev: Justin WoottenPub: Wickwire Game Studio
    Windows

    In Our Parlor is a short, horror walking simulator. The player must make their way through a mysterious manor to unfold the story, find the parlor, and escape this nightmare. Navigate a series of dark set pieces and follow the music to discover the path forward.

    Why similar: Immersive Sim 54.5%, First-Person 21.4%, Simulation 12.1%, Horror 12%

  49. #49 Before the Dawn: SENARA Prologue
    69% matchMixed69% of 316 reviews2024
    Dev: Influsion Inc.
    Windows

    You must attempt a life-or-death escape from the SENARA — a 6,000-ton vessel meticulously recreated from a real-world ship. This first-person survival horror prologue tells the story of a different survivor, set before the events of "SENARA: The Sacrament".

    Why similar: Realistic 27.4%, Horror 26.7%, Puzzle 25.3%, First-Person 20.6%

  50. #50 10 Seconds
    68% matchMostly Positive78% of 111 reviews2025
    Dev: ithinknotM8!
    Windows

    Time loop puzzle horror, where you're stuck in a failed experiment and must escape or face being eaten for eternity.

    Why similar: Horror 42.4%, Puzzle 38.6%, First-Person 19.1%

  51. #51 Fears to Fathom - Home Alone
    67% matchVery Positive90% of 10,232 reviews2021
    Dev: Rayll
    Windows
    Median: 30 minMean: 3.0 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 34.6%, Crime 29.3%, First-Person 14.6%, Cinematic 12.1%, Realistic 9.3%

  52. #52 Nightmares to be
    71% matchMixed67% of 60 reviews2021
    Dev: WolfAndOthers
    Windows

    A scientific research and development facility based in Norilsk, Flow Crop. is attempting to investigate crimes through people's nightmares. The player gets to walk into a virtual world, and investigate the reason for such nightmares. solve puzzles and face enemies.

    Why similar: Cinematic 36.9%, Puzzle 28.4%, First-Person 18.9%, Horror 15.8%

  53. #53 CALLUS
    67% matchMostly Positive77% of 265 reviews2026
    Dev: EMIKA_GAMES
    Windows

    Callus is a short psychological horror (~30 minutes) in the walking simulator genre, featuring jump scares and themes of cruelty and overprotection. It was released as a transitional project between larger releases, with an intentionally simple story and concise gameplay.

    Why similar: Cinematic 34.7%, Horror 33.1%, Realistic 23.8%, Simulation 5.6%, First-Person 2.7%

  54. #54 Iron Lung
    66% 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: Horror 66.8%, First-Person 33.2%

  55. #55 CONCLUSE
    70% 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 47%, Puzzle 19.7%, Simulation 17.4%, First-Person 15.9%

  56. #56 Is this Game Trying to Kill Me? Preface
    66% matchVery Positive98% of 209 reviews2024
    Dev: Stately Snail
    Windows

    This is a small free prequel to the Is this Game Trying to Kill Me?. An old cabin deep in the dense forest, a strange computer, and a game that's trying to kill you!

    Why similar: Horror 39.9%, Puzzle 34.4%, First-Person 25.7%

  57. #57 Angel Engine
    64% matchVery Positive89% of 241 reviews2026
    Dev: HMS StudiosPub: NerveLabs
    Windows

    Cage an angel. Ransack Heaven. In a far-flung dystopian future, the Angel Engine Initiative carries on as the last hope for humanity. Seal yourself in your operating room, perform surgery on comatose test subjects, and pray you make it out alive.

    Why similar: Medical Sim 67.1%, Puzzle 10.3%, Horror 9.6%, First-Person 7.7%, Simulation 5.3%

  58. #58 Dark Fracture: Prologue
    67% matchVery Positive83% of 1,356 reviews2020
    Dev: Twisted II Studio
    Windows

    Dark Fracture is a psychological horror experience in which you explore an ever-changing world where reality and nightmares collide. Walk on the edge of madness in the shoes of a tormented soul as you descend into the darkest depths of the human psyche, and question everything you see.

    Why similar: Horror 46.4%, First-Person 33.9%, Simulation 19.6%

  59. #59 Bleeding Roots
    65% matchVery Positive93% of 421 reviews2024
    Dev: Mechanikoi
    Windows

    Bleeding Roots is a free fifteen minute horror game about a man taking care of his plants throughout the seasons.

    Why similar: Horror 68.9%, Cinematic 31.1%

Negative Atmosphere: Emergency Room Prototype cover art

Games Like Negative Atmosphere: Emergency Room Prototype

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