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Games Like Negative Atmosphere: Emergency Room Prototype

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

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  1. #1 Fear in Hospital
    97% 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: Horror 31.3%, Puzzle 27.7%, Realistic 23.1%, First-Person 15%, Singleplayer 2.9%

  2. #2 Smile More
    96% 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 80.2%, Horror 10.2%, Simulation 5.5%, Puzzle 3.7%, Singleplayer 0.4%

  3. #3 Investigator
    96% matchMixed69% of 1,049 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 56.8%, Simulation 27.1%, First-Person 13.4%, Singleplayer 2.6%

  4. #4 White Room Protocol
    95% 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: Horror 33.5%, Realistic 29.9%, First-Person 18.9%, Puzzle 9.6%, Simulation 4.1%

  5. #5 Effugium
    94% 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 41.7%, Horror 34.2%, First-Person 21.8%, Singleplayer 2.3%

  6. #6 Shadow of Pharos
    94% matchMixed68% of 93 reviews2024
    Dev: Team Gaivot
    Windows

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

    Why similar: Horror 69.7%, First-Person 25.5%, Singleplayer 4.8%

  7. #7 SCP: Daybreak
    93% matchMostly Positive71% of 397 reviews2022
    Dev: SquiffyDev
    Windows

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

    Why similar: Cinematic 25.6%, Puzzle 19.1%, Realistic 17.9%, First-Person 13.7%, Horror 11.9%

  8. #8 50 Floors: The Paranormal Investigators Prologue
    91% matchMostly Positive76% of 487 reviews2024
    Dev: Arsonist Studio
    Windows

    Find a way out.

    Why similar: Horror 29.6%, Realistic 28.8%, First-Person 23.1%, Simulation 15.8%, Singleplayer 2.6%

  9. #9 Doorways: Old Prototype
    92% matchVery Positive86% of 670 reviews2016
    Dev: Saibot Studios
    Windows · Mac · Linux
    Median: 30 minMean: 20.9 hrs≥1hr: 23%

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

    Why similar: Horror 66%, First-Person 30%, Singleplayer 4%

  10. #10 Incident Archives - Flight 882
    91% matchMostly Positive79% of 71 reviews2026
    Dev: Astronix Games
    Windows

    A short 20 minute experience. Inspired by true events. A First Officer on a night flight is paired with a new Captain for the journey. What begins as a normal flight slowly turns unsettling as the situation slowly turns intense.

    Why similar: Crime 29.2%, Immersive Sim 27.8%, Horror 20.4%, First-Person 14.8%, Realistic 5.7%

  11. #11 Symptoms of Infection
    89% matchNo user reviews91% of 53 reviews2026
    Dev: ORB Research & Broadcasting
    Windows · Linux

    Examine and test patients for common and novel infections using sophisticated medical instrumentation and disinfection procedures. All infected patients must be sent to the isolation ward for further evaluation or treatment. Rumors of mysterious diseases and human experimentation are unconfirmed.

    Why similar: Outbreak Sim 51.7%, Medical Sim 29.5%, Immersive Sim 9.3%, Simulation 5.4%, Puzzle 3.2%

  12. #12 SEPTEMBER 1999
    90% matchVery Positive84% of 2,515 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 72.2%, First-Person 24.7%, Singleplayer 3.1%

  13. #13 The Closing Shift
    87% matchMixed66% of 121 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%, Horror 18.3%, Simulation 18.2%, Singleplayer 0.6%

  14. #14 Our Elusive Suffering
    88% matchMixed64% of 90 reviews2022
    Dev: 👁️Pub: ⚰️
    Windows

    🩸🌌💀🌫️⛪️

    Why similar: Horror 50.1%, Puzzle 28%, First-Person 19.2%, Singleplayer 2.7%

  15. #15 Jack Is Missing
    89% matchMixed47% of 168 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 49.6%, First-Person 28.4%, Simulation 22%

  16. #16 Mimic Search
    85% matchVery Positive89% of 1,040 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 39.1%, Immersive Sim 36.2%, First-Person 20.8%, Singleplayer 3.8%

  17. #17 Unsorted Horror
    84% matchOverwhelmingly Positive97% of 3,638 reviews2023
    Dev: Mike Klubnika
    Windows

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

    Why similar: Puzzle 34.1%, First-Person 30.3%, Simulation 22.6%, Horror 13.1%

  18. #18 AfterHours
    86% matchMostly Positive71% of 618 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 43.1%, Artificial Intelligence 27.2%, First-Person 15%, Realistic 12.1%, Singleplayer 2.6%

  19. #19 Emergency Room Simulator
    86% matchMostly Negative38% of 141 reviews2026
    Dev: Caipirinha GamesPub: Aerosoft
    Windows

    In Emergency Room Simulator, step into the role of an ER doctor: run targeted tests, treat patients, and save lives when it matters most. Experience intense shifts in a fast-paced medical environment.

    Why similar: Medical Sim 79.7%, Realistic 10.1%, First-Person 5%, Simulation 4.5%, Singleplayer 0.7%

  20. #20 Watertight
    83% matchVery Positive88% of 199 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 46.8%, Puzzle 38.3%, First-Person 11.5%, Singleplayer 3.4%

  21. #21 Cassiculus
    84% matchMostly Positive79% of 182 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 35.9%, Cinematic 21.3%, Horror 12.2%, Realistic 12.1%, First-Person 10%

  22. #22 Vigil
    82% matchVery Positive86% of 2,170 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 41%, First-Person 27.9%, Realistic 26.3%, Singleplayer 4.8%

  23. #23 NIGHT SHIFT NIGHTMARE
    82% matchVery Positive85% of 138 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 44.5%, Horror 23.3%, First-Person 15.2%, Immersive Sim 9.2%, Simulation 7.8%

  24. #24 Escape Room - Der kranke Kollege
    80% matchVery Positive81% of 12,547 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 20.4%, Horror 19.6%, Crime 16.8%, Immersive Sim 9.5%

  25. #25 Desolation Seed
    79% matchNo user reviews67% of 72 reviews2026
    Dev: ECS Software
    Windows

    An atmospheric survival shooter placing you inside a hyper-violent maze of urban waste, environmental biohazards, and societal ruin. Scavenge, explore, and survive while finding a path out of a late stage modern Shinar

    Why similar: Puzzle 46%, Simulation 28.4%, Horror 21.5%, Singleplayer 4%

  26. #26 The Backrooms Project
    81% matchMixed70% 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 52.7%, Crime 22.4%, Realistic 8.6%, Horror 8%, First-Person 5.1%

  27. #27 Albert Innovation
    79% matchVery Positive91% of 176 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 42.5%, Cinematic 33.8%, Immersive Sim 16.9%, Singleplayer 6.8%

  28. #28 DISTURBING FEARS - Workplace
    77% matchVery Positive91% of 152 reviews2026
    Dev: Horribilia
    Windows

    DISTURBING FEARS is an episodic psychological horror game based on true events that immerses players in haunting narratives.

    Why similar: Crime 41.2%, Horror 25.1%, First-Person 17.8%, Realistic 12.9%, Singleplayer 3%

  29. #29 Dark Memories: Prologue
    78% matchMixed66% of 50 reviews2025
    Dev: visioxr_studio
    Windows

    Dark Memories is an episodic psychological horror game based on road thriller, slasher, and survival thriller genres. You are currently viewing the prologue episode of the Dark Memories anthology.

    Why similar: Crime 29.3%, Detective 27.1%, Puzzle 13.1%, Realistic 11.3%, Horror 9%

  30. #30 異ノ故リ-Isolated Hours-
    77% matchVery Positive90% of 59 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 42.7%, Realistic 21.1%, First-Person 17.6%, Simulation 15.5%, Singleplayer 3.1%

  31. #31 Pact of Joy: Prologue
    78% matchVery Positive94% of 65 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 41.6%, Artificial Intelligence 30%, Horror 16.6%, First-Person 10.6%, Singleplayer 1.2%

  32. #32 Empty Gauge
    75% matchNo user reviews97% of 69 reviews2026
    Dev: Playnova Studio
    Windows

    A short, single-sitting VHS-style psychological horror game. Work the night shift at a remote gas station, return home to uncover disturbing clues, and reach one of three endings.

    Why similar: Artificial Intelligence 24.8%, Horror 22.9%, First-Person 20.6%, Puzzle 19.2%, Simulation 10.3%

  33. #33 Blood Facsimile
    74% matchVery Positive98% of 64 reviews2026
    Dev: Rene McCarthy
    Windows

    An immersive FPS adventure set in a dark and surreal sci-fi world

    Why similar: Crime 41.8%, Immersive Sim 35.1%, Horror 8.3%, Simulation 7.7%, First-Person 7.1%

  34. #34 Fragments of Dread - False Haven
    74% matchVery Positive92% of 249 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 28.8%, Cinematic 19.8%, First-Person 18%, Puzzle 17.8%, Simulation 13.5%

  35. #35 REDSHIFT
    75% matchMostly Positive79% of 102 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 92.6%, Singleplayer 7.4%

  36. #36 Evil Inside - Prologue
    76% matchMixed67% of 1,045 reviews2021
    Dev: JanduSoft
    Windows
    Median: 24 minMean: 1.2 hrs≥1hr: 10%

    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 53.8%, Realistic 24%, First-Person 20.3%, Singleplayer 1.9%

  37. #37 In Our Parlor
    73% matchVery Positive85% of 59 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 52%, First-Person 20.6%, Horror 12.2%, Simulation 11.5%, Singleplayer 3.7%

  38. #38 First Session
    76% matchVery Positive81% of 90 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 61.1%, First-Person 34%, Singleplayer 4.9%

  39. #39 Days Without Incident
    71% matchVery Positive94% of 649 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 45.5%, Puzzle 35.5%, First-Person 17.9%, Singleplayer 1%

  40. #40 Exit The Abyss
    73% matchMixed68% of 107 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 28.2%, Puzzle 21%, Horror 18%, Realistic 17.2%, First-Person 15.6%

  41. #41 Operation: Outbreak
    69% matchMostly Positive77% of 524 reviews2025
    Dev: DREADMITH Games
    Windows

    Your squad's vehicle exploded during a patrol, and you're the only survivor. The enemy is unusual this time. A virus has turned the city into a warzone of the undead. Get to the exfil in time or die trying. A free-to-play short and intense FPS zombie survival horror game.

    Why similar: Military 41.5%, Horror 23.2%, Realistic 17.2%, First-Person 15.5%, Singleplayer 2.6%

  42. #42 Beyond the Doors
    70% matchMostly Positive74% of 76 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 52.4%, Horror 17.5%, Puzzle 16.3%, First-Person 13.2%, Singleplayer 0.6%

  43. #43 Stay Out Of The Farm: Prologue
    72% matchMixed55% of 68 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 52.3%, Simulation 47.7%

  44. #44 Unlasting Horror
    73% 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 33.3%, Horror 26.1%, First-Person 22.9%, Simulation 15.3%, Singleplayer 2.4%

  45. #45 10 Seconds
    69% matchVery Positive79% of 113 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 40.7%, Puzzle 37.5%, First-Person 18.1%, Singleplayer 3.7%

  46. #46 Fears to Fathom - Home Alone
    68% 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 34.7%, Crime 27.9%, First-Person 14.4%, Cinematic 11.5%, Realistic 9.2%

  47. #47 CONCLUSE
    71% matchMostly Positive75% of 548 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 45.3%, Puzzle 19.2%, Simulation 16.4%, First-Person 15.1%, Singleplayer 4%

  48. #48 Microbial Sector
    67% matchVery Positive97% of 307 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 57.8%, Horror 42.2%

  49. #49 SCP022
    71% matchMostly Positive73% of 832 reviews2019
    Dev: KL GAMES
    Windows

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

    Why similar: Horror 59.4%, Puzzle 26.4%, First-Person 14.1%

  50. #50 The Cubicle.
    70% 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 63.5%, Simulation 36.5%

  51. #51 THE MULLER-POWELL PRINCIPLE: Foreword
    68% matchVery Positive82% of 271 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 74.1%, Horror 21.9%, Singleplayer 4%

  52. #52 Metro Trip Simulator
    72% matchMixed55% of 76 reviews2019
    Dev: Metro 2.0.7.7Pub: Kavkaz Sila Games
    Windows

    Metro trip simulator

    Why similar: Simulation 59.2%, First-Person 36.4%, Singleplayer 4.5%

  53. #53 Angel Engine
    66% matchVery Positive80% of 350 reviews2026
    Dev: HMS StudiosPub: Aurakenn Games
    Windows
    Median: 42 minMean: 2.5 hrs≥1hr: 46%

    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 66.4%, Puzzle 10.5%, Horror 9.7%, First-Person 7.6%, Simulation 5.2%

  54. #54 Autopsy Simulator
    69% matchMixed51% of 1,608 reviews2024
    Dev: Woodland GamesPub: Team17 Digital Ltd
    Windows
    Median: 4.1 hrsMean: 4.6 hrs≥1hr: 79%

    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 63.6%, Simulation 9.3%, Horror 8.3%, Realistic 6.3%, First-Person 5.1%

  55. #55 Stories of Liane
    70% 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 37.4%, Horror 16.4%

  56. #56 CURE - A Hospital Simulator
    64% matchVery Positive87% of 942 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.9 hrsMean: 9.5 hrs≥1hr: 86%

    Manage the night shift of 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. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!

    Why similar: Medical Sim 41.1%, Outbreak Sim 36.4%, Immersive Sim 10.8%, Realistic 5.1%, First-Person 3.8%

  57. #57 The Permanent Residence : Souls Kept
    67% matchMostly Positive78% of 102 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 55.4%, First-Person 41.6%, Singleplayer 3.1%

  58. #58 Is this Game Trying to Kill Me? Preface
    65% matchVery Positive98% of 217 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 38.6%, Puzzle 33.4%, First-Person 24.5%, Singleplayer 3.6%

  59. #59 Iron Lung
    64% 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: Horror 67.2%, First-Person 32.8%

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Negative Atmosphere: Emergency Room Prototype cover art

Games Like Negative Atmosphere: Emergency Room Prototype

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