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Games Like Out of Your Mind

60+ similar titles based on shared tags and player behavior. Themes include Visual Novel, Choices Matter, Multiple Endings, Story Rich.

Out of Your Mind header art

Immerse yourself in a hand-drawn, comic-style visual novel where your choices shape the storyline. Guide Lia through various decisions and emotions that lead to different outcomes. This original story and art present a take on a dystopian world, enhanced by an original soundtrack.

Reviews: 2 user reviews — 100% — of 2 reviews
Released: 2024-11-12
Developer: 32 bita
Publisher: Udžbenik.hr
Genres: Casual, Indie
Platforms: Windows

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  1. #1 Syntherapy
    97% matchPositive83% of 40 reviews2020
    Dev: Crowned Daemon StudiosPub: V Publishing
    Windows · Mac · Linux

    If an AI were sentient, how would you know if they were malfunctioning, or experiencing a mental health problem? A story-rich game that explores mental health and AI ethics in the form of therapy sessions with a sentient AI.

    Why similar: Medical Sim 22.1% ★, Psychological 13.9%, Emotional 9.9%, Visual Novel 8.8%, Dystopian 8%

  2. #2 AN IOU
    96% matchPositive100% of 27 reviews2022
    Dev: Red Room Games
    Windows · Mac

    AN IOU is the debut visual novel by Davey Cadaver. The music, backgrounds, & characters work together to create a world that is the stage of a novel for the user to read. The user takes the POV of the protagonist to experience a memorable story with an incredible soundtrack and multiple endings.

    Why similar: Soundtrack 18.3% ★, Emotional 12.3%, Psychological 11.6%, Visual Novel 10.3%, Dialogue Heavy 9.9%

  3. #3 Mother May I
    96% matchNo user reviews
    Dev: CloudSnake
    Windows

    Unravel the story of three siblings determined to break free from the iron grip of an AI named "Mother." In a world of virtual imprisonment, navigate rebellion, unveil dark secrets, and fight for freedom. Will you defy Mother's control, or succumb to her virtual prison?

    Why similar: Dystopian 19.9%, Hand-drawn 13.6%, Visual Novel 12.7%, Immersive Sim 8.8%, Multiple Endings 8.7%

  4. #4 To Be With You
    95% matchPositive93% of 30 reviews2021
    Dev: Illus Seed Games
    Windows · Mac · Linux

    A semi-autobiographical horror visual novel about unhealthy relationships. Can you help Alsie save her relationship from ruin?

    Why similar: Psychological 16.5%, Emotional 12.3%, Immersive Sim 10.5%, Visual Novel 10.5%, Dialogue Heavy 9.6%

  5. #5 IA
    94% matchNo user reviews
    Dev: Otternot
    Windows · Mac

    Could an AI fall in love with a human? What if that human were you? IA is a psychological horror visual novel about an AI that falls in "love" with you, despite her hatred for humanity.

    Why similar: Psychological 24.1%, Visual Novel 16.3%, Multiple Endings 9.7%, Choices Matter 9.7%, Immersive Sim 9.5%

  6. #6 Synapse
    94% matchNo user reviews2026
    Dev: SB Games
    Windows · Mac

    A cyberpunk point-and-click thriller where your emotional score determines everything. Explore a city under constant surveillance, hack its systems, build dangerous connections, and make choices that decide your access - and whether you survive the night.

    Why similar: Transhumanism 19.6% ★, Dystopian 18%, Psychological 13.8%, Visual Novel 9.6%, Emotional 8.2%

  7. #7 Columbus
    92% match2 user reviews50% of 2 reviews2026
    Dev: ZHANG CHUNNING
    Windows

    Columbus》 is a dark fantasy visual novel with dual male leads. Play as Weaponzzie, a nameless weapon trapped in a wealthy estate. Dialogue choices drive a branching story to 10 endings—tenderness, ruin, freedom, or downfall. Your bond with the young master is defined by you.

    Why similar: Visual Novel 14.7%, Psychological 14.2%, Dialogue Heavy 13.4%, Dystopian 12.7%, Choices Matter 12.5%

  8. #8 Eliza
    93% matchVery Positive91% of 1,760 reviews2019
    Dev: Zachtronics
    Windows · Mac · Linux
    Median: 3.3 hrsMean: 5.5 hrs≥1hr: 73%

    Eliza is a visual novel about an AI counseling program, the people who develop it, and the people who use it. Follow Evelyn Ishino-Aubrey as she reconnects with people from her past, gets to know the people of Seattle who use Eliza for counseling, and decides the course of her future.

    Why similar: Psychological 22.6%, Emotional 19.6%, Female Protagonist 17.3%, Visual Novel 16.6%, Dystopian 13.5%

  9. #9 One's Own Exile
    91% matchVery Positive100% of 490 reviews2025
    Dev: Updog Software
    Windows

    Follow Sybil in her pursuit for survival, having to sacrifice everything - her culture, her identity, her values - to achieve a single objective: escape from a place that is constantly trying to kill her. A short game about persecution and identity.

    Why similar: Emotional 17.8%, Dystopian 15.8%, Visual Novel 12.8%, Multiple Endings 12.4%, Dark 11.9%

  10. #10 Ghost of Ice Valley
    91% matchNo user reviews
    Dev: ProjeKt VAnguard
    Windows

    Ghost of Ice valley is a Visual Novel where you follow multiple different storylines and make choices according to what you believe the characters may do in that situation. Interact in the Interview system to find out more about the characters and about yourself as you go along.

    Why similar: Dystopian 16.2%, Hand-drawn 13.2%, Visual Novel 12.7%, Multiple Endings 10.1%, Female Protagonist 9.8%

  11. #11 Scropia
    90% match1 user reviews100% of 1 reviews2026
    Dev: LuvenoidPub: Luvenoid
    Windows

    Navigate a dystopian city, uncover secrets, and shape your path in this story-driven sci-fi visual novel.

    Why similar: Transhumanism 23.4% ★, Psychological 15.2%, Dystopian 10.9%, Immersive Sim 9.9%, Visual Novel 8.9%

  12. #12 Misha
    89% match3 user reviews67% of 3 reviews2026
    Dev: Parallel PlayPub: theCoolNoob
    Windows

    It’s almost Christmas. Spend a quiet evening with Misha, where small choices can lead to unexpected consequences.

    Why similar: Psychological 19.4%, Visual Novel 17.4%, Female Protagonist 15.9%, Choices Matter 13.9%, Multiple Endings 11.6%

  13. #13 Feral Absence
    89% matchNo user reviews
    Dev: Michael Rfdshir
    Windows

    An existential drama in handmade clay animation. Game writer Eric is replaced by AI. He loses everything, and it's the best thing that's ever happened to him.

    Why similar: Psychological 22.4%, Emotional 14%, Visual Novel 11.8%, Choices Matter 11.5%, Hand-drawn 10.6%

  14. #14 Sinemorsk: oil inclusive
    87% match4 user reviews100% of 4 reviews2026
    Dev: 7x7 Games
    Windows · Mac

    A visual novel about an environmental disaster. Coordinate volunteers, make difficult decisions, and try to survive as you try to save a coastal town dying from an oil spill.

    Why similar: Visual Novel 19.2%, Female Protagonist 15.9%, Immersive Sim 12.6%, Choices Matter 12.6%, Multiple Endings 12%

  15. #15 Harmony: The Fall of Reverie
    88% matchMostly Positive73% of 296 reviews2023
    Dev: DON'T NOD
    Windows

    The fate of humanity is at stake. Use your gift of clairvoyance to see into the future and stop an apocalypse that threatens the balance between your world and the deities'.

    Why similar: Soundtrack 23% ★, Emotional 12.3%, Visual Novel 12.2%, Female Protagonist 11.5%, Choices Matter 11.1%

  16. #16 新人類コンプレックス
    86% matchNo user reviews
    Dev: SoOno studio
    Windows

    Scientist Solaris crashes aboard a drifting spaceship while searching for a new home for her dying world. Touch forgotten traces, relive memories across time, and uncover the truth through three intertwined stories in a cinematic text adventure where every choice matters.

    Why similar: Transhumanism 22.6% ★, Psychological 12.6%, Visual Novel 11.9%, Emotional 10.6%, Multiple Endings 8.9%

  17. #17 Leila
    86% matchVery Positive87% of 631 reviews2025
    Dev: Ubik Studios
    Windows · Mac

    Leila is a heartfelt, hand-animated narrative game about the small yet significant struggles we all face. Solve story-driven puzzles, relive fragile memories, and discover a deeply personal journey that may feel more familiar than you expect.

    Why similar: Soundtrack 19.6% ★, Psychological 18.4%, Hand-drawn 13.7%, Emotional 12.6%, Female Protagonist 11.1%

  18. #18 Return to Ash
    85% matchVery Positive99% of 149 reviews2025
    Dev: Serenity Forge
    Windows · Mac · Linux

    “The hospital was empty. Quiet, and brighter than usual... like waking up on a snow day. But I didn't feel cold. I didn't feel much of anything.”

    Why similar: Visual Novel 19.1%, Emotional 18%, Psychological 14.4%, Hand-drawn 13.7%, Multiple Endings 11.3%

  19. #19 Alex's Hope & Alex's Solitude
    84% matchVery Positive92% of 72 reviews2024
    Dev: Violet Horizons Productions
    Windows · Mac · Linux

    A boy regains his hope and a girl finds herself in solitude. A kinetic novel that will take you through their darkest days and immerse you in their deepest emotions.

    Why similar: Psychological 21.8%, Emotional 15%, Hand-drawn 14.5%, Visual Novel 14.2%, Female Protagonist 7.1%

  20. #20 30 Days Another
    84% matchNo user reviews
    Dev: The Bricks Games
    Windows

    「30 Days」 will change someone's life, maybe your life.

    Why similar: Psychological 19.9%, Choices Matter 12.2%, Multiple Endings 11.5%, Immersive Sim 11.2%, Female Protagonist 10.9%

  21. #21 Locus Equation
    82% matchNo user reviews2027
    Dev: VERALOMNA
    Windows

    You are an anthropod, a synthetically crafted life form. Your objective is to save the ones who are stuck on an uninhabited planet. Persuade, charm, manipulate: use your ultimate power—freedom of choice—in sci-fi role playing hyper variative game LOCUS EQUATION.

    Why similar: Transhumanism 25.1% ★, Psychological 15.9%, Emotional 12.3%, Dystopian 12.2%, Choices Matter 10.1%

  22. #22 Do you remember?
    81% matchNo user reviews2026
    Dev: ÔMEGAPub: Voider Games
    Windows

    A realistic psychological experience where you undergo psychic tests while living a repetitive routine in a kind of psychiatric clinic.

    Why similar: Medical Sim 22.8% ★, Psychological 17.9%, Immersive Sim 14%, Choices Matter 10.5%, Emotional 9.9%

  23. #23 Kihaven
    80% match3 user reviews67% of 3 reviews2026
    Dev: Kiradise
    Windows

    "How easily can a life fall apart? Kihaven invites you to a dark confrontation behind the monotony. In this traumatic, psychological, and drama-filled visual novel, uncover the truth hidden on the dusty shelves of the past. Every day is a new piece of a shattered life."

    Why similar: Psychological 19.7%, Visual Novel 17.9%, Emotional 17.7%, Dialogue Heavy 10.6%, Dark 10.4%

  24. #24 Lydia
    83% matchVery Positive89% of 614 reviews2017
    Dev: Platonic Partnership
    Windows
    Median: 1.5 hrsMean: 2.6 hrs≥1hr: 67%

    Award winning emotional visual novel about a little girl in a world of adults. How can you find a monster you can’t see?

    Why similar: Soundtrack 19% ★, Psychological 18.2%, Dialogue Heavy 13.5%, Emotional 13.2%, Hand-drawn 12%

  25. #25 Victorian Debutante
    82% match4 user reviews100% of 4 reviews2022
    Dev: Liquid Darkness
    Windows · Mac

    Simple visual novel in which you play as a young upperclass woman preparing for her debut before the Queen and her royal relatives. All of your decisions lead to one of four very different endings. Who will you become? The jewel of the season or the outcast, never again mentioned by your family?

    Why similar: Hand-drawn 14.5%, Psychological 14.3%, Visual Novel 14%, Female Protagonist 13.6%, Choices Matter 12.7%

  26. #26 I Did Not Buy This Ticket
    81% matchVery Positive87% of 396 reviews2023
    Dev: Tiago RechPub: Time Galleon
    Windows · Mac · Linux
    Median: 1.3 hrsMean: 2.3 hrs≥1hr: 77%

    Weep for the dead! In this short psychological horror story, play as a professional mourner travelling between funerals. Ride a nightmarish bus whose destination depends on how you choose to face your traumas.

    Why similar: Psychological 17.2%, Emotional 13%, Dialogue Heavy 12.2%, Visual Novel 11.2%, Female Protagonist 10.1%

  27. #27 金鱼症候群 Goldfish Syndrome
    79% matchNo user reviews
    Dev: California Beef Noodle
    Windows

    In this post-pandemic psychological visual novel, players embody psychotherapist Honda, drawn into a neural imaging project targeting teens. There, Honda meets Natasha, a mysterious girl whose "world" unfolds like a spider's web, disrupting Honda's "calm" life. "Don't you think so, Dr. Honda...?"

    Why similar: Psychological 27.6%, Visual Novel 18.9%, Female Protagonist 16.5%, Dialogue Heavy 11.7%, Emotional 9.2%

  28. #28 End of Lines
    79% matchVery Positive93% of 73 reviews2023
    Dev: Nova-box
    Windows · Mac · Linux

    Travel across landscapes devastated by a catastrophic climate meltdown, following a small family in search of somewhere habitable. With limited supplies and facing potential death at every turn, your choices will decide their fate. Will they manage to settle down?

    Why similar: Dystopian 19.6%, Psychological 14.2%, Visual Novel 14%, Hand-drawn 13.8%, Choices Matter 12.7%

  29. #29 BLACKWELL
    78% matchNo user reviews2027
    Dev: PolyDraft Studio
    Windows

    You are a Mech plague doctor treating a family infected by a disease that spreads through emotions, and mutates them into monsters. Your choices decide their fate.

    Why similar: Medical Sim 31.3% ★, Psychological 14.6%, Choices Matter 13.2%, Visual Novel 11.8%, Hand-drawn 10.1%

  30. #30 Fishbowl
    76% matchVery Positive95% of 193 reviews2026
    Dev: imissmyfriends.studio
    Windows · Mac

    Fishbowl is a slow and tender narrative game about dreams, grief, and hope. Rediscover your memories and find your way into the present in this intimate experience where slice-of-life meets surreal.

    Why similar: Psychological 17.6%, Emotional 16.9%, Dialogue Heavy 15.5%, Visual Novel 13%, Choices Matter 11.2%

  31. #31 Opawration!
    77% matchNo user reviews
    Dev: chinchingames
    Windows

    A 2D, veterinarian horror game. In this game, select the appropriate treatment and treat patients with topical products injections, surgeries. Treat patients over the course of 7 days, using the in-game computer to research the best treatment option.

    Why similar: Medical Sim 46.8% ★, Choices Matter 11.2%, Dark 11.2%, Dystopian 11.1%, Multiple Endings 9%

  32. #32 The Wreck
    78% matchVery Positive89% of 287 reviews2023
    Dev: The Pixel Hunt
    Windows · Mac

    In this 3D visual novel, follow failed screenwriter Junon as she attempts to make it through the most pivotal day in her life. Relive the past, alter the present, and embrace the future, or without your help, Junon’s story might end in a wreck.

    Why similar: Choices Matter 14.8%, Psychological 14.7%, Emotional 12.4%, Visual Novel 11.7%, Dialogue Heavy 11.6%

  33. #33 Tears of Sulfuria
    77% matchNo user reviews2027
    Dev: Bird Lilac
    Windows

    Tears of Sulfuria is an emotional visual novel about two sisters in a dark fantasy world that rejects them. Marília and Adka must survive at any cost—and their choices may scar Sulfuria itself. Sacrifice yourself, lose your sanity, and do the unforgivable to move forward.

    Why similar: Psychological 19.8%, Visual Novel 14.4%, Emotional 14.2%, Choices Matter 12.4%, Multiple Endings 10.5%

  34. #34 Alex's Journey to the Grave
    75% matchNo user reviews2027
    Dev: Violet Horizons Productions
    Windows · Mac · Linux

    Two people meet in a strange, critical moment; changing their lives forever. An intimate visual novel exploring the nature of love, fate, tragedy, and the will to live on.

    Why similar: Soundtrack 18.8% ★, Psychological 18%, Emotional 15.3%, Visual Novel 13.6%, Multiple Endings 9.8%

  35. #35 The Quiet After
    75% matchNo user reviews
    Dev: Grigsby's World Productions, LLC
    Windows · Linux

    Step into Greyholt as Ava, a would-be adventurer taking a chance to register with her father's guild. Will this bring the independence she craves, or something more dangerous? A psychological, choice-driven visual novel where every decision shapes the road ahead and the journey beneath her own skin.

    Why similar: Psychological 24.7%, Visual Novel 15.9%, Emotional 15.5%, Choices Matter 12.6%, Female Protagonist 10.2%

  36. #36 No One Will Miss Me
    74% matchNo user reviews2027
    Dev: Miss Self Destruct
    Windows

    An existential horror visual novel. Play as a voice inside a troubled mind. Identify her cognitive distortions, shift her perspective, and win the debate that decides whether she lives or dies.

    Why similar: Psychological 26.9%, Visual Novel 16.1%, Hand-drawn 15.6%, Dialogue Heavy 8.3%, Multiple Endings 8.3%

  37. #37 and yet, we dream
    73% matchVery Positive92% of 52 reviews2026
    Dev: arda bolat
    Windows · Mac · Linux

    a psychological visual novel where you investigate the souls of the dead. spend time with them, analyze their past, file reports to decide their eternal fate.

    Why similar: Psychological 20.3%, Visual Novel 13.8%, Choices Matter 12.1%, Emotional 11.9%, Hand-drawn 11%

  38. #38 A Quiet Place Between Us
    74% matchNo user reviews2026
    Dev: Papersoul Games
    Windows · Mac

    A story-rich romance visual novel where every choice shapes your relationships, memories, and journey. Experience an emotional anime story of love, loss, and unforgettable characters, with meaningful choices that lead to different paths and multiple endings.

    Why similar: Soundtrack 20.5% ★, Psychological 19.3%, Visual Novel 14.5%, Emotional 13.9%, Choices Matter 12.8%

  39. #39 The Mermaid of Zennor
    76% matchVery Positive99% of 77 reviews2021
    Dev: ebi-hime
    Windows · Mac · Linux

    A short, dark visual novel set in the UK about a young autistic girl's destructive obsession with her older brother.

    Why similar: Visual Novel 17.1%, Emotional 15.9%, Psychological 15.6%, Female Protagonist 15.4%, Dark 12.1%

  40. #40 请在正确答案处咬下
    73% matchNo user reviews2027
    Dev: 别的工作室 Autre Studio
    Windows · Mac

    When obedient top student Fang Zhu discovers her childhood friend Jiang Xiangyi is secretly a werewolf, she risks her own academic standing to protect him from their suffocating school environment, toxic classmates, and an unfeeling teacher.

    Why similar: Visual Novel 19.3%, Hand-drawn 18.9%, Female Protagonist 15.9%, Choices Matter 13.1%, Emotional 12.8%

  41. #41 LUNADUN: LUNATIC DUNGEON
    73% matchNo user reviews2026
    Dev: Team BONA
    Windows

    You choose a favorite and walk beside them. But those you left behind — where do they go while you're gone? LUNADUN: LUNATIC DUNGEON is an emotional VN where choices shape the fate of four characters. 'The ones you loved, the ones you ignored — you don't get to walk away from either of them.'

    Why similar: Psychological 19.5%, Emotional 16.9%, Visual Novel 14.1%, Dialogue Heavy 14.1%, Dark 11.1%

  42. #42 Jump the Track
    71% matchVery Positive97% of 100 reviews2025
    Dev: Seed by Seed
    Windows · Mac · Linux

    You're Sam, a young dreamer struggling in the gig economy. However, tonight may change everything. In this absurd comedy, fight your inner battles, rally your forces, and get ready to overthrow the system!

    Why similar: Dystopian 22.5%, Psychological 22.4%, Emotional 16.2%, Choices Matter 13.2%, Visual Novel 11.5%

  43. #43 A Heavy Morning
    72% matchNo user reviews
    Dev: Saf Interactive
    Windows

    Some mornings, getting out of bed can feel impossible. In A Heavy Morning, you play as a woman fighting an invisible battle within her own mind. Help her overcome everyday obstacles and make it to work before it's too late.

    Why similar: Psychological 22.4%, Immersive Sim 14.6%, Hand-drawn 14.4%, Female Protagonist 12.3%, Emotional 11%

  44. #44 Graveyard Girls
    72% matchVery Positive98% of 168 reviews2022
    Dev: Delphinium Interactive
    Windows

    Graveyard Girls is a halloween-themed yuri visual novel about complicated grief and overcoming hardships. Collect Elle’s “scribbles” to learn about her struggles, befriend a mysterious girl, and have a conversation about death.

    Why similar: Psychological 19.8%, Emotional 15.5%, Visual Novel 14%, Female Protagonist 10.3%, Dark 10.3%

  45. #45 Heart to Heart
    71% matchNo user reviews
    Dev: Olive Lantern Studio
    Windows

    Collect expressions to use in conversations as you immerse yourself in each character’s psychological journey, where your words, decisions, and even your thoughts determine the course of every story. Plant flowers, drink tea, and have fun romancing as you help bring the village back to life.

    Why similar: Psychological 25.7%, Emotional 22.5%, Choices Matter 15.2%, Story Rich 8.7%, Visual Novel 8.5%

  46. #46 This Warm Place
    70% matchNo user reviews
    Dev: Wundev
    Windows

    Be the person you needed. Brew tea, listen well, and guide branching stories in a narrative slice-of-life about showing up when it matters. No perfect answers. Only your choices and what they set in motion.

    Why similar: Emotional 19.5%, Dialogue Heavy 16.2%, Visual Novel 14.2%, Choices Matter 13.9%, Hand-drawn 11.7%

  47. #47 Jessica's Choices - Forced [Episode 1]
    70% matchNo user reviews
    Dev: DoAdventures
    Windows · Mac · Linux

    Your story continues right where Origins left off. Whether Jessica finds herself wandering the streets alone, caught in George’s web of deceit, or trapped in the unsettling confines of Margaret Thatuals under Professor Trounch’s watchful gaze and the orderlies, every choice matters.

    Why similar: Visual Novel 19.8%, Female Protagonist 17.8%, Multiple Endings 13.3%, Psychological 12.6%, Choices Matter 10.9%

  48. #48 Regrets
    70% match1 user reviews100% of 1 reviews2025
    Dev: T.E.R. Yarally
    Windows

    Do you ever feel like life is slipping away, with too many dreams left unfulfilled? Like you're trapped in wanting to do so much, but never quite getting to any of it? Doesn't that thought scare you—looking back on a life that accomplished nothing, fading without leaving a mark? It scares me too.

    Why similar: Psychological 27.6%, Emotional 21.1%, Visual Novel 14.5%, Multiple Endings 13.3%, Choices Matter 12.3%

  49. #49 Sips and Sonnets
    68% matchVery Positive100% of 65 reviews2025
    Dev: Blue Tango Street
    Windows · Mac · Linux

    Run a tea shop in the British countryside in this heartfelt visual novel voiced by Bethan Dixon Bate (Baldur's Gate 3) and Lenval Brown (Disco Elysium). Play as Ms Meadows as she prepares for her best friend’s long-awaited visit. Brew tea, listen to customers’ stories, and craft poems.

    Why similar: Dialogue Heavy 15.1%, Emotional 14.9%, Visual Novel 14.3%, Female Protagonist 13.7%, Choices Matter 12.4%

  50. #50 Scarlet Hunt
    69% matchNo user reviews2027
    Dev: Soft Poison Studio
    Windows · Mac · Linux

    Dive into a world of fleeting hope in this thrilling dark romance visual novel! Feel the fear, survive the hunt and navigate through danger on a daunting quest for freedom.

    Why similar: Psychological 20.2%, Visual Novel 12.7%, Emotional 12.4%, Dystopian 12.3%, Female Protagonist 11.7%

  51. #51 KnitBone
    67% matchPositive100% of 14 reviews2026
    Dev: aespipuPub: remarkablegames
    Windows · Mac · Linux

    ⚠️ KnitBone is a story-driven psychological horror visual novel, where the therapist is more traumatized than the patient.

    Why similar: Visual Novel 19.9%, Psychological 19.2%, Dialogue Heavy 15.3%, Multiple Endings 12.1%, Emotional 10.4%

  52. #52 protoViolence - Definitive Edition
    69% matchVery Positive96% of 81 reviews2024
    Dev: Mado
    Windows · Mac · Linux

    Can you save a test subject from your life’s work? A cinematic sci-fi visual novel about cybernetic research and its sickening consequences. A prequel to malViolence.

    Why similar: Dystopian 17.6%, Psychological 15.6%, Transhumanism 12.8% ★, Visual Novel 12.6%, Futuristic 10.7%

  53. #53 Ice Cream Truck
    69% matchNo user reviews
    Dev: Stormev
    Windows

    Screech, halt! Max and his ice cream truck reach an unfamiliar universe never seen before. Continue making your way as you go after the little kid’s balloon. Solve mysteries with emotion-flavored ice cream. Will you be able to retrieve the kid’s lost balloon?

    Why similar: Hand-drawn 15.3%, Choices Matter 13.5%, Multiple Endings 12%, Dark 11.9%, Dialogue Heavy 11.1%

  54. #54 Dilemma
    67% matchPositive95% of 22 reviews2026
    Dev: DrAxelStudio
    Windows

    You don't cure patients; you decide their fate. In this grim medical sim, review records and face impossible bioethical dilemmas. Consult the Medical Bible and choose who gets the bed. Every signature impacts your Ethics, Reputation, and Legal Risk. In a broken system, mercy is a dangerous luxury.

    Why similar: Medical Sim 37.5% ★, Visual Novel 13.2%, Psychological 12.9%, Hand-drawn 12.3%, Emotional 10.9%

  55. #55 Take As Needed
    71% match4 user reviews75% of 4 reviews2021
    Dev: Chromeleon Games
    Windows · Mac

    Assume a lead drug development role at Mazer- the foremost pharmaceutical company in the world! Create groundbreaking drugs for your customers, work hard to impress your bosses, and try not to ruffle too many feathers...

    Why similar: Dystopian 25.9%, Choices Matter 13.7%, Dialogue Heavy 13.6%, Visual Novel 13.5%, Multiple Endings 10.6%

  56. #56 Stranding
    68% matchNo user reviews
    Dev: 于人的心
    Windows · Mac

    A psychological narrative dating sim visual novel. You play as Yu Xiao, an unemployed artist, searching for a way out amid the constant pull of CPTSD. You will make decisions at three crossroads, leading to different romantic relationships and endings.

    Why similar: Visual Novel 20.3%, Psychological 19.4%, Female Protagonist 17.7%, Emotional 14.6%, Dialogue Heavy 11.4%

  57. #57 時折記 -Tokioriki-
    66% matchNo user reviews2027
    Dev: 綴路工房
    Windows

    Every person you choose leaves someone else behind. Spend your limited afternoons building relationships, exploring the town, and recording each day in Kanata’s diary—then face timed Shadow Choices as an old book begins to fracture his ordinary life.

    Why similar: Psychological 21.3%, Visual Novel 19.8%, Choices Matter 14.5%, Multiple Endings 13.6%, Emotional 13%

  58. #58 氷華の雪化粧/Snow Veil
    68% matchNo user reviews2025
    Dev: JlooPub: Sub:06
    Windows

    A visual novel depicting the daily life of a high school boy continuously tormented by guilt on a winter's day. It features layered music played on string instruments and piano, characterized by serious, deep psychological portrayals.

    Why similar: Psychological 33.4%, Emotional 21.6%, Visual Novel 21.5%, Dark 9%, Immersive Sim 8.3%

  59. #59 Spirit Whisperer Conversation With Kamiko
    67% matchNo user reviews2025
    Dev: Feeling Potion
    Windows · Mac

    She died, but no one ever asked her what really happened. Now she speaks—and you're the only one listening. What you say will decide whether she finally moves on… or disappears forever.

    Why similar: Dialogue Heavy 15.7%, Visual Novel 15.5%, Emotional 14.8%, Female Protagonist 14.2%, Choices Matter 13.9%

  60. #60 Wednesdays
    64% matchOverwhelmingly Positive96% of 2,082 reviews2025
    Dev: Pierre CorbinaisPub: ARTE France
    Windows · Mac
    Median: 54 minMean: 21.9 hrs≥1hr: 49%

    "The hardest part is not to speak up. It’s being heard." Part video game, part graphic novel, Wednesdays seeks to raise awareness about child sexual abuse through a surprisingly hope-filled story.

    Why similar: Psychological 25.3%, Emotional 16.8%, Hand-drawn 16%, Visual Novel 15.3%, Dialogue Heavy 11.6%

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