- #1 The Kindeman Remedy
97% matchMixed70% of 302 reviews2023
Dev: Troglobytes GamesPub: 3D Realms
Windows
Median: 2.2 hrsMean: 5.6 hrs≥1hr: 64%
The most blasphemous, diabolical and insane management game ever created. Aided by a lascivious nun in a grim prison, rig executions, conduct horrid experiments and do the unspeakable to cook up your cure-all: The Kindeman Remedy. Do not be afraid. This time, you're the monster.
Why similar: Medical Sim 53.1% ★, Management 11.8%, Dark Humor 11.8%, Horror 7.6%, Multiple Endings 5.2%
Why You'll Like It: A dark medical management game where you perform unethical experiments and manage a hospital with a sinister agenda.
- #2 Do No Harm
96% matchMostly Positive75% of 901 reviews2025
Dev: Darts Games
Windows
Median: 2.5 hrsMean: 5.9 hrs≥1hr: 76%
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 69% ★, Management 9.7%, Choices Matter 6.8%, Multiple Endings 6.4%, Story Rich 6.1%
Why You'll Like It: A medical-themed simulation that emphasizes dark, story-driven choices and time-management under pressure.
- #3 Organs Please
96% matchVery Positive84% of 324 reviews2023
Dev: TECHHOMEPub: HeroCraft PC
Windows
Median: 3.2 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: Management 33%, Multiple Endings 21.5%, Choices Matter 16.1%, Story Rich 13.3%, 2D 8.7%
Why You'll Like It: A dystopian management sim that forces you to make difficult, dark choices about who lives and who dies.
- #4 Space Warlord Organ Trading Simulator
94% matchVery Positive93% of 856 reviews2021
Dev: Strange Scaffold
Windows
Median: 2.4 hrsMean: 4.8 hrs≥1hr: 72%
Buy, sell, and trade organs in a strange and evolving universe. Dive into the quivering innards of alien capitalism in the sci-fi body horror market tycoon game you didn't know you needed.
Why similar: Funny 49.7%, 2D 25.9%, Simulation 24.4%
Why You'll Like It: Captures the dark humor and medical-themed management of the seed game through its bizarre organ-trading economy.
- #5 Graveyard Keeper
94% matchVery Positive86% of 52,820 reviews2018
Dev: Lazy Bear GamesPub: tinyBuild
Windows · Mac · Linux
Median: 7.3 hrsMean: 27.3 hrs≥1hr: 80%
Build and manage a medieval graveyard while facing ethical dilemmas and making questionable decisions. Welcome to Graveyard Keeper, the most inaccurate medieval cemetery sim of the year.
Why similar: Management 35.3%, Dark Humor 22.8%, RPG 21.8%, Simulation 9.6%, Story Rich 5.8%
Why You'll Like It: Offers a similar dark comedic tone and management gameplay, focusing on the macabre business of death.
- #6 Psychiatrist Simulator
95% matchMixed40% of 127 reviews2018
Dev: Eathrabaria
Windows
Median: 12 minMean: 19.4 hrs≥1hr: 35%
Have you ever wanted to be a psychiatrist? Now you can! Be a shrink for 14 days. Meet 14 patients with unique story of their lives. Diagnosis, treatment, chosen dialogues have impact on history of patients. The choice is yours.
Why similar: Medical Sim 49.7% ★, Dark Humor 16.9%, Horror 9.9%, Funny 7.9%, Story Rich 6%
Why You'll Like It: Focuses on the dark, psychological side of the medical profession with a heavy emphasis on narrative and dark humor.
- #7 Muffles' Life Sentence
92% matchVery Positive96% of 167 reviews2025
Dev: BossyPinoPub: Black Lantern Collective
Windows
Take back your identity in Muffles’ Life Sentence- a darkly quirky RPG set in a prison where inmates are remade to match their crimes.
Why similar: Dark Comedy 28.7%, JRPG 19.3%, Dark Humor 16.5%, Turn-Based Combat 8.8%, RPG 7.7%
Why You'll Like It: A dark-humored RPG that features unique card-battling mechanics and a cynical, story-rich world.
- #8 Suits: A Business RPG
93% matchVery Positive87% of 1,046 reviews2016
Dev: Technomancy Studios
Windows · Mac · Linux
Median: 4.1 hrsMean: 4.8 hrs≥1hr: 95%
Corporations control the entire global government. Injustice has inspired a revolution in Suits City. Follow the journey of a businessman's descent into corruption...
Why similar: Dark Comedy 38.4%, JRPG 21%, Turn-Based Combat 13.5%, Horror 8.5%, RPG 8.4%
Why You'll Like It: A satirical RPG that shares the dark comedy and business-management themes found in the seed game.
- #9 Vampire Therapist
91% matchVery Positive94% of 937 reviews2024
Dev: Little Bat Games
Windows · Mac · Linux
Median: 2.2 hrsMean: 5.2 hrs≥1hr: 73%
Guide vampires through centuries of emotional baggage, decades of delusions and the odd bout of self-loathing with real cognitive behavioral therapy concepts and become a Vampire Therapist! Even vampires need a shoulder to cry on when a neck to bite just won’t do.
Why similar: Dark Comedy 43.1%, Dark Humor 19.9%, Horror 12.1%, Funny 9.4%, Story Rich 6.9%
Why You'll Like It: A dark comedy visual novel that explores therapy through a supernatural lens, matching the seed's quirky tone.
- #10 A Work of Art
91% matchVery Positive95% of 346 reviews2024
Dev: Randumb Studios
Windows
A dark, witty, psychological thriller in the horror genre, A Work of Art presents a 1-2 hour story-driven experience with Visual Novel features and RPG elements. Follow a colorful cast of quirky characters through a twisted tale of beauty and darkness; All to the sound of a Dark Original soundtrack.
Why similar: Dark Comedy 32.8%, JRPG 20.2%, Dark Humor 10.3%, Horror 9.4%, RPG 6.6%
Why You'll Like It: Combines dark comedy, simulation, and RPG elements in a narrative-heavy experience that feels tonally similar.
- #11 Two Point Hospital
90% matchVery Positive92% of 34,521 reviews2018
Dev: Two Point StudiosPub: SEGA
Windows · Mac · Linux
Median: 5.5 hrsMean: 35.1 hrs≥1hr: 89%
Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.
Why similar: Medical Sim 71.3% ★, Management 17.4%, Simulation 5.3%, Funny 4.4%, Comedy 1.6%
Why You'll Like It: Provides a more lighthearted take on medical management, perfect for those who enjoy the clinic-building aspect of the seed game.
- #12 The Edge of Allegoria
89% matchVery Positive90% of 221 reviews2024
Dev: Button Factory GamesPub: CobraTekku Games
Windows · Mac
Turn-based RPG, inspired by classic titles from the golden age of handheld gaming. But make no mistake: This ain't no f@#%ing kid's game.
Why similar: Dark Comedy 36.6%, JRPG 21.6%, Turn-Based Combat 13.2%, Dark Humor 12.9%, RPG 8.2%
Why You'll Like It: A retro-styled RPG that leans heavily into dark comedy and turn-based combat.
- #13 Cult of the Lamb
88% matchOverwhelmingly Positive96% of 123,767 reviews2022
Dev: Massive MonsterPub: Devolver Digital
Windows · Mac
Median: 13.5 hrsMean: 25.3 hrs≥1hr: 94%
Start your own cult in a land of false prophets, venturing out into diverse and mysterious regions to build a loyal community of woodland Followers and spread your Word to become the one true cult.
Why similar: Dark Humor 63.8%, Funny 23.2%, 2D 12.9%
Why You'll Like It: Blends management simulation with dark, cult-themed horror and tactical combat elements.
- #14 Revenge Of The Colon
89% matchVery Positive85% of 411 reviews2023
Dev: Lilou Studio
Windows
Median: 2.5 hrsMean: 3.2 hrs≥1hr: 67%
Revenge of the colon is a story driven, single-player, atmospheric, body horror game with multiple endings. Perform colonoscopies on five patients and discover the horrors concealed deep within them. PS1 horror style!
Why similar: Medical Sim 50.8% ★, Dark Humor 15.1%, Horror 13.8%, Multiple Endings 7.2%, Choices Matter 6.7%
Why You'll Like It: A surreal, psychological horror game that shares the dark, medical-adjacent themes of the seed.
- #15 Potion Craft: Alchemist Simulator
86% matchVery Positive93% of 43,576 reviews2022
Dev: niceplay gamesPub: tinyBuild
Windows
Median: 5.4 hrsMean: 11.0 hrs≥1hr: 86%
Potion Craft is an alchemist simulator where you physically interact with your tools and ingredients to brew potions. You're in full control of the whole shop: invent new recipes, attract customers and experiment to your heart's content. Just remember: the whole town is counting on you.
Why similar: Management 44.5%, RPG 17.7%, Choices Matter 14.3%, Simulation 13.3%, 2D 10.2%
Why You'll Like It: Focuses on the alchemy and shop-management aspects of the seed game with a stylized, 2D aesthetic.
- #16 LISA: The Painful
87% matchOverwhelmingly Positive95% of 15,017 reviews2014
Dev: Dingaling ProductionsPub: Serenity Forge
Windows · Mac · Linux
Median: 4.5 hrsMean: 29.6 hrs≥1hr: 83%
The miserable journey of a broken man...
Why similar: JRPG 24.6%, Dark Humor 21.8%, Horror 11.7%, RPG 9.3%, Funny 9.1%
Why You'll Like It: A 2D RPG known for its dark humor, bizarre world, and difficult moral choices.
- #17 PLEASE STOP CRYING
86% matchVery Positive95% of 102 reviews2024
Dev: Konrad PawlikowskiPub: Cloudless Studio
Windows
PLEASE STOP CRYING is a lighthearted horror game about a father taking on housework and babysitting all at once.
Why similar: Dark Comedy 50.3%, Horror 20.5%, Funny 14.1%, Multiple Endings 11.9%, Simulation 3.1%
Why You'll Like It: A horror-comedy game that captures the surreal and funny atmosphere of the seed game.
- #18 Demon Corporation: Onboarding
85% matchVery Positive98% of 65 reviews2025
Dev: A Shrine of Ludens
Windows
This game is a strategy RPG with the theme of anti-work from 9 am to 9 pm, six days a week. The gameplay inherits from the classic "Magic Tower" series, combining elements such as pigeons and BD combinations. Please play with caution under the age of 35 to avoid dissing and hurting the boss!
Why similar: JRPG 28.9%, Turn-Based Tactics 28%, Management 15.7%, RPG 9%, Satire 7.4% ★
Why You'll Like It: A tactical, puzzle-heavy roguelite that captures the 'evil corporation' management theme.
- #19 Darkest Dungeon®
84% matchVery Positive92% of 159,462 reviews2016
Dev: Red Hook Studios
Windows · Mac · Linux
Median: 9.2 hrsMean: 44.7 hrs≥1hr: 89%
Darkest Dungeon is a challenging gothic roguelike turn-based RPG about the psychological stresses of adventuring. Recruit, train, and lead a team of flawed heroes against unimaginable horrors, stress, disease, and the ever-encroaching dark. Can you keep your heroes together when all hope is lost?
Why similar: Turn-Based Combat 58.3%, RPG 24.6%, Horror 11.8%, 2D 5.3%
Why You'll Like It: A turn-based RPG that captures the dark, stressful, and punishing atmosphere of managing a team in a hostile environment.
- #20 Dr. Chatelet: Faith 神医
84% matchVery Positive85% of 132 reviews2022
Dev: MuccyGames
Windows · Mac
Amputations, bloodletting, alchemy - all of which seem unthinkable today - were the treatment options that medieval doctors revered. You must face challenges one after another and experience gains and losses in the course of your constant adventures
Why similar: Medical Sim 57.5% ★, Dark Humor 10%, JRPG 9.2%, RPG 7.5%, Multiple Endings 5.3%
Why You'll Like It: A medical simulation RPG that explores the history and ethics of early medicine with a dark, serious tone.
- #21 Goblin Goopmaxxing
82% matchVery Positive94% of 192 reviews2025
Dev: Bugfight Studio
Windows
Brew potions, create monstrosities, and commit atrocities... Fulfill the collector's sick fantasies by experimenting on goblins with wacky potion ingredients that can modify bodies in grotesque ways. If a goblin seems sad that you turned him into an abomination, just drop him into the meatgrinder!
Why similar: Dark Comedy 40.3%, Dark Humor 22.9%, Funny 11.2%, Horror 9.8%, Choices Matter 5.7%
Why You'll Like It: A sandbox simulation game that embraces dark humor and bizarre, unethical experimentation.
- #22 Fable Hospital
83% matchMostly Positive75% of 87 reviews2025
Dev: AMGames TC
Windows
Fable Hospital is a medieval hospital management simulator with a touch of fantasy and humor. Cure hilarious diseases, manage an eccentric team, and gather resources in a world full of satire and fun.
Why similar: Medical Sim 71.9% ★, Management 15.5%, Funny 4.8%, Simulation 4.8%, Comedy 2.9%
Why You'll Like It: A resource-management simulation that focuses on the logistical challenges of running a fantasy-themed hospital.
- #23 Uncle Chop's Rocket Shop
81% matchVery Positive86% of 1,180 reviews2024
Dev: Beard EnvyPub: Kasedo Games
Windows
Median: 5.5 hrsMean: 10.7 hrs≥1hr: 88%
Come on down to Uncle Chop’s Rocket Shop, for all your roguelite spaceship repair simulation needs! WARNING: Untested genre not suitable for people with tentacles for arms or an aversion to dying horrifically. Side effects include improved reading comprehension under pressure and a furry fetish.
Why similar: Management 24.3%, Dark Humor 24.1%, Satire 12.1% ★, Multiple Endings 9.7%, Story Rich 9.2%
Why You'll Like It: A management simulation with puzzle elements that features a similarly chaotic and dark comedic tone.
- #24 Blackout Hospital
81% matchVery Positive97% of 174 reviews2023
Dev: arcadekitten
Windows
When the power goes out while working night shift in the hospital, the emergency lights come on with an eerie glow...
Why similar: Turn-Based Tactics 39%, RPG 17%, Horror 14.3%, Anime 8.8%, 2D 8%
Why You'll Like It: An adventure RPG that utilizes turn-based tactics and a 2D perspective within a hospital setting.
- #25 My Lovely Daughter
82% matchMostly Positive70% of 1,304 reviews2018
Dev: GameChanger StudioPub: Toge Productions
Windows · Mac · Linux
Median: 2.9 hrsMean: 3.8 hrs≥1hr: 84%
My Lovely Daughter is an alchemist simulator that explores the depth of a father’s grief and how far he will go to resurrect his daughter. Contains dark and disturbing subject matters, might not be suitable for children or those who are easily disturbed.
Why similar: Management 22.8%, Dark Humor 21.8%, Horror 15.3%, Multiple Endings 10%, Choices Matter 8.4%
Why You'll Like It: A dark management game where you play as an alchemist performing unethical acts to achieve a personal goal.
- #26 Prison Architect
80% matchVery Positive89% of 73,349 reviews2015
Dev: Introversion SoftwarePub: Paradox Interactive
Windows · Mac · Linux
Median: 6.0 hrsMean: 30.2 hrs≥1hr: 87%
Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.
Why similar: Management 53.5%, Funny 17.4%, Simulation 16%, 2D 13.1%
Why You'll Like It: A complex management simulation that shares the dark, systemic nature of running a facility with questionable ethics.
- #27 Galacticare
78% matchVery Positive87% of 633 reviews2024
Dev: Brightrock GamesPub: Mythwright
Windows
Median: 6.0 hrsMean: 12.6 hrs≥1hr: 95%
Build, manage and optimise intergalactic hospitals! Recruit staff to satisfy the whims of various alien species, and cure their bizarre illnesses - for money! Save the (literal) Galaxy in story mode, or head into sandbox to design the hospital of your dreams.
Why similar: Medical Sim 52.6% ★, Dark Humor 13.2%, Management 12.1%, Story Rich 6.8%, Funny 6.7%
Why You'll Like It: A medical simulation game that adds a layer of story-rich, outbreak-focused management.
- #28 Magical Massage
77% matchVery Positive97% of 108 reviews2026
Dev: Pop Elephant StudioPub: Cyberisle
Windows
Extreme Life-and-Death Massage! Enjoy magician's look of agony and cure embarrassing ailments! From hemorrhoids that cause earthquakes to rhinitis that make huge explosion...nothing too fancy that you can't handle. However, if your skills fall short, these powerful, unclothed magicians may kill you.
Why similar: Dark Comedy 27.2%, JRPG 19%, Dark Humor 17.2%, Multiple Endings 7.1%, Funny 6.7%
- #29 Smile More
76% matchVery Positive97% of 217 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 71.6% ★, Horror 12.9%, Multiple Endings 8.2%, Simulation 4.1%, 2D 3.2%
- #30 Prescribe and Pray
78% matchMostly Positive77% of 66 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 56.5% ★, Management 9%, Multiple Endings 8%, Choices Matter 7.1%, Dark Humor 6.1%
- #31 Evil Genius 2: World Domination
79% matchMixed69% of 13,106 reviews2021
Dev: Rebellion
Windows
Median: 4.8 hrsMean: 20.1 hrs≥1hr: 86%
A satirical spy-fi lair builder where YOU are the criminal mastermind! Construct your base, train your minions, defend your operations from the Forces of Justice, and achieve global domination!
Why similar: Management 64.8%, Simulation 21.5%, Funny 12.1%, Comedy 1.7%
Why You'll Like It: Allows you to play as the villain, managing a secret base with a focus on dark humor and simulation.
- #32 Osteoblasts
79% matchVery Positive85% of 169 reviews2021
Dev: Moonana
Windows
Osteoblasts is a dungeon crawler skeletal RPG about skeletons, by skeletons and for skeletons. If you are not undead leave this page immediately else you'll face the law of Skulls and Bones.
Why similar: JRPG 35%, Turn-Based Combat 27.1%, Horror 18%, RPG 14%, 2D 6%
Why You'll Like It: A dungeon-crawler RPG with turn-based combat that shares the quirky, dark-fantasy aesthetic.
- #33 异化之恶〇Abnormal Treatment
75% matchOverwhelmingly Positive97% of 3,585 reviews2019
Dev: Eternal Dream
Windows
Strange events occur at a sanatorium for those with unusual abilities. Follow clues, solve puzzles, and uncover the truth. What will be released when all secrets are revealed? Goodness? Or… pure ”EVIL”?
Why similar: JRPG 20.9%, Medical Sim 19.8% ★, Horror 12.3%, RPG 10.7%, Multiple Endings 8.1%
- #34 Death and Taxes
74% matchVery Positive86% of 8,276 reviews2020
Dev: Placeholder Gameworks
Windows · Mac · Linux
Median: 2.9 hrsMean: 4.5 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: Dark Comedy 49.4%, Multiple Endings 13.6%, Choices Matter 13.4%, Story Rich 11.2%, Simulation 7.2%
- #35 Health Insurance Claim Denier
73% matchMostly Positive79% of 117 reviews2025
Dev: fnnbrr
Windows
An incremental game about denying health insurance claims. 🚫
Why similar: Dark Humor 51%, Funny 20.5%, 2D 13.4%, Satire 9.1% ★, Comedy 6.1%
- #36 Healing Spree
76% matchMixed55% of 106 reviews2021
Dev: ParoPub: Milk Bottle Studio
Windows
Healing Spree is a tongue-in-cheek hospital simulator featuring co-op for up to 4 players. Play as doctors on call to diagnose, help, and treat as many patients as humanly possible while maintaining your sanity AND friendships!
Why similar: Medical Sim 52.2% ★, Dark Comedy 24.5%, Dark Humor 11.8%, Funny 6.2%, Comedy 2.7%
- #37 Therapy Simulator
72% matchMostly Positive79% of 76 reviews2025
Dev: Jemboy
Windows
Step into the chair of a therapist in Therapy Simulator! Guide your patients through emotional journeys with branching dialogue choices. Balance humor, humanity, and the chaos of therapy!
Why similar: Management 31%, Choices Matter 17.7%, Funny 15.8%, Story Rich 15.6%, Comedy 10.4%
- #38 Fun Hospital
75% matchMixed64% of 600 reviews2018
Dev: OrangesGame Technology Limited
Windows · Mac
Median: 1.2 hrsMean: 32.8 hrs≥1hr: 52%
Build your own theme hospital! Here, you might meet patients with a lot of hair, or no hair; strange aliens, evil guy, super hero…
Why similar: Medical Sim 87.4% ★, Simulation 7.9%, RPG 4.6%
- #39 Unemployment Simulator 2018
70% matchVery Positive87% of 103 reviews2026
Dev: Samuel LehikoinenPub: turbolento publishing
Windows · Linux
Social welfare survival horror based on real events. Endure emotional pain and societal pressure. Stay entertained. Survive the routine and become the hero of your studio apartment—battle inner demons, hide skeletons in the closet, and most importantly… keep the bathroom clean.
Why similar: Dark Comedy 44.7%, Dark Humor 22.9%, Horror 9.6%, Story Rich 7.9%, Multiple Endings 6.5%
- #40 Moko's Advice
73% matchVery Positive94% of 176 reviews2019
Dev: Portrait Prophecies
Windows
A dark comedy choice game about appeasement
Why similar: Simulation 36.5%, Dark Humor 27.1%, Funny 14.6%, Choices Matter 10.5%, 2D 5.8%
- #41 Sanatorium - A Mental Asylum Simulator
71% matchMixed62% of 215 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 72.5% ★, Multiple Endings 7.6%, Choices Matter 6.6%, Story Rich 5.5%, 2D 4.1%
- #42 Doctor Life Simulator
71% matchMixed67% of 138 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 68.6% ★, Management 15.4%, Choices Matter 6.1%, Simulation 4.5%, Story Rich 3.3%
- #43 Forget Me Not: My Organic Garden
73% matchVery Positive84% of 437 reviews2015
Dev: CAVYHOUSEPub: PLAYISM
Windows · Mac
Median: 4.0 hrsMean: 7.0 hrs≥1hr: 91%
“Master, Master! I did it!!” "I can hear you, no need to shout! Oh, my! This is a rather firm Kidney." My Organic Garden is an avant-garde organ-clicking game. Whether it’s to get Master’s praise, or to please the customer, click away and ship those organs!
Why similar: Dark Humor 45.3%, Simulation 21.7%, Anime 12.9%, Story Rich 11.5%, 2D 8.7%
- #44 Medical verdict
74% matchMixed57% of 53 reviews2018
Dev: Volokitin Andrey
Windows
Here is a fun simulator of passing a medical examination in the Chelyabinsk clinic with realistic graphics and interesting gameplay! Take the coronavirus test! Collect as many virtual health points as you can, but remember ... this is just a game!
Why similar: Medical Sim 93.5% ★, Simulation 6.5%
- #45 Reanimation Inc.
72% matchVery Positive84% of 130 reviews2019
Dev: Dmitrii Lomakin
Windows
Reanimation inc is a completely realistic simulation - real urgent conditions and diseases, real protocols of care used in an ambulance, realistic simulation of the body! Do you like realistic games about medicine and simulators, games you need to think about? You 'll be happy!
Why similar: Medical Sim 93.4% ★, Simulation 6.6%
- #46 DON'T GIVE UP: A Cynical Tale
71% matchVery Positive85% of 89 reviews2019
Dev: Tristan Barona
Windows · Mac · Linux
A comedic RPG about the cynical and hilarious realities of social interaction, personal growth, and confronting your inner demons.
Why similar: Dark Humor 32.1%, RPG 29.8%, Funny 14.5%, Story Rich 9.5%, Comedy 7.2%
- #47 Peace, Death! 2
69% matchVery Positive95% of 895 reviews2021
Dev: AZAMATIKA
Windows
Median: 3.6 hrsMean: 5.2 hrs≥1hr: 82%
Peace, Death! 2 is a midcore turn-based logic game where you send clients to Hell, Heaven, or Purgatory and help members of the Reapers Union as they work towards their great cause!
Why similar: Turn-Based Tactics 35.7%, Dark Humor 16.9%, Funny 14.8%, 2D 9.6%, Comedy 9.5%
- #48 Metal as Phuk
70% matchVery Positive95% of 251 reviews2017
Dev: Crankage Games
Windows
Metal as Phuk is a Mature, Turn-Based, Crude Comedy RPG that has one goal and one goal only: To Make You Laugh! Play as Chael, the last Paladin of the Metal Order, as he embarks on his journey to stop The Dark Bards before they can summon A'Marthius, a MONSTROUS Demon D-Bag!
Why similar: Dark Comedy 36.1%, Dark Humor 16.9%, JRPG 16.2%, Turn-Based Combat 14.3%, Story Rich 6.7%
- #49 Nonentity Galaxy
65% matchOverwhelmingly Positive95% of 546 reviews2026
Dev: Brick-Up StudioPub: 2P Games
Windows
Fight, Scavenge, Survive, and File Your Taxes. A grim yet hilarious space strategy roguelite where you must balance hull integrity against your company's relentless profit margins. Warning: Contains lethal doses of dark humor and corporate exploitation.
Why similar: Cyberpunk 31.5%, Dark Humor 28.2%, Management 24.7%, Story Rich 9.8%, Simulation 5.8%
- #50 BM General Hospital
66% matchVery Positive87% of 1,366 reviews2025
Dev: zzzgame
Windows
This is a 18+ hospital simulation game. You will play the role of the hospital director and manage a hospital.
Why similar: Medical Sim 80.7% ★, RPG 8%, Simulation 5.6%, Anime 2.9%, Choices Matter 2.8%
- #51 MY ADAPTATION IN(TO) HUMAN
69% matchMixed65% of 57 reviews2024
Dev: SpoocleMacBoogle
Windows
You are a body snatching creature. Capture the body, explore the environment, reproduce.
Why similar: Horror 32.4%, Dark Humor 20.6%, RPG 17.2%, Simulation 9.9%, 2D 8.9%
- #52 Robotherapy
68% matchVery Positive87% of 125 reviews2023
Dev: Lucas Molina
Windows · Mac · Linux
An emotional dark comedy about robots doing therapy. In Robotherapy, you're a robot therapist in a dystopian society that killed all the humans, but is still not happy. Treat patients, meet weird robots and enter their minds. If killing all humans doesn't bring happiness, then what does?
Why similar: Dark Comedy 40.8%, Dark Humor 29.2%, Story Rich 11.4%, Funny 9.2%, Comedy 4.9%
- #53 You Are NOT Bunnygirl
66% matchVery Positive97% of 87 reviews2025
Dev: (Just)JordanPub: Jordan Peloquin
Windows · Mac · Linux
Guide Bunnygirl through a lab of malfunctioning robots in this RPG about self-care! Learn how to weaponize her emotions in combat and meet unhinged robots who seem to know more about her than she does. Can you protect Bunnygirl? And...who is she, anyway??
Why similar: JRPG 32.1%, Turn-Based Combat 18.3%, Horror 14.4%, RPG 10.6%, Funny 10.4%
- #54 Trainee Death Simulator
65% matchVery Positive93% of 1,964 reviews2024
Dev: Bone Nail
Windows
Median: 2.6 hrsMean: 14.7 hrs≥1hr: 76%
You will play as a Trainee Death, harvesting Souls to pay off your debt. Random choice events offer you various options: Lie in bed and slack off since the debt is endless anyway, Or follow your senior to earn some extra Souls, collecting outfits to switch up your style.
Why similar: JRPG 32.3%, Multiple Endings 19%, RPG 16.5%, Choices Matter 16.3%, Simulation 9.5%
- #55 Evenicle 2 - Clinical Trial Edition
69% matchMostly Positive79% of 239 reviews2020
Dev: Alicesoft
Windows
Doctor, it's an emergency! A terrible pandemic has struck the world, and only the healing power contained in the incredible "syringe" between your legs can save it! Depart on a epic journey to cure all the pretty girls of the world... one "shot" at a time.
Why similar: Medical Sim 41.5% ★, JRPG 29.5%, RPG 11.3%, Turn-Based Combat 6.8%, Funny 5.4%
- #56 CURE - A Hospital Simulator
63% matchVery Positive89% of 730 reviews2025
Dev: Sentinel Games
Windows
Median: 4.6 hrsMean: 8.1 hrs≥1hr: 84%
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 66% ★, Dark Humor 15.4%, Management 15%, Simulation 3.6%
- #57 Demonschool
63% matchVery Positive93% of 1,011 reviews2025
Dev: Necrosoft GamesPub: Ysbryd Games
Windows · Mac · Linux
Median: 3.2 hrsMean: 9.5 hrs≥1hr: 79%
Demonschool is a new-style tactics RPG where motion equals action. Defeat big weirdos in between the human and demon worlds as Faye and her misfit companions, while navigating university life on a mysterious island.
Why similar: JRPG 24.8%, Turn-Based Tactics 21.1%, Dark Humor 17.1%, Turn-Based Combat 16%, RPG 6.4%
- #58 Wannabe Galgame God!!!
61% matchOverwhelmingly Positive99% of 877 reviews2026
Dev: Noctella Observatory
Windows
Those who skip Galgames are mere corporate drones; those who play are the true masters of wealth and power. That's just the way of the world! As an ordinary boy, wager your wildest fetishes and your dignity to reach the summit: Become the 'GALGAME GOD'!
Why similar: Dark Humor 48.4%, Multiple Endings 19.2%, Anime 12.7%, Story Rich 11.8%, Funny 7.9%