- #1 Nano Organism
97% match3 user reviews67% of 3 reviews2022
Dev: ZimaellPub: ZimaellGame
Windows
Nano Organism - is a real-time strategy game, you control nano cells to control the entire organism, lots of puzzles, dynamic progression, lots of research, achievements, free choice of development direction and progression.
Why similar: Medical Sim 36.2% ★, Outbreak Sim 30.7% ★, Life Sim 12.1%, Strategy 7.5%, Simulation 7%
- #2 Rescue Operations Simulator
96% matchNo user reviews
Dev: Monuments Games
Windows
Rescue Operations Simulator is a game where you play the role of USAR (Urban Search and Rescue) member and a team leader. You will arrange and execute rescue operations from real life catastrophic events that shocked and changed the whole world.
Why similar: Medical Sim 35.1% ★, Outbreak Sim 33.2% ★, Life Sim 16.1%, Simulation 7.7%, Realistic 5.5%
- #3 Supermarket Maker
96% matchNo user reviews
Dev: El NanPub: La Blen
Windows
Build and manage your very own Supermarket and make it success, with good offers and best selected products. Attract more customers with an aggressive strategy and grow to become the best Supermarket in town.
Why similar: Medical Sim 36.4% ★, Outbreak Sim 27.6% ★, Life Sim 19.2%, Simulation 12.2%, Management 3.3%
- #4 英雄荣光医院
95% matchNo user reviews2026
Dev: Areas RPub: PeopleFirstAI
Windows
“Hero Hospital” is a classic hospital management game: send in undercover agents and fake patient brokers, unleash dogs to cause crashes and chaos, dump trash and throw bombs, and even head into outbreak zones to fight viruses. The gameplay can be expanded endlessly.
Why similar: Medical Sim 40.9% ★, Outbreak Sim 33.1% ★, Life Sim 8.3%, Strategy 5%, Simulation 4.4%
- #5 Pandemic Crisis
94% match9 user reviews100% of 9 reviews2020
Dev: Thor Gaming
Windows
In the event of a global pandemic, would your first priority be preserving lives or saving the economy?
Why similar: Outbreak Sim 38.7% ★, Medical Sim 36.3% ★, Simulation 7.8%, Strategy 7.6%, Casual 3.1%
- #6 Donor Clinic Simulator
94% matchNo user reviews
Dev: 2 Stula Games
Windows
Manage your own reproductive medicine clinic! Choose donors based on their physical traits, research the effectiveness of biomaterials, upgrade the donor room, improve your laboratory, purchase new equipment, and help couples have a baby and become happy parents!
Why similar: Medical Sim 49.4% ★, Simulation 15.2%, Life Sim 10.7%, Management 10%, Casual 7.4%
- #7 Fun Hospital
93% matchMixed64% of 596 reviews2018
Dev: OrangesGame Technology Limited
Windows · Mac
Median: 1.2 hrsMean: 33.2 hrs≥1hr: 53%
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 60.6% ★, Strategy 15.3%, Simulation 14.8%, Casual 8.7%, Indie 0.6%
- #8 MediSim: Emergency Response
91% matchNo user reviews
Dev: Mehmet Hilmi Değirmenci
Windows
As a young doctor, save lives in emergencies, advance from a health center to a major hospital, and manage your own facility. Perform first aid, and diagnostics, take on ambulance and helicopter missions, and build your medical team. A realistic medical simulation where every decision matters!
Why similar: Medical Sim 54.6% ★, Life Sim 18.7%, Simulation 14.7%, Casual 7.2%, Management 4.7%
- #9 Eco Park
91% match4 user reviews75% of 4 reviews2021
Dev: LunaBrod
Windows
Eco Park is a game about ecology and lo-fi hip-hop. Manage a dynamic ecosystem with creatures eating, breeding, and dying in real time. You’ll need to introduce species to increase biodiversity. Keep population sizes under control, or one species might extinguish another.
Why similar: Outbreak Sim 44.3% ★, Colony Sim 30.5% ★, Life Sim 14.7%, Strategy 8.6%, Atmospheric 1.9%
- #10 Pocket Clothier
90% matchVery Positive86% of 65 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
A clothing shop management sim. Go from quaint corner shop to world-class brand!
Why similar: Colony Sim 42.1% ★, Life Sim 22.3%, Simulation 12.8%, Strategy 10.3%, Casual 6.4%
- #11 Medical verdict
89% 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 72.6% ★, Simulation 13.7%, Casual 7.4%, Realistic 5.7%, Indie 0.6%
- #12 Bio Inc. Redemption
89% matchVery Positive88% of 2,788 reviews2018
Dev: DryGin Studios
Windows
Median: 2.6 hrsMean: 6.6 hrs≥1hr: 75%
Bio Inc.: Redemption is a realistic simulation and strategy game in which you make life or death decisions. Create a deadly illness to infect and torment your victim or play as the head of a medical team and hopefully find a cure to save your human patient. Will you be the plague or preserve humanity?
Why similar: Medical Sim 43.4% ★, Outbreak Sim 34.2% ★, Management 6.4%, Strategy 6.2%, Simulation 6.2%
- #13 Post-Apo Builder: Prologue
88% matchMixed69% of 434 reviews2023
Dev: Septarian Games
Windows
Discover a post-apocalyptic world Collect resources and manage people Build your colony on the remains of an oil tanker Prepare supplies and vehicles for a dangerous expedition. Complete challenging tasks from the council of elders
Why similar: Outbreak Sim 45.5% ★, Colony Sim 29.3% ★, Strategy 10%, Realistic 4.5%, Simulation 3.7%
- #14 My Universe - Pet Clinic Cats & Dogs
87% matchMixed62% of 29 reviews2020
Dev: It Matters GamesPub: Microids
Windows
Discover the veterinary profession and help cats and dogs that need you. An injury, fever, an animal that refuses to eat: it’s up to you to act!
Why similar: Medical Sim 59.6% ★, Life Sim 14.5%, Simulation 14.4%, Casual 6.7%, Management 4.6%
- #15 Zombie Survival
86% matchNo user reviews
Dev: Sleepy Dragon Games Inc.
Windows
This is the first game where the theme is literally zombie survival. No Humans Allowed, except as the main course. An apocalyptic city building survival game where you grow the zombie horde and take over the world.
Why similar: Outbreak Sim 38.4% ★, Colony Sim 34% ★, Simulation 14.1%, Strategy 13.1%, Indie 0.2%
- #16 Hospital Renovator
85% matchNo user reviews
Dev: GamesUP StudioPub: T-Bull
Windows
Become a one-man renovation company and take care of the reconstruction of a ruined hospital! Save a neglected facility and create a fully functional emergency complex. The entire process of cleaning, planning, repairing, and arranging is on your side. Build a dream clinic in the Hospital Renovator!
Why similar: Medical Sim 49.9% ★, Life Sim 16.4%, Realistic 9.5%, Simulation 8.8%, Management 6.5%
- #17 中医模拟传承人
84% matchPositive86% of 14 reviews2024
Dev: guizhi0011
Windows
A game where everyone can learn traditional Chinese medicine.
Why similar: Medical Sim 58.5% ★, Life Sim 19.5%, Simulation 15.4%, Casual 5.8%, Indie 0.5%
- #18 Zombie Colony
84% matchNo user reviews
Dev: Juvty Worlds
Windows
Manage a zombie colony. Mine, build, master new technologies, do everything to capture these pitiful people and their juicy brains!
Why similar: Colony Sim 35.1% ★, Outbreak Sim 30.5% ★, Strategy 10.7%, Simulation 9%, Stylized 6.9%
- #19 Entropy Department
83% matchNo user reviews
Dev: Hollow Art Studios
Windows
A facility-building management sim with a physics-fueled sandbox: build the labs, run the shifts, direct your goal-driven staff, and stop anomalies from turning one mistake into a collapse. How long can your facility survive its own research?
Why similar: Colony Sim 31.3% ★, Outbreak Sim 29.6% ★, Simulation 12.4%, Management 8.9%, Strategy 7.2%
- #20 Keep Them Busy
82% matchNo user reviews
Dev: Hooded Penguin
Windows · Mac
A colony sim where you build, manage, and expand across an open galaxy. Keep NPCs occupied, or they’ll develop autonomous behaviours—leading to crime, chaos, or rebellion. Balance industrial growth with environmental preservation, enforce laws, and defend your colony from extra-terrestrial threats!
Why similar: Colony Sim 32.4% ★, Outbreak Sim 28.3% ★, Life Sim 14.4%, Management 7.5%, Simulation 7.2%
- #21 Morbus: The Burden Of The Apothecary
81% matchNo user reviews
Dev: Viktor PekarPub: Introverse Interactive
Windows · Linux
An apothecary adventure where you diagnose, concoct, and treat spreading maladies in a medieval tapestry. All while manouvering the fragile constellations between different factions.
Why similar: Medical Sim 51.8% ★, Outbreak Sim 30% ★, Stylized 7.2%, Simulation 6.4%, Casual 4.2%
- #22 Dream Park Story
81% matchVery Positive88% of 143 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Create your own amusement park with a variety of rides, mascots, and activities!
Why similar: Colony Sim 39% ★, Life Sim 19.4%, Simulation 16.9%, Strategy 14.7%, Casual 8.3%
- #23 Real Pharmacy Simulator
80% matchMostly Negative27% of 11 reviews2024
Dev: Mannered Monster
Windows
Become the owner of a pharmacy in Real Pharmacy Simulator! Manage the business, serve customers, and balance profit with ethics. Order medicines, organize the space, and decide how to run your business - honestly or riskily. Your decisions will determine the fate of the pharmacy!
Why similar: Medical Sim 46.1% ★, Life Sim 19.6%, Simulation 9%, Realistic 8%, Stylized 5.9%
- #24 CURE - A Hospital Simulator
78% 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 35.6% ★, Outbreak Sim 30.4% ★, Life Sim 13.6%, Realistic 6.2%, Management 6.1%
- #25 The Gaming Cafe
79% matchNo user reviews
Dev: Bilici
Windows
Build, run, and grow your own Gaming Cafe. Set up gaming stations, manage customer flow, and boost profits by selling drinks and shelf products.
Why similar: Outbreak Sim 34.6% ★, Colony Sim 27.4% ★, Life Sim 16.3%, Simulation 7.4%, Management 4.8%
- #26 All My Gods
79% matchVery Positive88% of 112 reviews2015
Dev: Qumaron
Windows
Become a Roman god! Don't be shy! Epic game that topped the charts on Big Fish Games and GameHouse!
Why similar: Colony Sim 65% ★, Strategy 14%, Simulation 11.9%, Casual 9.1%
- #27 Epi-Derick
77% match9 user reviews89% of 9 reviews2025
Dev: Fireslug Studios
Windows
You run the only pharmacy in a rural town. Each face at the counter is the same, each ailment slightly different. Provide Care - Follow Our Rules - Stay Safe.
Why similar: Medical Sim 56.8% ★, Simulation 12.9%, Life Sim 11.8%, Stylized 7%, Management 6.8%
- #28 Hidden Harbor 2 Top-Down 3D
77% matchMostly Positive70% of 20 reviews2022
Dev: AztechPub: Azerbaijan Technology
Windows · Mac · Linux
Find the objects that are hidden on the map.
Why similar: Medical Sim 31% ★, Outbreak Sim 27.2% ★, Colony Sim 23.6% ★, Simulation 7.1%, Strategy 7%
- #29 Dr. Cares - Amy's Pet Clinic
78% matchMostly Positive79% of 75 reviews2018
Dev: NitrealPub: GameHouse
Windows · Mac
Get ready to test your vet skills in Dr. Cares - Amy's Pet Clinic!
Why similar: Medical Sim 74.1% ★, Simulation 16.6%, Casual 9.3%
- #30 Mega Mall Story 2
76% matchVery Positive95% of 111 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
A brand new business sim! Build cafés, movie theaters, aquariums, and more!
Why similar: Colony Sim 40.7% ★, Life Sim 21.3%, Simulation 15.5%, Strategy 11.2%, Casual 5.8%
- #31 My Universe - Doctors & Nurses
76% matchMostly Negative29% of 14 reviews2022
Dev: It Matters GamesPub: Microids
Windows · Mac
Take turns to play either a doctor or nurse. Diagnose illnesses and infections so as to treat and help your many patients. Set out on an adventure in a buzzing hospital environment. Meet all sorts of different characters and discover a story full of surprises.
Why similar: Medical Sim 62.2% ★, Life Sim 20.2%, Simulation 9.9%, Casual 7.3%, Singleplayer 0.3%
- #32 Silver Screen Story
74% matchMostly Positive76% of 79 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Movie Studio Management Simulation Produce blockbusters and earn world-wide fame
Why similar: Colony Sim 42.3% ★, Life Sim 19.6%, Simulation 16.4%, Strategy 13.4%, Casual 7.9%
- #33 Doctor Simulator
74% matchNo user reviews
Dev: Medic Labs
Windows
If you have ever thought of becoming a doctor – here is your chance! Arm yourself in a stethoscope and do a ward round to keep up to date with your patients’ condition. They may complain and question your authority but remember – you’re the doctor!
Why similar: Medical Sim 42.6% ★, Simulation 23.4%, Casual 12.2%, Realistic 4.9%, Puzzle 3.8%
- #34 The Colony
75% matchMostly Negative32% of 22 reviews2018
Dev: Rusty Swain
Windows
The Colony is a city building game where the player must manage their resources in order for the population to survive and thrive. Constructing buildings and assigning jobs to villagers, you can gather resources like wood, food, stone, tin, and copper and use them to grow your village.
Why similar: Colony Sim 71% ★, Strategy 14.6%, Simulation 14.3%
- #35 Constant Pressure
73% matchNo user reviews
Dev: ganduspl
Windows
After a nuclear disaster, you must take cover in an abandoned bunker. Play with friends, gather supplies by day and fight fearsome creatures by night.
Why similar: Outbreak Sim 41.6% ★, Colony Sim 23.8% ★, Life Sim 13.6%, Simulation 8.4%, Strategy 8.1%
- #36 Dentist Simulator 2
72% match4 user reviews100% of 4 reviews2025
Dev: Code Lab
Windows
Screams, panic, and fear of the dentist’s chair — now YOU hold the drill! Master anesthesia, gum surgery, extractions, and bleeding control with precision. Go beyond basics: apply braces, craft gold & silver teeth, implants, and use inhalation sedation. Keep patients calm or hear their screams!
Why similar: Medical Sim 42.8% ★, Life Sim 22.2%, Simulation 15%, Casual 9.2%, Realistic 7.5%
- #37 Psyhonds
71% match5 user reviews80% of 5 reviews2026
Dev: Meriteri GamesPub: Terrabyte Games
Windows
A satirical mental hospital survival simulator: control four unstable characters, craft from junk, forge dubious alliances, communicate with patients and staff, and choose between a quiet life in a ward, a riot, or a risky escape to freedom.
Why similar: Medical Sim 64.2% ★, Life Sim 15.3%, Simulation 8.8%, Puzzle 7.7%, Stylized 3.6%
- #38 Plague Inc: Evolved
73% matchVery Positive94% of 59,582 reviews2016
Dev: Ndemic Creations
Windows · Mac · Linux
Median: 5.2 hrsMean: 17.1 hrs≥1hr: 89%
Plague Inc: Evolved is a unique mix of high strategy and terrifyingly realistic simulation. Your pathogen has just infected 'Patient Zero' - now you must bring about the end of human history by evolving a deadly, global Plague whilst adapting against everything humanity can do to defend itself.
Why similar: Outbreak Sim 62.6% ★, Strategy 16.9%, Simulation 13.3%, Realistic 2.9%, Casual 2.6%
- #39 Hospital Manager
75% matchMixed46% of 254 reviews2015
Dev: CCCPPub: Microids Indie
Windows · Mac
Median: 1.1 hrsMean: 9.5 hrs≥1hr: 56%
Experience something novel, bursting with extraordinary phenomena and strange situations in your hospital! Only you have the power to make the best decisions and to make your hospital the most popular one! But beware: Several events will add some spice to your life! Embark on the career of your life!
Why similar: Medical Sim 72.5% ★, Management 15.9%, Simulation 11.5%
- #40 Fire Rescue Squad
72% matchNo user reviews
Dev: NPC GamesPub: Creative Forge
Windows
Fire Rescue Squad. An action game, a simulator from a first-person perspective, in which the player participates in firefighting actions, divided into several missions.
Why similar: Medical Sim 35.4% ★, Outbreak Sim 32.2% ★, Life Sim 15.9%, Simulation 7%, Realistic 5.5%
- #41 Pharmacy Simulator
71% matchMixed60% of 242 reviews2024
Dev: Altai Entertainment
Windows
Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.
Why similar: Medical Sim 49.4% ★, Life Sim 23.2%, Simulation 14.5%, Realistic 6.8%, Management 4.4%
- #42 Convenience Stories
71% matchVery Positive93% of 242 reviews2023
Dev: Kairosoft Co.,Ltd
Windows
Median: 4.0 hrsMean: 12.4 hrs≥1hr: 69%
Customize your own store with a wide variety of products and business goals.
Why similar: Colony Sim 45.5% ★, Life Sim 16.8%, Simulation 15.9%, Strategy 13.2%, Casual 8.2%
- #43 40 Days [四十天]
73% matchMixed50% of 12 reviews2017
Dev: Black Phoenix Studio
Windows · Mac
40 Days is a special strategy simulation game related to infectious diseases spread all over the city. You, as ahead of the quarantine department, have been given full authority and manpower to contain the city, deal with different parties, virus in the city and most importantly find out the cure.
Why similar: Outbreak Sim 76.5% ★, Simulation 9.9%, Strategy 9.8%, Management 3.3%, Indie 0.5%
- #44 Weedcraft Inc
70% matchVery Positive80% of 1,667 reviews2019
Dev: Vile MonarchPub: Devolver Digital
Windows · Mac
Median: 4.7 hrsMean: 11.2 hrs≥1hr: 89%
Weedcraft Inc explores the business of producing, breeding and selling weed in America, delving deep into the financial, political and cultural aspects of the country's complex relationship with this troublesome and promising plant.
Why similar: Medical Sim 37.1% ★, Simulation 24%, Strategy 21.5%, Management 11.5%, Casual 2.2%
- #45 Pentamania: Alchemy Madness
68% match3 user reviews67% of 3 reviews2025
Dev: Athmyx
Windows
Step into a VR alchemy workshop, gather rare ingredients, and combine them with cauldrons, and magical machines to brew fantastical potions. Experiment, discover, and deliver your creations in an immersive fantasy experience!!
Why similar: Medical Sim 53.3% ★, Simulation 15.9%, Casual 9.7%, Puzzle 9.1%, Realistic 8.3%
- #46 Medic Simulator
69% matchNo user reviews
Dev: Eathrabaria
Windows
Become a doctor and treat patients in every area of medicine. Become a cardiologist, psychiatrist, dentist, dermatologist, oncologist, surgeon, ophthalmologist, neurologist…!
Why similar: Medical Sim 57.4% ★, Life Sim 25%, Simulation 17.3%, Singleplayer 0.2%
- #47 Two Point Hospital
69% matchVery Positive92% of 34,380 reviews2018
Dev: Two Point StudiosPub: SEGA
Windows · Mac · Linux
Median: 5.5 hrsMean: 34.9 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 67.3% ★, Simulation 13.7%, Management 12.4%, Strategy 4.8%, Casual 1.4%
- #48 War Angels
68% matchNo user reviews
Dev: Leolit GamesPub: RockGame S.A.
Windows
War Angels puts you in charge of a hospital in the middle of a war. With scarce food, limited medicine, and waves of critically injured patients, every decision becomes a moral struggle. Who will you save when you can’t save them all?
Why similar: Medical Sim 42% ★, Colony Sim 26.7% ★, Strategy 6.8%, Realistic 6.5%, Simulation 6.4%
- #49 The Promised Land
70% matchVery Positive87% of 776 reviews2014
Dev: Boolat GamesPub: ESDigital Games
Windows · Mac
Median: 3.4 hrsMean: 4.9 hrs≥1hr: 84%
The Promised Land, a brave new world , the hole nation – all this lies in your hands! Become a true leader, a chosen one, a father of nation! Guide your colony to the victory of the modern superpower! We collected all the best that is in games of this genre, arched by exciting mini-games and carefully turned it into the deep and...
Why similar: Colony Sim 63.7% ★, Strategy 13.3%, Casual 10%, Simulation 5.8%, Management 3.2%
- #50 Turbulence - Airplane Survival Simulator
68% matchNo user reviews
Dev: True GamesPub: Idea Labs
Windows
When your airplane enters a massive storm, you aren’t a passenger anymore. You are a survivor. Trapped at 35,000 feet, you need to keep a cool head and act fast to live through the crisis. Can you make it to a happy landing?
Why similar: Medical Sim 43.7% ★, Outbreak Sim 40.7% ★, Simulation 14.4%, Resource Management 1.1%, Singleplayer 0.1%
- #51 Evil Labs
69% matchMostly Positive70% of 81 reviews2018
Dev: Mirabolis Studios
Windows
Median: 4.3 hrsMean: 5.6 hrs≥1hr: 96%
Evil Labs is a game about building and managing your own Evil Laboratory. Research and develop diseases, infect people, sell the cure and get rich!
Why similar: Outbreak Sim 72.2% ★, Simulation 12%, Strategy 11%, Base Building 4.1%, Indie 0.5%
- #52 Trojan Inc.
70% matchMostly Negative36% of 33 reviews2017
Dev: WalkBoy Studio
Windows
Will you be able to infect all devices of the world? «Trojan Inc.» - simulator, which will involve you in a world of computer viruses and trojans.
Why similar: Outbreak Sim 76.4% ★, Strategy 11.6%, Simulation 11.4%, Indie 0.5%
- #53 Pocket Arcade Story
67% matchMostly Positive73% of 49 reviews2022
Dev: Kairosoft Co.,Ltd
Windows
Create the gaming paradise of your dreams! Reach 5-stars and host tournaments!
Why similar: Colony Sim 42.4% ★, Simulation 16.5%, Life Sim 15.4%, Strategy 13.6%, Casual 8%
- #54 The Apothecary
66% matchNo user reviews
Dev: Rufalicious Gaming
Windows
The realm depends on your help: mix ingredients and create potions to cure wild, fantastical illnesses that befall your fellow citizens. But be warned, you are all on your own. Enjoy figuring out which ingredients work and which don't -- curing or killing those who ask for your help!
Why similar: Medical Sim 61.1% ★, Strategy 13.4%, Simulation 11.2%, Casual 7.9%, Puzzle 5.2%
- #55 Heart's Medicine - Hospital Heat
67% matchVery Positive96% of 364 reviews2017
Dev: Blue GiraffePub: GameHouse
Windows · Mac
Median: 5.1 hrsMean: 8.7 hrs≥1hr: 93%
The long awaited sequel to "Heart's Medicine - Time to Heal". An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring doctor at Little Creek Hospital!
Why similar: Medical Sim 76.7% ★, Simulation 14.4%, Casual 8.3%, Indie 0.6%
- #56 Moonlit Nights
66% matchNo user reviews
Dev: Umut Bora
Windows · Mac · Linux
Moonlit Nights is a base management game set in a zombie apocalypse world. Form raiding parties and send them out to gather supplies, deal with mysterious visitors, and make difficult choices. How many days can you survive, or can you be freed and return to your normal life? Make your choice wisely.
Why similar: Outbreak Sim 50% ★, Colony Sim 34.3% ★, Strategy 11.6%, Management 2.3%, Sci-fi 1.6%