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Games Like Pestis

60+ similar titles based on shared tags and player behavior. Themes include Singleplayer, Atmospheric, Adventure, Indie.

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  1. #1 Mask of the Plague Doctor
    97% matchVery Positive86% of 64 reviews2020
    Dev: Choice of Games
    Windows · Mac · Linux

    Stop a deadly plague in a medieval fantasy tale of swords and surgery! Unearth medical knowledge, prevent the town’s purge, or plot your own escape.

    Why similar: Medical Sim 65.6%, Medieval 20.9%, Horror 13.5%

  2. #2 Covid Simulator
    96% matchVery Positive81% of 68 reviews2022
    Dev: Coldrice Games LLC
    Windows

    COVID SIMULATOR is an outbreak simulation that visualizes how quickly Covid-19 spreads, becoming a disaster. The game is an open sandbox where you can add (or remove) Covid mandates and see what happens! Create your workplace, enact your mandates, and roll the dice with your workers.

    Why similar: Outbreak Sim 42.1%, Science 20.6%, Education 17.5%, Open World 5.9%, Choices Matter 4.8%

  3. #3 Plague M.D.
    96% matchMostly Positive75% of 161 reviews2020
    Dev: CosCom Art Group
    Windows · Linux

    Plague M.D. is a medieval medicine simulator. Become a quack doctor stuck in a backwater village in the 16th century.

    Why similar: Medical Sim 50.2%, Hand-drawn 18.4%, Medieval 13.6%, Simulation 12.8%, 2D 4.9%

  4. #4 Pathologic 2
    95% matchVery Positive92% of 12,156 reviews2019
    Dev: Ice-Pick LodgePub: tinyBuild
    Windows
    Median: 4.6 hrsMean: 12.4 hrs≥1hr: 86%

    Pathologic 2 is a groundbreaking open-world horror RPG. Resist the plague. Make medicine. Heal people. Perform an autopsy. Trade to get what you need. Fight and kill if necessary. Survive. Struggle with an outbreak in a secluded rural town that is rapidly turning into hell.

    Why similar: Dystopian 30.4%, Survival 27.2%, Choices Matter 22%, Open World 20.5%

  5. #5 Pathologic 3
    93% matchVery Positive80% of 2,770 reviews2026
    Dev: Ice-Pick LodgePub: HypeTrain Digital
    Windows
    Median: 4.7 hrsMean: 17.5 hrs≥1hr: 85%

    In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.

    Why similar: Horror 26.6%, Dystopian 23.7%, Survival 16.2%, Choices Matter 14%, Open World 12.4%

  6. #6 The Plague Doctor of Wippra
    94% matchVery Positive89% of 393 reviews2022
    Dev: ElectrocosmosPub: Application Systems Heidelberg
    Windows · Mac · Linux

    The plague spreads agony and fear in the small town of Wippra. As a plague doctor, you bring healing and relief wherever you can. But ignorance, superstition, and religious zeal make for a deadly threat in this retro medieval medical adventure!

    Why similar: Historical 41%, Medieval 33.5%, Exploration 25.5%

  7. #7 Plague: London 1665
    92% matchVery Positive91% of 69 reviews2024
    Dev: WASD Games
    Windows · Mac

    Plague: London 1665 is an RPG with pixel art graphics set in 1665's during the Bubonic Plague outbreak in overcrowded and polluted London. As a body collector, graveyard keeper, and family provider, avoid the disease while clearing the streets. Will you survive the outbreak or become another victim?

    Why similar: Historical 49.8%, Choices Matter 23.9%, Simulation 15.6%, 2D 10.7%

  8. #8 Symptoms of Infection
    91% 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 55.2%, Medical Sim 29.9%, Simulation 6.6%, Choices Matter 6.1%, 2D 2.1%

  9. #9 Do No Harm
    91% matchMostly Positive74% of 939 reviews2025
    Dev: Darts Games
    Windows
    Median: 2.3 hrsMean: 5.7 hrs≥1hr: 74%

    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 73.4%, Medieval 12%, Choices Matter 11.2%, Simulation 3.3%

  10. #10 The Last Plague: Blight
    89% matchVery Positive89% of 1,472 reviews2024
    Dev: Original Studios
    Windows · Mac · Linux
    Median: 5.8 hrsMean: 15.3 hrs≥1hr: 80%

    The Last Plague: Blight is an authentic survival experience rooted in realism and immersion. Endure the hazards of a brutal open world, uncover the origins of a mysterious disease, and become humanity’s final hope of ending the Blight.

    Why similar: Medieval 29.3%, Crafting 25.8%, Survival 22.4%, Open World 16%, Simulation 6.5%

  11. #11 BLOODLETTER
    89% matchMostly Positive79% of 229 reviews2026
    Dev: ALDAMAMI GAMES
    Windows

    A grim medieval deckbuilder where you use your dubious healing methods to protect bizarre villagers from the corrupting influence of ancient evils.

    Why similar: Medieval 35.8%, Hand-drawn 26%, Choices Matter 21.1%, Simulation 11.1%, 2D 6.1%

  12. #12 Grimshire
    85% matchOverwhelmingly Positive98% of 3,358 reviews2025
    Dev: Acute Owl Studio
    Windows
    Median: 5.2 hrsMean: 15.2 hrs≥1hr: 74%

    A deadly plague threatens the village of Grimshire. Manage your farmland, forage the bounty of the wilds, prevent your harvest from rotting away and keep the root cellar full. Can you help bring the community together and survive?

    Why similar: Survival 59.7%, Crafting 28%, Simulation 12.3%

  13. #13 Unplagued
    87% matchMostly Negative32% of 4,951 reviews2024
    Dev: Euphoric Brothers
    Windows
    Median: 24 minMean: 3.8 hrs≥1hr: 19%

    Play as plague doctors with your friends in this multiplayer co-op medieval horror! Purge the plague. Create the cure. Escape the mutated creatures. Make the queen proud.

    Why similar: Horror 44.1%, Medieval 32%, Exploration 23.8%

  14. #14 Plague Lords: Witch Hunt
    86% matchMixed55% of 137 reviews2025
    Dev: Red Unit StudiosPub: HypeTrain Digital
    Windows

    What seemed like an easy coin leads a small detachment of mercenaries and their employer to a barony lost in the woods, afflicted by a strange disease. The prologue to Plague Lords will introduce you to the basics of the game and take control of a small squad of trained soldiers.

    Why similar: Perma Death 39.2%, Open World 28.5%, Survival 25.7%, 2D 6.6%

  15. #15 Isolation
    88% matchMixed41% of 56 reviews2017
    Dev: Interactive Gaming Studios
    Windows

    The plague destroyed the world you once knew. This unknown bacteria destroyed the lives of many people who lived in various countries around the world. When the plague was first identified by doctors, researchers started working on a cure immediately. The infected people were transported into hospitals to isolate them from other people.

    Why similar: Horror 100%

  16. #16 Omen Exitio: Plague
    86% matchVery Positive85% of 638 reviews2018
    Dev: Tiny Bull Studios
    Windows · Mac · Linux
    Median: 3.6 hrsMean: 6.6 hrs≥1hr: 93%

    Investigate a paranormal disease that threatens to eradicate humanity in this unsettling Lovecraftian adventure, inspired by the choose-your-own-adventure gamebooks of the 80s and 90s. Your choices will determine the story, your character’s destiny… and the future of humanity.

    Why similar: Choices Matter 100%

  17. #17 Bio Inc. Redemption
    84% matchVery Positive87% of 3,210 reviews2018
    Dev: DryGin Studios
    Windows
    Median: 2.4 hrsMean: 5.9 hrs≥1hr: 72%

    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 42.8%, Outbreak Sim 36.6%, Education 12.6%, Horror 4.7%, Simulation 3.3%

  18. #18 The Mildew Children
    82% matchVery Positive93% of 515 reviews2024
    Dev: The Growing StonesPub: Valkyrie Initiative
    Windows · Mac · Linux
    Median: 3.8 hrsMean: 5.7 hrs≥1hr: 81%

    Featuring a blend of 2D adventure and visual novel, The Mildew Children is a grim tale about a village inhabited only by children who follow savage pagan traditions. A young witch named Kyrphel, along with her sisters, are bound to perform a macabre Ritual in order to save their village.

    Why similar: Choices Matter 31.5%, Exploration 28.2%, Horror 27.7%, 2D 12.6%

  19. #19 Playing History - The Plague
    84% matchMostly Positive71% of 153 reviews2015
    Dev: Serious Games InteractivePub: My Way Games
    Windows · Mac
    Median: 3.8 hrsMean: 5.3 hrs≥1hr: 95%

    Go on an exciting journey in the 14th century of Florence, an amazing city struck by a mysterious disease. The story is brimming with fascinating characters, historical events and captivating locations. History is yours to explore.

    Why similar: Education 37.5%, Historical 24.7%, Medieval 19.5%, Open World 10%, Exploration 8.2%

  20. #20 COVID: The Outbreak
    83% matchMostly Positive70% of 97 reviews2020
    Dev: Jujubee S.A.Pub: Salient Games
    Windows
    Median: 3.2 hrsMean: 61.6 hrs≥1hr: 91%

    COVID: The Outbreak is a real-time strategy game in which you play the role of a global organization that has to deal with a global pandemic. Issue decrees, manage resources, develop projects, and construct buildings. A race for the vaccine begins!

    Why similar: Outbreak Sim 63.9%, Education 19.1%, Dystopian 13.9%, Simulation 3.1%

  21. #21 Plague Inc: Evolved
    80% matchVery Positive94% of 65,504 reviews2016
    Dev: Ndemic Creations
    Windows · Mac · Linux
    Median: 4.9 hrsMean: 16.2 hrs≥1hr: 87%

    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 87%, Simulation 9.2%, Survival 2.7%, 2D 1%

  22. #22 The Mildew Children: Chapter 1
    81% matchVery Positive86% of 326 reviews2023
    Dev: The Growing StonesPub: Valkyrie Initiative
    Windows
    Median: 36 minMean: 1.7 hrs≥1hr: 30%

    Featuring a blend of 2D adventure and visual novel. Chapter 1 is the very beginning of the grim tale about a village inhabited only by children who follow savage pagan traditions. A young witch Kyrphel, along with her sisters, are bound to perform a macabre Ritual in order to save their village.

    Why similar: Choices Matter 43.8%, Exploration 40.1%, 2D 16.1%

  23. #23 Quarantineer
    81% matchMostly Positive79% of 321 reviews2021
    Dev: Papaonn
    Windows · Mac

    For the glory of Motherland, the truth shall never be revealed. None of us expected this, Yet history is repeating itself.

    Why similar: Outbreak Sim 42%, Dystopian 18.1%, Historical 13.3%, Survival 12.3%, Choices Matter 7.6%

  24. #24 Infectious
    82% matchMixed66% of 82 reviews2020
    Dev: Ziggy Makes Games
    Windows

    Play as a lethal virus infecting various organs in your host's body while trying to outsmart the immune cells that seek to eliminate you and your kind. Generate clones and watch them propagate, infecting cells and taking down bosses.

    Why similar: Outbreak Sim 52%, Science 26.1%, Survival 9%, Hand-drawn 7.3%, Simulation 4.5%

  25. #25 MOLDRISE
    77% matchVery Positive98% of 416 reviews2026
    Dev: Raffaele Picca
    Windows · Linux

    It started in your foot. Now it’s in your head. All that remains is the command: GO UP. Meet strange neighbors. Make bad trades. Every ascent teaches you what you should have done differently.

    Why similar: Outbreak Sim 63.6%, Horror 15.9%, Perma Death 12.5%, Exploration 7.9%

  26. #26 Sins of Sinister: The Viscera-Eater
    79% matchVery Positive89% of 54 reviews2026
    Dev: RockyJims
    Windows

    Sins of Sinister is an episodic horror experience inspired by lore stories. Each chapter delivers a short yet intense descent into fear, folklore, and the unknown. A rural village begins to fall victim to mysterious deaths with no medical explanation. As dark whispers of witchcraft spread.

    Why similar: Horror 45%, Exploration 29.9%, Survival 25.1%

  27. #27 LONGEYED PROJ
    79% matchMixed62% of 103 reviews2022
    Dev: wadishTheCreatorPub: WTCD
    Windows

    Prepare to be assigned to help investigate and identify anomalous creatures called the LONGEYED.

    Why similar: Outbreak Sim 43.5%, Horror 15.4%, Logic 14.4%, Survival 10.5%, Exploration 7.9%

  28. #28 Pandemic Train
    78% matchMixed59% of 252 reviews2023
    Dev: Trigger LabsPub: Games Operators
    Windows

    In Pandemic Train you are in charge of the crew aboard a train roaming the postapocalyptic wasteland, ravaged by both war and a deadly plague. Your goal is to survive long enough to discover the cure… or die trying. Humanity’s fate is in your hands! Start your journey now!

    Why similar: Survival 30.8%, Crafting 27.8%, Choices Matter 18.7%, Exploration 13.5%, Simulation 9.2%

  29. #29 Dread Fields
    74% matchOverwhelmingly Positive98% of 527 reviews2026
    Dev: Podoba Interactive
    Windows · Mac · Linux

    A slow-burn folk farming horror. You bought an isolated farm to start a new life. Your peaceful routine is shattered when the former owner's terrible secrets rise from beneath the ground.

    Why similar: Horror 53.1%, Exploration 18.9%, Choices Matter 15.4%, Simulation 12.6%

  30. #30 Besmirch
    75% matchVery Positive99% of 80 reviews2026
    Dev: Gangru GamesPub: 2 Left Thumbs
    Windows

    The town of Besmirch starves. Stave off the hunger as the latest farmhand in this survival horror farming sim, earning the trust of paranoid townsfolk under the thumb of the corrupt Baron. Tend to both your farm and the town while avoiding unholy terrors that come in the night.

    Why similar: Open World 30.5%, Horror 29.5%, Choices Matter 23.2%, Exploration 16.8%

  31. #31 Pathologic Classic HD
    76% matchVery Positive87% of 4,606 reviews2015
    Dev: Ice-Pick LodgePub: Good Shepherd Entertainment
    Windows
    Median: 3.9 hrsMean: 8.2 hrs≥1hr: 83%

    Pathologic Classic HD is the Definitive Edition of the original Cult Classic Psychological First-Person Survival game. In this unforgettable experience, players control one of three unique characters as they try to save a mysterious town from a deadly plague that cannot be stopped.

    Why similar: Survival 40.4%, Horror 26.5%, Open World 17.5%, Choices Matter 15.6%

  32. #32 Sanatorium - A Mental Asylum Simulator
    76% matchMixed61% of 227 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 64.7%, Historical 17.8%, Choices Matter 9%, Simulation 4.8%, 2D 3.7%

  33. #33 Zoochosis
    75% matchMixed61% of 2,383 reviews2024
    Dev: Clapperheads
    Windows
    Median: 3.3 hrsMean: 5.6 hrs≥1hr: 87%

    Zoochosis is a bodycam horror simulation game. You’re a zookeeper. Identify infected mutant animals, make a vaccine and cure them. Will you save all of them and survive?

    Why similar: Horror 37.3%, Choices Matter 26.4%, Exploration 20.6%, Simulation 15.7%

  34. #34 Ritus Exorcismus
    73% matchVery Positive99% of 130 reviews2026
    Dev: Dernhelm Games
    Windows · Linux

    Become the exorcist that the world needs! Use Holy Relics and the knowledge from your book to fight demonic possessions. Investigate unholy events and take part in church rituals in this medieval pixel horror game.

    Why similar: Medieval 44.5%, Horror 40.9%, 2D 8%, Exploration 6.6%

  35. #35 VILLAGE THE SIBERIA
    77% matchMixed67% of 55 reviews2021
    Dev: VikTor
    Windows

    Uncover the terrible secret of Siberia as a little boy in the first person.

    Why similar: Outbreak Sim 53.9%, Horror 13.4%, Survival 9.8%, Logic 9%, Exploration 7.7%

  36. #36 A Plague Tale: Innocence
    73% matchVery Positive93% of 71,326 reviews2019
    Dev: Asobo StudioPub: Focus Entertainment
    Windows
    Median: 9.6 hrsMean: 25.2 hrs≥1hr: 89%

    Follow the grim tale of young Amicia and her little brother Hugo, in a heartrending journey through the darkest hours of history.

    Why similar: Medieval 42.6%, Historical 25.4%, Horror 17.8%, Survival 14.3%

  37. #37 EBOLA
    78% matchMixed41% of 234 reviews2019
    Dev: indie_games_studio
    Windows
    Median: 3.7 hrsMean: 4.8 hrs≥1hr: 85%

    Your main task is to find out who is involved in the spread and experiment on the "E" virus - Ebola, you need to stop the spread of the virus, and at the same time survive yourself! Millions of people may die.

    Why similar: Horror 53.4%, Survival 46.6%

  38. #38 Below, Rusted Gods
    71% matchVery Positive89% of 309 reviews2026
    Dev: FromSouthGames
    Windows

    You are the lifeline supporting an expedition into the unknown. Keep both yourself and your squad alive by interpreting instrument readings, explore the facilities, and uncover something ancient and eager to be born.

    Why similar: Horror 36.2%, Choices Matter 27.9%, Exploration 21%, Simulation 14.9%

  39. #39 Microbial Sector
    72% 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: Dystopian 49%, Exploration 25.9%, Horror 25.1%

  40. #40 PAGER
    72% matchVery Positive88% of 146 reviews2025
    Dev: bilge
    Windows

    You are wetware, working a mysterious job.

    Why similar: Dystopian 25.7%, Horror 23.4%, Logic 16.7%, Exploration 13.4%, Choices Matter 12.3%

  41. #41 Devil of the Plague
    71% matchVery Positive80% of 218 reviews2026
    Dev: SoulByte Games
    Windows

    A 1–4 player co-op horror game. Cleanse cursed lands, perform forbidden rituals, and survive a spreading plague. Fear is not scripted. It emerges from your choices, your mistakes, and your team.

    Why similar: Medieval 52.8%, Horror 47.2%

  42. #42 Daemonologie
    70% matchVery Positive89% of 733 reviews2024
    Dev: KatanalevyPub: Oro Interactive
    Windows
    Median: 36 minMean: 1.6 hrs≥1hr: 21%

    A short folk horror story about the Scottish witch trials. You play the role of a witch finder. Speak to the locals and sort their truths from their lies. On the last morning a witch must hang, best you know who by then.

    Why similar: Historical 24.9%, Horror 20.9%, Medieval 20.4%, Hand-drawn 17.5%, Choices Matter 16.4%

  43. #43 V1RUZ
    74% matchMixed61% of 59 reviews2022
    Dev: Polyverse GamesPub: Polyverse Studio
    Windows

    In V1RUZ, you see yourself stuck in the middle of an ever growing virus epidemic in the USA. Learn how to craft weapons, tools and fight against the living and the dead to survive in this cruel, rotting world.

    Why similar: Simulation 100%

  44. #44 Wunderdoktor
    73% matchVery Positive91% of 116 reviews2017
    Dev: Ghostbutter
    Windows
    Median: 3.3 hrsMean: 4.2 hrs≥1hr: 87%

    Step into the role of the Wunderdoktor, a traveling doctor whose daily work is to cure rare and exotic diseases. Explore a world full of quackery, ghosts and addictive potions.

    Why similar: Horror 54.5%, Hand-drawn 37.3%, Simulation 4.5%, 2D 3.7%

  45. #45 Prognostic
    70% matchVery Positive94% of 491 reviews2022
    Dev: Steppe Hare Studio
    Windows
    Median: 2.1 hrsMean: 5.2 hrs≥1hr: 68%

    An orphan returns to the house of the deceased fortune-teller to uncover the secret of his family's death. He must accept his legacy and become a prognostic before supernatural madness engulfs people of his town.

    Why similar: Horror 62.4%, Exploration 26.8%, Simulation 10.8%

  46. #46 Disturbed
    70% matchVery Positive92% of 1,872 reviews2016
    Dev: iBlackpen
    Windows · Mac · Linux
    Median: 48 minMean: 33.8 hrs≥1hr: 44%

    Play as a farmer who struggles to manage a failing farm. You come to a point where there is no more hope, and you must do something.

    Why similar: Horror 50.1%, Hand-drawn 22.9%, Simulation 19.6%, 2D 7.4%

  47. #47 Dr. Chatelet: Faith 神医
    69% 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 56.7%, Science 20.2%, Medieval 13.5%, Simulation 5.7%, Hand-drawn 2.5%

  48. #48 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 71.6%, Horror 15.8%, Simulation 12.6%

  49. #49 Grunn
    65% matchOverwhelmingly Positive96% of 1,456 reviews2024
    Dev: Sokpop Collective
    Windows · Mac
    Median: 3.0 hrsMean: 4.1 hrs≥1hr: 77%

    A gardener gets hired for maintenance work over the weekend. A simple task, but strangely some tools are missing… The owner of the garden isn't around, and their house is off-limits. Perhaps new tools can be found in the mysterious town, or maybe some of the reserved townsfolk have seen them?

    Why similar: Horror 41.1%, Choices Matter 27.3%, Exploration 17%, Simulation 14.6%

  50. #50 He Needs His Medicine
    68% matchMostly Positive79% of 1,537 reviews2021
    Dev: Euphoric Bros
    Windows · Mac · Linux
    Median: 18 minMean: 1.8 hrs≥1hr: 10%

    You have been dispatched for a 911 call. From the moment you step inside the apartment, you realize something is really wrong with the place. You are gonna make Him the last dosage. He needs his medicine.

    Why similar: Horror 40.8%, Crafting 27.4%, Choices Matter 24.1%, 2D 7.7%

  51. #51 Outbreak Island
    65% matchMostly Positive79% of 1,082 reviews2025
    Dev: Tiny Magicians
    Windows
    Median: 2.5 hrsMean: 4.7 hrs≥1hr: 75%

    Survive on a remote Island, where a mysterious Outbreak awakens bloodthirsty monsters at night. Craft, build and defend your base in the brutal world of Outbreak Island, an open-world sandbox survival horror game.

    Why similar: Survival 26.6%, Horror 22.6%, Crafting 20.8%, Open World 16.9%, Exploration 13.2%

  52. #52 Medieval Fantasy Survival Simulator
    67% matchVery Positive97% of 253 reviews2022
    Dev: Randumb Studios
    Windows

    You're gonna get yourself killed out here... There's monsters, bandits, and much, much worse roaming these lands... Do you really think you've got what it takes to survive? Or do you think you're cut out for much more than that... There's only one way to find out, and time is of the essence!

    Why similar: Education 30.1%, Historical 18.7%, Survival 18.5%, Choices Matter 13.5%, Horror 11.6%

  53. #53 Brno Transit
    64% matchVery Positive86% of 593 reviews2026
    Dev: Spytihněv
    Windows
    Median: 1.3 hrsMean: 1.9 hrs≥1hr: 80%

    A short narrative-driven psychological horror game about a trainee metro driver trapped in the dampest subway east of anything that matters.

    Why similar: Open World 34.8%, Horror 34.1%, Exploration 20.6%, Simulation 10.5%

  54. #54 Miasmata
    69% matchMostly Positive77% of 1,237 reviews2012
    Dev: IonFxPub: IonFX Studios
    Windows
    Median: 36 minMean: 4.2 hrs≥1hr: 39%

    Miasmata is a first-person survival/adventure game, developed from the ground-up by brothers Joe and Bob Johnson. You play as Robert Hughes, a plague-stricken scientist on a journey to discover a cure. Your adventure begins on the shores of a remote and mysterious island.

    Why similar: Survival 43.9%, Open World 19.6%, Exploration 16.6%, Horror 11.4%, Crafting 8.4%

  55. #55 CHEMISTS: Area of infection
    68% matchMostly Positive71% of 84 reviews2022
    Dev: RPAXPub: GAMEPORTAL.CO
    Windows

    A year after the global catastrophe, you woke up in a hospital and don't remember anything. You have to not only find out what happened, but also try to survive in this harsh dangerous world.

    Why similar: Survival 26.7%, Crafting 26.7%, Open World 25.2%, Exploration 12.2%, Simulation 9.2%

  56. #56 Graveyard Keeper
    65% matchVery Positive85% of 55,062 reviews2018
    Dev: Lazy Bear GamesPub: tinyBuild
    Windows · Mac · Linux
    Median: 7.2 hrsMean: 27.5 hrs≥1hr: 79%

    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: Crafting 54.2%, Medieval 27.9%, Simulation 13.4%, 2D 4.5%

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