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Games Like Prescribe and Pray

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Medical Sim, Casual, Singleplayer.

Similar Games

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  1. #1 Do No Harm
    97% 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 52.8%, Choices Matter 12.4%, Multiple Endings 10.1%, Management 5.9%, Point & Click 5.5%

  2. #2 Oyabu Clinic Deathcare Corporation
    96% matchVery Positive94% of 238 reviews2023
    Dev: Flying Panjandrum / ふらいんぐパンジャンドラムPub: GAMER Plan
    Windows

    Alchemy with patients' lives and health insurance! A quack doctor simulation game. DON'T imitate any of this!

    Why similar: Medical Sim 56.7%, Management 8.8%, Multiple Endings 8%, Choices Matter 7.1%, Dark Humor 6.2%

  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 43.2%, Comedy 15.9%, Simulation 13.9%, Point & Click 12.4%, Puzzle 5%

  4. #4 Sanatorium - A Mental Asylum Simulator
    95% 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 Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies.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 42.7%, Detective 18.7%, Multiple Endings 9.2%, Choices Matter 9.1%, Point & Click 5.9%

  5. #5 Therapy Simulator
    94% 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: Comedy 24.2%, Parody 23.2%, Choices Matter 21.3%, Management 12.4%, Simulation 8.9%

  6. #6 Fable Hospital
    93% matchMostly Positive73% of 89 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 59.3%, Comedy 11.2%, Management 10.1%, Simulation 7.4%, Point & Click 6.2%

  7. #7 Two Point Hospital
    91% matchVery Positive92% of 34,907 reviews2018
    Dev: Two Point StudiosPub: SEGA
    Windows · Mac · Linux
    Median: 5.5 hrsMean: 35.3 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 68.8%, Management 13.4%, Simulation 9.6%, Comedy 7%, Singleplayer 1.2%

  8. #8 Vital Signs: Emergency Department
    92% matchMixed57% of 74 reviews2020
    Dev: BreakAway Games
    Windows · Mac

    Play a doctor in Vital Signs: Emergency Department and challenge your medical knowledge to help treat a wide array of cases who come into the ER.

    Why similar: Medical Sim 74.2%, Choices Matter 11.6%, Simulation 6.9%, 2D 2.6%, Colorful 2.4%

  9. #9 Dr. Chatelet: Faith 神医
    90% 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 65.7%, Multiple Endings 12.4%, Simulation 8.4%, Dark Humor 7.7%, Story Rich 4.6%

  10. #10 Psychiatrist Simulator
    91% matchMostly Negative40% of 129 reviews2018
    Dev: Eathrabaria
    Windows
    Median: 12 minMean: 19.0 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 55%, Choices Matter 14.8%, Dark Humor 12.8%, Simulation 8.4%, Story Rich 6.4%

  11. #11 Doctor Life Simulator
    89% matchMixed65% of 141 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 62.8%, Choices Matter 13.3%, Management 11.2%, Simulation 7.7%, Story Rich 3%

  12. #12 Healing Spree
    89% 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 62.6%, Comedy 14.7%, Dark Humor 9.6%, Simulation 5.8%, Puzzle 4.2%

  13. #13 Wunderdoktor
    88% 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: Comedy 31.6%, Surreal 22.5%, Point & Click 21.3%, Puzzle 7.3%, Colorful 5.4%

  14. #14 Heart's Medicine - Time to Heal
    87% matchVery Positive94% of 884 reviews2016
    Dev: Blue GiraffePub: GameHouse
    Windows · Mac
    Median: 6.0 hrsMean: 12.2 hrs≥1hr: 92%

    An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring surgeon at Little Creek Hospital!

    Why similar: Medical Sim 87.7%, Simulation 7.6%, Story Rich 3.3%, Singleplayer 1.5%

  15. #15 Revenge Of The Colon
    86% matchVery Positive85% of 419 reviews2023
    Dev: Lilou Studio
    Windows
    Median: 2.5 hrsMean: 3.1 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 42.4%, Choices Matter 13.3%, Multiple Endings 12.4%, Surreal 11.2%, Dark Humor 8.6%

  16. #16 CURE - A Hospital Simulator
    84% matchVery Positive87% of 942 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.9 hrsMean: 9.5 hrs≥1hr: 86%

    Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!

    Why similar: Medical Sim 65.5%, Management 11.8%, Dark Humor 10.4%, Simulation 6.7%, First-Person 3.3%

  17. #17 Field Hospital: Dr. Taylor's Story
    86% matchVery Positive89% of 111 reviews2020
    Dev: Gard Interactive
    Windows · Mac

    Field Hospital is a text-based bureaucratic detective game about hard decisions. Decide who to treat and whom to refuse. Face consequences. Study patients’ info and read their stories. Investigate the tangled case of Dr. Taylor.

    Why similar: Medical Sim 37.2%, Detective 19%, Multiple Endings 11.3%, Choices Matter 10.9%, Point & Click 6.8%

  18. #18 Death and Taxes
    85% matchVery Positive86% of 8,511 reviews2020
    Dev: Placeholder Gameworks
    Windows · Mac · Linux
    Median: 2.9 hrsMean: 4.6 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: Choices Matter 26.7%, Multiple Endings 23.5%, Point & Click 15.1%, Simulation 11.2%, Story Rich 9.1%

  19. #19 God For A Day
    84% matchMixed58% of 76 reviews2026
    Dev: Funky Forest
    Windows

    In this narrative-based simulation game, you play as the Son of God. Your mission: Decide, bless or condemn city residents. Uncover the person's story through their items and secrets before making decisions. Your choices alter the city's destiny, and impact your revelation on Judgment Day.

    Why similar: Choices Matter 25.1%, Multiple Endings 16.6%, Dark Humor 14.2%, Point & Click 13.7%, Simulation 11.8%

  20. #20 Smile More
    81% matchVery Positive96% of 313 reviews2026
    Dev: Pixel Poxet
    Windows · Mac

    A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!

    Why similar: Medical Sim 69.7%, Multiple Endings 16.2%, Simulation 7.3%, 2D 2.3%, Atmospheric 2.1%

  21. #21 Project Hospital
    82% matchVery Positive89% of 9,301 reviews2018
    Dev: Oxymoron Games
    Windows · Mac · Linux
    Median: 4.4 hrsMean: 24.4 hrs≥1hr: 80%

    Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

    Why similar: Medical Sim 76.4%, Management 14.1%, Simulation 7.7%, 2D 1.7%

  22. #22 Emergency Room Simulator
    82% matchMostly Negative38% of 141 reviews2026
    Dev: Caipirinha GamesPub: Aerosoft
    Windows

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

    Why similar: Medical Sim 71.2%, Choices Matter 16.8%, Simulation 6.1%, First-Person 2.4%, Atmospheric 1.9%

  23. #23 Mind Scanners
    81% matchMostly Positive75% of 1,459 reviews2021
    Dev: The Outer ZonePub: Brave At Night
    Windows · Mac
    Median: 5.5 hrsMean: 6.5 hrs≥1hr: 85%

    Greetings. Your Mind Scanner request has been approved. Your duty is to diagnose and treat the citizens of The Structure. The patient list is long so don't waste your time. We’ll let you see your daughter soon...

    Why similar: Medical Sim 51.7%, Multiple Endings 12.8%, Choices Matter 11.9%, Management 9.4%, Simulation 5.9%

  24. #24 Repair this!
    79% matchVery Positive89% of 827 reviews2024
    Dev: HGISoft
    Windows · Mac
    Median: 3.9 hrsMean: 5.2 hrs≥1hr: 81%

    Become a phone repair technician, get the opportunity to look into the personal data of customers. Influence their destinies if you dare!

    Why similar: Choices Matter 18.3%, Multiple Endings 18.1%, Comedy 16.8%, Management 16.4%, Point & Click 13.2%

  25. #25 Hospital Manager
    83% matchMixed46% of 255 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 74.6%, Management 17.3%, Simulation 8.1%

  26. #26 The Kindeman Remedy
    80% matchMixed69% of 306 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 48.8%, Choices Matter 10%, Multiple Endings 9.9%, Management 8.6%, Dark Humor 7.4%

  27. #27 Office Hours
    77% matchVery Positive81% of 64 reviews2026
    Dev: PipoteamPub: IIM Digital School
    Windows

    Sort forms, get to know your mysterious new collegues & unravel mysteries they're trying to cover up as you step in to replace the previous RH at this mysterious pharmaceutical company.

    Why similar: Point & Click 16.9%, Dark Humor 15.6%, Choices Matter 15.5%, Multiple Endings 14.9%, Simulation 10.2%

  28. #28 Gaming Burnout Treatment Center
    74% matchNo user reviews98% of 523 reviews2026
    Dev: Wave Games
    Windows

    Digital ED Treatment Center is a random launcher for players in a gaming slump. We help you rediscover the joy of play and unearth hidden gems buried in your library. Click to start your treatment and reignite your gaming vigor!

    Why similar: Medical Sim 57.5%, Comedy 14.6%, Choices Matter 11.6%, Point & Click 7.6%, Simulation 7.2%

  29. #29 Fun Hospital
    79% matchMixed64% of 609 reviews2018
    Dev: OrangesGame Technology Limited
    Windows · Mac
    Median: 1.2 hrsMean: 32.4 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 85.5%, Simulation 14.5%

  30. #30 Heart's Medicine - Hospital Heat
    77% matchVery Positive96% of 366 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 86.4%, Simulation 11.1%, Story Rich 2.5%

  31. #31 Magical Massage
    74% matchVery Positive96% of 114 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: Multiple Endings 33.6%, Dark Humor 26.8%, Simulation 19.3%, Story Rich 14.5%, Colorful 5.9%

  32. #32 Surgeon Simulator
    76% matchVery Positive82% of 16,885 reviews2013
    Dev: Bossa StudiosPub: Infogrames
    Windows · Mac · Linux
    Median: 3.0 hrsMean: 7.1 hrs≥1hr: 78%

    Surgeon Simulator is an over-the-top operation sim, stitching together pitch-black humour with life-saving surgery. Become Dr. Burke, a would-be surgeon with a less than conventional toolkit, as he performs procedures on patients including the Heavy from TF2! ...is that a hammer?

    Why similar: Medical Sim 58.3%, Comedy 17.4%, Dark Humor 10.2%, Simulation 6.7%, Puzzle 3.9%

  33. #33 Medical verdict
    78% 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 88.6%, Simulation 11.4%

  34. #34 Surgeon Simulator 2
    78% matchMixed43% of 2,597 reviews2021
    Dev: Bossa StudiosPub: Infogrames
    Windows
    Median: 2.0 hrsMean: 4.0 hrs≥1hr: 69%

    It’s time to ‘scrub in’ in this physics-based surgery sim. Unearth the mysteries of the Bossa Labs Medical Facility and save Bob’s life.

    Why similar: Medical Sim 57.7%, Comedy 16.7%, Dark Humor 9.9%, Simulation 6.7%, Puzzle 3.8%

  35. #35 Wound Man
    73% matchVery Positive94% of 62 reviews2026
    Dev: Aspidochelone Studios
    Windows

    Wound Man is a macabre jigsaw puzzle adventure where you reconstruct a tortured figure from centuries-old anatomical art. Uncover hidden secrets and collect strange curiosities with every piece.

    Why similar: Medical Sim 43.5%, Choices Matter 16.8%, Multiple Endings 16.6%, Surreal 8%, Story Rich 6.1%

  36. #36 For Your Tranquility
    76% matchMixed68% of 193 reviews2023
    Dev: Gamesung Games
    Windows · Mac

    It's a mystery game that reveals the truth through an autopsy. Be a forensic doctor and find out why the dead died.

    Why similar: Detective 43.9%, Choices Matter 22.1%, Point & Click 13.8%, Multiple Endings 9.3%, Story Rich 4.5%

  37. #37 Security 51
    73% matchMostly Positive71% of 416 reviews2026
    Dev: Alawar
    Windows · Mac
    Median: 1.4 hrsMean: 2.2 hrs≥1hr: 61%

    You're a security officer deep within Area 51. Scan the staff, verify clearances, and decide who can enter the elevator and who absolutely mustn't leave. The deeper you go, the less certain you are that anyone standing before you is still human.

    Why similar: Detective 31.5%, Choices Matter 18.4%, Multiple Endings 17.6%, Point & Click 11.2%, Simulation 8.3%

  38. #38 Night Shift Nurses
    73% matchVery Positive84% of 653 reviews2024
    Dev: Shiravune
    Windows
    Median: 2.3 hrsMean: 16.4 hrs≥1hr: 65%

    A washed-up mad doctor is hired back by a devious former test subject and asked to twist her hospital into a corrupt donation mill. Will he seize this second chance to practice his own vision of "science," or will his many failings drag him down once again in this pseudo-medical visual novel?

    Why similar: Medical Sim 66.1%, 1990's 9.2%, Point & Click 8.3%, Story Rich 5.4%, Simulation 4.7%

  39. #39 The Infectious Madness of Doctor Dekker
    75% matchVery Positive82% of 616 reviews2017
    Dev: D'Avekki Studios Ltd
    Windows · Mac · Linux
    Median: 4.3 hrsMean: 7.3 hrs≥1hr: 91%

    YOU are a psychiatrist, trying to solve a murder whilst treating the unusual patients of the recently deceased Doctor Dekker. Type a question - patients reply in full screen video and have questions for you too but be careful what you say. Your words determine their eventual fates, and your own!

    Why similar: Detective 43.2%, Multiple Endings 18.3%, Choices Matter 14.3%, Story Rich 8.6%, Simulation 8.4%

  40. #40 Covid Simulator
    75% 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: Choices Matter 29.3%, Management 28.9%, Dark Humor 21.8%, Simulation 10.9%, 2D 6.6%

  41. #41 Symptoms of Infection
    71% 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: Medical Sim 49.5%, Choices Matter 15.5%, Simulation 13.8%, Surreal 11.6%, Singleplayer 4.1%

  42. #42 Vampire Therapist
    71% matchVery Positive94% of 998 reviews2024
    Dev: Little Bat Games
    Windows · Mac · Linux
    Median: 2.2 hrsMean: 5.3 hrs≥1hr: 71%

    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 Humor 41%, Simulation 21.7%, Story Rich 20.3%, 2D 10.7%, Atmospheric 6.3%

  43. #43 Galacticare
    70% matchVery Positive87% of 656 reviews2024
    Dev: Brightrock GamesPub: Mythwright
    Windows
    Median: 5.6 hrsMean: 12.1 hrs≥1hr: 93%

    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 54.5%, Choices Matter 13.5%, Management 9.9%, Dark Humor 9.3%, Story Rich 6.8%

  44. #44 Teller's Duty
    70% matchMostly Positive72% of 371 reviews2026
    Dev: Hiscory
    Windows · Mac

    In 1980, you land a teller job at Kertasia Bank thanks to your distant uncle. But the bank follows bizarre rules set by a foolish government. Face strict policies, tough customers, and moral choices while saving for your mom’s medical bills. Your fate is in your hands.

    Why similar: Choices Matter 18.8%, Parody 17.3%, Multiple Endings 14%, Dark Humor 11.3%, Point & Click 9.5%

  45. #45 Moral Dilemma: The Interview
    69% matchVery Positive83% of 1,181 reviews2025
    Dev: Hectic
    Windows
    Median: 1.3 hrsMean: 2.5 hrs≥1hr: 64%

    A fourth-wall-breaking narrative adventure. It’s interview day, and you really need this job—enough to ignore the talking printer, the anomaly corridor, and the ridiculous life-or-death trials your interviewer keeps putting you in. But deep down, you know... something here is very, very wrong.

    Why similar: Comedy 28.2%, Choices Matter 23.9%, Multiple Endings 23.4%, Story Rich 6.6%, Surreal 5.8%

  46. #46 Freud's Bones-the game
    71% matchVery Positive82% of 84 reviews2022
    Dev: Katabasi StudioPub: Fortuna Imperatore AxelFox
    Windows

    Infiltrate, rule and rescue the mind of the father of Psychoanalysis: Sigmund Freud, in this surreal and obscure adventure. Take control of his inner voice, choose his destiny, solve clinical cases, save or condemn your patients, all whilst trying to save Freud from himself.

    Why similar: Detective 40.4%, Multiple Endings 22.7%, Point & Click 14.3%, Story Rich 7.4%, 2D 4.1%

  47. #47 Judge, Jury, and Keyboard
    72% matchMixed66% of 209 reviews2022
    Dev: Virtue Enforcer
    Windows

    In an era dominated by viral trends, you become the "Internet Judge"—where a few keystrokes can sway public opinion and determine fates. This darkly humorous strategy game lets you experience the absurdity and power of "keyboard justice." Every judgment you make reshapes this chaotic digital world.

    Why similar: Comedy 38.6%, Surreal 24.3%, Simulation 14.1%, Choices Matter 11.8%, 2D 5.4%

  48. #48 Bio Inc. Redemption
    70% 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 76.3%, Management 11.8%, Simulation 7.4%, Atmospheric 2.3%, Singleplayer 2.3%

  49. #49 Zoochosis
    69% 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: Detective 31.5%, Choices Matter 17.5%, Multiple Endings 17.5%, 1990's 8.9%, Simulation 8.6%

  50. #50 Prison Simulator
    69% matchVery Positive86% of 2,531 reviews2021
    Dev: Baked Games
    Windows
    Median: 3.8 hrsMean: 7.8 hrs≥1hr: 80%

    Get a taste of prison life! Become a prison guard and deal with dangerous convicts. Prison management, lots of daily activities. Will you become the best guard in history? Or maybe you'll turn into the worst scumbag this Prison has ever seen?

    Why similar: Simulation 35.9%, Story Rich 24.8%, First-Person 16%, Atmospheric 11.6%, Singleplayer 11.6%

  51. #51 Uncle Chop's Rocket Shop
    66% matchVery Positive85% of 1,229 reviews2024
    Dev: Beard EnvyPub: Kasedo Games
    Windows
    Median: 5.3 hrsMean: 10.9 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: Multiple Endings 16.2%, Choices Matter 15.6%, Management 15.5%, Dark Humor 13.2%, Simulation 9.5%

  52. #52 Unemployment Simulator 2018
    66% matchVery Positive84% of 138 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 Humor 19%, Comedy 18%, Multiple Endings 16.3%, Surreal 13.2%, Simulation 11.7%

  53. #53 My Peephole: Hotel Harborview
    66% matchVery Positive92% of 53 reviews2025
    Dev: Limeless
    Windows

    One room. One hole. One judgement. Watch the guests through your peephole, inspect their documents, dial the telephone, and judge who's normal and who's not. Do your job properly to avoid the demon's punishment.

    Why similar: Comedy 40.6%, Dark Humor 23.3%, Simulation 13.7%, Story Rich 11.3%, First-Person 5.9%

  54. #54 Interrogation Simulator
    67% matchVery Positive95% of 62 reviews2022
    Dev: Otis MillerPub: Fire Cycle Games
    Windows · Linux

    Inspired by JCS videos and similar Interrogation analysis. Match evidence with statements. Play good cop/bad cop. Make choices. Learn what makes people tick. Unravel the mystery.

    Why similar: Dark Humor 26%, Point & Click 25.9%, Simulation 15.1%, Story Rich 13.1%, Puzzle 12.6%

  55. #55 Trolley Problem, Inc.
    67% matchMixed67% of 1,586 reviews2022
    Dev: ReadGravesPub: Yogscast Games
    Windows
    Median: 1.5 hrsMean: 2.5 hrs≥1hr: 67%

    Trolley Problem, Inc. is a darkly comedic narrative game based on real-world philosophical papers, in which you are asked to make a series of impossible choices from two awful answers. Wrestle with your moral compass, decide the fate of millions – and compare your choices with the rest of the world.

    Why similar: Comedy 26.9%, Choices Matter 26.3%, Dark Humor 18%, Surreal 14.5%, Simulation 11%

  56. #56 Astrologaster
    67% matchVery Positive95% of 531 reviews2019
    Dev: Nyamyam
    Windows · Mac
    Median: 4.5 hrsMean: 5.6 hrs≥1hr: 90%

    Astrologaster is a comedy game set in Shakespeare’s London. Play as 'Doctor' Simon Forman and treat his patients using astrology. A story-driven adventure based on a truly ridiculous story.

    Why similar: Comedy 45%, Choices Matter 26.8%, Multiple Endings 12.5%, Story Rich 11%, Singleplayer 2.7%

  57. #57 Organs Please
    66% matchVery Positive83% of 334 reviews2023
    Dev: TECHHOMEPub: HeroCraft PC
    Windows
    Median: 3.3 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: Multiple Endings 25.9%, Choices Matter 22.4%, Management 15.3%, Point & Click 14.1%, Simulation 8.1%

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