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Games Like Prescription: Madness

60+ similar titles based on shared tags and player behavior. Themes include Visual Novel, Adventure, Horror, Story Rich.

Similar Games

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  1. #1 Return to Shironagasu Island
    97% matchVery Positive94% of 3,990 reviews2020
    Dev: HYOGO ONIMUSHIPub: TABINOMICHI
    Windows
    Median: 5.5 hrsMean: 14.2 hrs≥1hr: 92%

    A mystery adventure game and visual novel set on solitary Shironagasu Island. Discover its secrets, solve its mysteries, and escape from the ominous island!

    Why similar: Visual Novel 28.5%, Mystery 15.5%, Horror 13.7%, Adventure 9.7%, Anime 8.8%

  2. #2 Date Time❤️: Melissa❤️, Morris❤️, Anna❤️
    96% matchNo user reviews
    Dev: CatTrigger
    Windows · Mac · Linux

    DATE, FLIRT & SURVIVE in this Retro-Horror Adventure where you date characters based on REAL Computer VIRUSES. Explore and uncover dark secrets behind each character and make choices that will lead to a ❤️SMOOCH❤️ or your DOOM!

    Why similar: Dark Humor 17%, Visual Novel 16.9%, Point & Click 16%, Horror 12.5%, Story Rich 9.2%

  3. #3 Lucid9: Inciting Incident
    96% matchVery Positive90% of 1,038 reviews2016
    Dev: Fallen Snow Studios
    Windows · Mac · Linux
    Median: 1.8 hrsMean: 12.1 hrs≥1hr: 71%

    Lucid9 is a visual novel focused on a web of intricate mysteries set in the fictional 2018 metropolis of Isamu. Lucid9: Inciting Incident is the first part of the story, focused on a string of disappearances that occur at a prestigious, uppity boarding academy.

    Why similar: Visual Novel 35%, Anime 16.3%, Mystery 15.2%, Story Rich 11%, Horror 10.5%

  4. #4 山:临界幸存者
    95% matchVery Positive92% of 625 reviews2022
    Dev: 迩来工作室Pub: WindField Games
    Windows
    Median: 6.3 hrsMean: 8.9 hrs≥1hr: 86%

    偏远的山村中,正举行着古老的祭祀『仙姑宴』。少女吟诵着,舞动着,一场漫长而恐怖的杀戮剧正在悄然上演……

    Why similar: Visual Novel 37.1%, Story Rich 17.2%, Anime 16.6%, Mystery 16.6%, Adventure 9.7%

  5. #5 Up or Down?
    94% matchNo user reviews
    Dev: Eye Blink Twice
    Windows

    Listen up, bellhop! Only bring in healthy hotel guests up to the chopper. Avoid all sick or else...

    Why similar: Visual Novel 28.1%, Horror 17.6%, Choices Matter 16.5%, Story Rich 13.5%, Point & Click 9.1%

  6. #6 Horrors of Helmsfirth
    94% matchNo user reviews
    Dev: Blue Five Games
    Windows · Mac

    Horrors of Helmsfirth is a horror/adventure visual novella where you investigate the mystery causing townsfolk to disappear at night. Build trust with allies who can help save your town from monsters. Explore 9 different character plot lines and defeat the forces of evil… or join them?

    Why similar: Visual Novel 28%, Choices Matter 17.2%, Horror 15.4%, Story Rich 14.1%, Mystery 12.8%

  7. #7 Nightmare Zapping
    93% matchVery Positive99% of 74 reviews2023
    Dev: Maldo19
    Windows

    A horror channel browsing game where each channel holds a different nightmare to experience, explore them and find out the truth about what has happened in a small town where the inhabitants have disappeared.

    Why similar: Visual Novel 20.9%, Dark Humor 14.6%, Horror 13%, Point & Click 10.5%, Story Rich 10.5%

  8. #8 Gwan Moon High School : The Ghost Gate
    92% matchMostly Positive80% of 64 reviews2021
    Dev: Studio AWE
    Windows · Mac · Linux

    High school students return well after hours, each with their own agenda and an ominous feeling. Come midnight...The fears deep inside become reality.

    Why similar: Visual Novel 33.7%, Point & Click 24.4%, Horror 18.7%, Anime 14.6%, Adventure 5%

  9. #9 At the Mount Leng of madness
    91% match3 user reviews100% of 3 reviews2025
    Dev: 井頭。
    Windows

    Four female college students visit a mountain where spirits live. There had been a number of disappearances there in the past, and it was known as a dangerous place. This work is a visual novel that depicts the secrets of Mount Leng and the adventures of college students.

    Why similar: Visual Novel 25.5%, Horror 16.1%, Choose Your Own Adventure 14.4%, Choices Matter 14.4%, Story Rich 11.3%

  10. #10 FEAST: Book One «Family Ties»
    91% matchMostly Positive79% of 97 reviews2018
    Dev: FairyPeople
    Windows

    FEAST is an experimental visual novel with our own unique design. Travel through the original fantasy world and learn its secrets together with the characters.

    Why similar: Visual Novel 33.9%, Dark Humor 30%, Horror 17%, Story Rich 10.1%, Adventure 9%

  11. #11 Witchlight Woods
    90% matchNo user reviews
    Dev: Delphin Casado
    Windows

    Blending fairy tale fright with psychological horror, this narrative game challenges you to survive a weird journey through the woods while being hunted by the witch you were tasked with imprisoning. Sometimes charming, sometimes frightening, she’ll force you to make hard choices.

    Why similar: Visual Novel 26.9%, Choices Matter 15.9%, Horror 14.3%, Dark Humor 11.9%, Choose Your Own Adventure 9.6%

  12. #12 Aojuji Hospital: Tokyo Eidolic Anatomy Division
    89% matchNo user reviews
    Dev: Furoshiki Lab.Pub: HYPER REAL
    Windows

    A Japanese horror novel adventure set in Japan in 1999. Confront the mysterious events and anatomize the paranormal!

    Why similar: Visual Novel 19.2%, Dark Humor 15.8%, Point & Click 15.7%, Horror 10%, Anime 9.5%

  13. #13 Noonna The Rock
    89% match3 user reviews33% of 3 reviews2024
    Dev: KXMstudio
    Windows

    Embark on a music-driven adventure across dimensions in this choice-based death metal visual novel. Lead your band between the human and demon realms, experience romance, and make destiny-altering decisions. Stunning graphics and an death metal soundtrack will amplify your thrilling journey.

    Why similar: Visual Novel 31.3%, Dark Humor 29%, Choices Matter 11.5%, Adventure 10.4%, Anime 8.5%

  14. #14 Five Stages of Pink
    87% matchVery Positive98% of 93 reviews2022
    Dev: Kaffein
    Windows · Mac · Linux

    Horror mystery about a boy who desperately wants a Normal life in the most abnormal city in the world. Help Timor understand his cruel life in this supernatural city while trying to survive one more day. In a universe where Sleep is an illness. This is a visual novel with point and click features.

    Why similar: Visual Novel 21.2%, Point & Click 15.5%, Horror 13.4%, Mystery 11.6%, Story Rich 11.1%

  15. #15 Elsewhere High: Chapter 1 - A Visual Novel
    88% matchMixed65% of 81 reviews2017
    Dev: Horizon Studio
    Windows · Mac
    Median: 1.3 hrsMean: 17.5 hrs≥1hr: 68%

    Welcome to Elsewhere High, "a school for exceptional children." In this visual novel, players are able to immerse themselves in the world of the outcast. Each student at Elsewhere High has fallen short of expectations at their original high school; they've flunked out, skipped class, wrote threatening notes, or grew to be a...

    Why similar: Visual Novel 35.5%, Horror 19.3%, Mystery 17.7%, Anime 14.5%, Adventure 13%

  16. #16 Doppelgänger
    86% matchPositive100% of 49 reviews2023
    Dev: HOLOSTARS English
    Windows · Mac

    The story is set in an alternate universe where the player is struggling with the memories of what they know to be HOLOSTARS English -TEMPUS- and the mysterious look-alikes who pull them every which way. Can the player figure out the truth about this twisted world and return to the guild?

    Why similar: Visual Novel 30.3%, Choose Your Own Adventure 15.9%, Choices Matter 14.7%, Story Rich 13.4%, Horror 12.2%

  17. #17 Awakewood
    86% matchNo user reviews2026
    Dev: NeuroCreativa
    Windows · Mac · Linux

    After your mother’s strange funeral, a black rain blocks the roads and leaves you stranded. The air smells like rotting fruit and nature begins to mutate. Can you get out of here before the forest finds you?

    Why similar: Visual Novel 23.9%, Point & Click 18.4%, Choose Your Own Adventure 9.6%, Adventure 9.4%, Anime 9.1%

  18. #18 Friendly Facade
    85% matchPositive92% of 24 reviews2023
    Dev: Emergence
    Windows

    In this visual novel, Maggie Crane and 15 others are invited to partake in the Isolated Society Study, where they must forge a peaceful society while attempting to outsmart each other in complex challenges. Just as the study is about to conclude, the Golding Foundation introduces a sinister twist.

    Why similar: Visual Novel 22.3%, Mystery 14.9%, Story Rich 12.4%, Anime 12%, Point & Click 9.8%

  19. #19 Tiny Bunny: Prologue
    84% matchOverwhelmingly Positive95% of 2,244 reviews2020
    Dev: Saikono
    Windows
    Median: 42 minMean: 2.7 hrs≥1hr: 38%

    Tiny Bunny: Prologue is a non-linear horror visual novel. Those, who have heard the voice of the forest, are beyond help.

    Why similar: Visual Novel 37.4%, Horror 28.6%, Point & Click 11.6%, Adventure 8.7%, Anime 5.8%

  20. #20 NO MORE WORK FOR ITO
    84% matchNo user reviews2026
    Dev: Poética Software
    Windows · Mac · Linux

    A horror visual novel with light adventure elements, about a group of office workers grinding through an intense all-nighter. Just do your job and.... don’t ask about Ito… nothing happened to him... everything is fine.

    Why similar: Visual Novel 25.7%, Point & Click 18.3%, Story Rich 13.6%, Horror 12.2%, Anime 7.7%

  21. #21 1999TOKOYO Building
    83% matchNo user reviews2026
    Dev: 常夜不動産Pub: KODANSHA
    Windows

    1999. The protagonist, a boy named Akira, finds himself lost in the TOKOYO Building—an indoor amusement park filled with secrets and eerie rumors. There, he begins living and working alongside its peculiar staff, but... Did you know? People disappear in the TOKOYO Building.

    Why similar: Visual Novel 24.6%, Point & Click 17.6%, Horror 11.6%, Choose Your Own Adventure 11.3%, Choices Matter 10%

  22. #22 ココロトーカーズ
    82% matchNo user reviews2026
    Dev: Cbeats
    Windows

    舞台は廃校。記憶喪失の少年と、「モノ」を自身に宿すことができる「モノマネ」の力を持つ少女。 校舎内のあらゆる「モノ」と会話してモノだけが知っている情報を聞き出し、失われた記憶を取り戻そう!

    Why similar: Visual Novel 33.1%, Mystery 18%, Anime 14.6%, Adventure 14.4%, Story Rich 11.2%

  23. #23 Miraculo Island
    82% matchPositive87% of 15 reviews2021
    Dev: Akumu GamesPub: Iliad Works
    Windows

    What you thought would be eight boring days in a remote island will become your worst nightmares. Is the place haunted? Is someone else out there to get us? Is there another motive they brought us here? Depends on you and your mates to survive in this mysterious place.

    Why similar: Visual Novel 20.9%, Point & Click 17.8%, Anime 10.7%, Choose Your Own Adventure 9.9%, Horror 9.2%

  24. #24 Tropical
    81% matchNo user reviews
    Dev: Robert Welz
    Windows

    Congratulations Dominica! You have been chosen to test the first virtual aquapark in history! Ten days in a tropical paradise where every detail is simulated to be perfect – what could possibly go wrong?

    Why similar: Visual Novel 18.3%, Choices Matter 12%, Horror 10.7%, Anime 10.4%, Point & Click 10.1%

  25. #25 Tokyo Dark
    81% matchVery Positive84% of 1,336 reviews2017
    Dev: CherrymochiPub: Square Enix
    Windows
    Median: 4.5 hrsMean: 5.5 hrs≥1hr: 90%

    Legend tells of a door deep below Tokyo's sewers. All who enter are lost forever. Detective Ito's partner is missing. Explore Tokyo & uncover the darkness that lays beneath the streets in this Point & Click - meets Visual Novel - narrative adventure that questions the very core of Ito's sanity.

    Why similar: Visual Novel 22.5%, Point & Click 17.1%, Anime 14.3%, Horror 14%, Mystery 11%

  26. #26 Higurashi When They Cry Hou - Ch.6 Tsumihoroboshi
    80% matchOverwhelmingly Positive99% of 873 reviews2018
    Dev: 07th ExpansionPub: MangaGamer
    Windows · Mac · Linux
    Median: 6.2 hrsMean: 40.2 hrs≥1hr: 88%

    Higurashi When They Cry is a sound novel. The music, backgrounds and characters work together to create a world that is the stage of a novel for the user to read. They laugh and cry and get angry. The user takes the point of view of the protagonist to experience the story.

    Why similar: Visual Novel 32.1%, Horror 17.6%, Mystery 15%, Anime 14.6%, Story Rich 11.6%

  27. #27 32, Dandelion Drift
    79% matchNo user reviews
    Dev: PRG Studios
    Windows

    Discover the secrets held within the old House on 32, Dandelion Drift. In this classic Visual Novel you’ll find joy, hope, but also remorse and terror.

    Why similar: Visual Novel 27.7%, Horror 17.6%, Story Rich 12.7%, Mystery 12.1%, Adventure 10.9%

  28. #28 CATMORPHOSIS
    78% matchPositive91% of 11 reviews2026
    Dev: KatWhorm StudiosPub: Hexapede Games
    Windows

    CATMORPHOSIS is a supernatural adult visual novel with weird romantic elements, a unique vibrant retro art style, and an abnormal storyline. You're Johann, and one night, you decided to order a cat from shady website. However, when the cat arrives a few days later, it's definitely NOT a normal cat.

    Why similar: Dark Humor 20.8%, Visual Novel 17.4%, Choices Matter 11.1%, Horror 10.6%, Story Rich 8.6%

  29. #29 Root Double -Before Crime * After Days- Xtend Edition
    79% matchVery Positive90% of 592 reviews2016
    Dev: YetiPub: Sekai Project
    Windows
    Median: 8.9 hrsMean: 14.3 hrs≥1hr: 94%

    Rescue squad captain Watase Kasasagi wakes up without his memories in the middle of his most critical mission yet-- a nuclear meltdown at a research facility. In an unfamiliar place and without his years of training, he must rescue the survivors and escape...

    Why similar: Visual Novel 40.8%, Anime 15.2%, Story Rich 13.9%, Mystery 12.9%, Choices Matter 6.2%

  30. #30 Metamorphosis
    77% matchPositive82% of 22 reviews2024
    Dev: AKAI KIRI
    Windows

    An interactive visual novel in the mystical genre. Mikey is admitted to an unusual institution for treatment, where he encounters supernatural phenomena and begins to prepare for a metamorphosis that will lead him into another world.

    Why similar: Visual Novel 32.9%, Choices Matter 18.6%, Horror 16.3%, Anime 10.8%, Adventure 9.1%

  31. #31 Enelia: Dawn of Madness
    77% matchVery Positive95% of 127 reviews2024
    Dev: Indra Studio
    Windows

    Immerse yourself in the enigmatic world of Nauris, where enchanting landscapes hide terrifying secrets: the strange behavior of elders, sinister rituals of priests, and the disappearance of citizens. Madness lurks everywhere – will you master it or become its victim? The choice is yours.

    Why similar: Visual Novel 21.7%, Horror 13.9%, Point & Click 12.4%, Story Rich 11.9%, Choices Matter 11.1%

  32. #32 ボク姫PROJECT
    78% match4 user reviews100% of 4 reviews2021
    Dev: ウィザードソフトPub: Nippon Ichi Software, Inc.
    Windows

    少年よ、美少女よりも可愛くなれ。 女装覚醒アドベンチャー「ボク姫PROJECT」。 女子生徒率99%の超お嬢様学校「私立百合愛学園」。 その学園のルールは「可愛さ」こそ全て。 女装少年 vs 超美少女!前代未聞の「可愛さ」対決が――今始まる!

    Why similar: Visual Novel 30.6%, Anime 15.6%, Choose Your Own Adventure 13.6%, Adventure 12.7%, Conversation 10%

  33. #33 Ashley's Adventure - Get a Job or Die Trying
    76% match1 user reviews0% of 1 reviews2025
    Dev: High-End Stories
    Windows

    Ashley's Adventure - Get a Job or Die Trying is an interactive visual novel based in a multiple-choice style of gameplay where you meet colourful characters and crazy events which you must resolve with the power of being a NEET.

    Why similar: Dark Humor 28.2%, Visual Novel 22.7%, Anime 13.7%, Choose Your Own Adventure 9.1%, Conversation 8.2%

  34. #34 Randal's Tuesday
    74% matchVery Positive84% of 110 reviews2025
    Dev: Nuclear Tales
    Windows · Mac · Linux

    A classic point and click adventure which takes place in a University and the prequel to Randal's Monday.

    Why similar: Dark Humor 38.4%, Point & Click 30.1%, Adventure 14.2%, Story Rich 13.7%, 2D 3.5%

  35. #35 The Shadow You
    76% matchPositive86% of 44 reviews2021
    Dev: Topchan GamesPub: WhisperGames
    Windows · Mac

    The Shadow You is a compelling horror adventure game set in two different realities. Solve puzzles, reveal secrets and let the chills go down your spine in this immersive story.

    Why similar: Dark Humor 19.8%, Visual Novel 17.5%, Mystery 11.1%, Point & Click 10.7%, Anime 10.5%

  36. #36 School Ghost Stories
    74% matchPositive92% of 38 reviews2026
    Dev: M-Gentlemen AfterpartyPub: Saikey Studios
    Windows

    In this adventure game, play as a young boy, Boku, who accidentally releases vengeful spirits from a local shrine. To fix his mistake, he must collect the ancient treasures to repair the seal. But the freed Youkai have their own plans for him and won’t make it easy. Can he resist their deadly lure?

    Why similar: Visual Novel 19.6%, Horror 17.4%, Anime 16.5%, Mystery 15.7%, Choices Matter 11.4%

  37. #37 Occult Rewrite
    75% matchPositive84% of 45 reviews2022
    Dev: Biomacchia
    Windows · Linux

    Face the fearsome "Withering Curse"! Dive deep into the ample bosom of truth! Rewrite your own history on this Erotic Horror adventure! When you and your classmates find yourselves trapped in a mist shrouded island Only you can save them from a grim -and often lewd- fate.

    Why similar: Visual Novel 22%, Point & Click 20.9%, Anime 14.1%, Horror 11.2%, Story Rich 11%

  38. #38 Free Fall
    73% match3 user reviews100% of 3 reviews2025
    Dev: Mindstream Games
    Windows · Mac

    A horror visual novel told through the eyes of a sentient FPV drone on its final mission.

    Why similar: Visual Novel 37.6%, Horror 22.3%, Story Rich 17.3%, Simulation 10.9%, Adventure 5.3%

  39. #39 キミが消えてしまう前に
    72% matchPositive97% of 31 reviews2025
    Dev: ニケ
    Windows

    A visual novel game where you spend an exciting school life in an abandoned school with ghost girls who have regrets and cannot rest in peace.

    Why similar: Visual Novel 39.3%, Horror 22.9%, Adventure 12.7%, Choose Your Own Adventure 12.4%, Simulation 6.1%

  40. #40 Magical Eyes - Red is for Anguish
    75% matchVery Positive81% of 69 reviews2016
    Dev: Pomera StudiosPub: Fruitbat Factory
    Windows
    Median: 3.7 hrsMean: 4.7 hrs≥1hr: 97%

    Magical Eyes - Red is for Anguish is a thrilling mystery story revolving around a series of unfathomable incidents in a town.

    Why similar: Visual Novel 36.3%, Anime 19%, Mystery 18.4%, Horror 15.6%, Adventure 10.6%

  41. #41 Angelic Agency: Soul Salvation Unit
    73% matchNo user reviews
    Dev: YOKUNIKU
    Windows

    A mystery adventure featuring a public security duo and supernatural cases. Unravel the truth behind the otherworldly "Ghosturbance Cases"!

    Why similar: Visual Novel 22.9%, Mystery 16.8%, Point & Click 16.7%, Choose Your Own Adventure 14.5%, Story Rich 13.7%

  42. #42 Memory Girl +
    71% matchVery Positive97% of 66 reviews2025
    Dev: cream△Pub: Champloo Games
    Windows

    A tragic love story following Memori and her search for the missing "him."

    Why similar: Visual Novel 25.8%, Horror 13.2%, Story Rich 12.6%, Choices Matter 11.3%, Mystery 10.3%

  43. #43 Slay the Princess — The Pristine Cut
    71% matchOverwhelmingly Positive97% of 30,737 reviews2023
    Dev: Black Tabby Games
    Windows · Mac · Linux
    Median: 4.0 hrsMean: 6.7 hrs≥1hr: 88%

    You're here to slay the princess. Don't believe her lies.

    Why similar: Visual Novel 23%, Dark Humor 14.9%, Choices Matter 14.8%, Point & Click 11.1%, Horror 10.9%

  44. #44 One Night Stand
    73% matchVery Positive90% of 762 reviews2016
    Dev: Kinmoku
    Windows · Mac · Linux
    Median: 3.3 hrsMean: 4.4 hrs≥1hr: 90%

    After a night of fun, passion, and one too many drinks, you wake up the next morning to find a complete stranger lying naked beside you in bed. What do you do?

    Why similar: Visual Novel 23.2%, Point & Click 15.5%, Choices Matter 14.7%, Mystery 9.3%, Story Rich 8.4%

  45. #45 Higurashi When They Cry Hou - Ch.7 Minagoroshi
    72% matchOverwhelmingly Positive97% of 663 reviews2019
    Dev: 07th ExpansionPub: MangaGamer
    Windows · Mac · Linux
    Median: 15.8 hrsMean: 91.0 hrs≥1hr: 87%

    Higurashi When They Cry is a sound novel. The music, backgrounds and characters work together to create a world that is the stage of a novel for the user to read. They laugh and cry and get angry. The user takes the point of view of the protagonist to experience the story.

    Why similar: Visual Novel 26.9%, Horror 17.3%, Anime 15.7%, Mystery 15.5%, Story Rich 12.7%

  46. #46 苍空的彼端
    70% matchVery Positive93% of 231 reviews2024
    Dev: PygmaGame
    Windows

    "The Other Side of the Sky" is a short text adventure game with an alternate fantasy setting in a single-line ending narrative mode.

    Why similar: Visual Novel 39.5%, Story Rich 20.8%, Anime 20.2%, Adventure 10.6%, Singleplayer 5.2%

  47. #47 KILLA
    70% matchNo user reviews
    Dev: Black Tangerine
    Windows

    KILLA is a 3D adventure mystery with multiple endings. Valhalla, our protagonist, seeks the killer of her mentor, a mentor she treasures like family, venturing to an unknown island. Discover the culprit on this enigmatic island and embark on a journey of revenge.

    Why similar: Visual Novel 17.1%, Point & Click 13.3%, Mystery 10.8%, Choices Matter 10.2%, Anime 10%

  48. #48 Zero Escape: Zero Time Dilemma
    71% matchVery Positive82% of 4,723 reviews2016
    Dev: Spike Chunsoft Co., Ltd.
    Windows
    Median: 4.6 hrsMean: 11.5 hrs≥1hr: 89%

    Nine participants awaken, trapped in an underground facility. To escape, they must play a game with deadly consequences. Who will live, and who will die? The choice is yours. Let the Decision Game begin…

    Why similar: Visual Novel 27.8%, Mystery 15.2%, Choices Matter 14.4%, Story Rich 14.3%, Anime 9.5%

  49. #49 Lyset Core
    69% match3 user reviews100% of 3 reviews2025
    Dev: Lyset Team
    Windows

    A horror visual novel set in a steampunk universe. Young Lyset finds herself wandering through a mysterious world of sentient machines. In her desperate search for her long-lost brother, she must choose between death and immortality.

    Why similar: Visual Novel 32.2%, Horror 17.9%, Anime 17.4%, Story Rich 16.3%, Adventure 7%

  50. #50 Storm the Swan - And the Power of FRIENDSHIP and IMAGINATION
    68% matchVery Positive99% of 76 reviews2024
    Dev: CatTrigger
    Windows · Mac · Linux

    Make Cute Animal Friends in this 8-bit Gameboy-inspired adventure! But there's something lurking in the woods, with DARK SECRETS you'll need to uncover!

    Why similar: Dark Humor 25.5%, Horror 14.6%, Point & Click 14.3%, Visual Novel 13.6%, Choose Your Own Adventure 9.5%

  51. #51 Danganronpa: Trigger Happy Havoc
    70% matchOverwhelmingly Positive96% of 35,609 reviews2016
    Dev: Spike Chunsoft Co., Ltd.
    Windows · Mac · Linux
    Median: 7.9 hrsMean: 22.8 hrs≥1hr: 88%

    Investigate murders, search for clues and talk to your classmates to prepare for trial. There, you'll engage in deadly wordplay, going back and forth with suspects. Dissect their statements and fire their words back at them to expose their lies! There's only one way to survive—pull the trigger.

    Why similar: Visual Novel 26.2%, Mystery 15.4%, Anime 15.2%, Dark Humor 12%, Story Rich 11.5%

  52. #52 Shoestrings Story
    68% match2 user reviews100% of 2 reviews2026
    Dev: KITTYPOOL
    Windows

    A point-and-click visual novel updating the classic "hero vs. demon king" fantasy into a cynical modern world where you can’t win by force alone. What defines a hero now? Will they be paid, or get any compensation at all?

    Why similar: Visual Novel 27.9%, Dark Humor 26%, Point & Click 20.1%, Story Rich 9.4%, Conversation 7.8%

  53. #53 NUKITASHI 2
    67% matchOverwhelmingly Positive98% of 2,547 reviews2024
    Dev: QruppoPub: Shiravune
    Windows
    Median: 14.8 hrsMean: 51.7 hrs≥1hr: 76%

    A new battle begins for Junnosuke—backed by the FS Big Three! “This is what it truly means for the minority to get vengeance.”

    Why similar: Dark Humor 28.7%, Visual Novel 21%, Anime 11%, Choose Your Own Adventure 9.6%, Story Rich 9.5%

  54. #54 The Elevator Game with Catgirls
    68% matchVery Positive100% of 107 reviews2022
    Dev: NoBreadStudio
    Windows · Linux

    Kirin plays the elevator game and disappears. Will her girlfriend, Asahi, be able to find her? The Elevator Game with Catgirls is a horror visual novel with point-and-click elements, inspired by the Korean urban legend, Elevator to Another World.

    Why similar: Visual Novel 30.1%, Horror 17.8%, Point & Click 16.8%, Choices Matter 11.5%, Mystery 8.3%

  55. #55 Miniature Garden
    69% matchMostly Positive78% of 95 reviews2017
    Dev: MuzintouPub: Fruitbat Factory
    Windows
    Median: 3.7 hrsMean: 165.7 hrs≥1hr: 96%

    Miniature Garden is a Japanese mystery visual novel with multiple endings and art by Korie Riko (Lump of Sugar).

    Why similar: Visual Novel 39%, Anime 20.2%, Mystery 18.8%, Horror 12.8%, Adventure 9.2%

  56. #56 ghostpia Season One
    67% matchVery Positive94% of 923 reviews2023
    Dev: ChosuidoPub: room6
    Windows · Mac
    Median: 8.0 hrsMean: 8.3 hrs≥1hr: 84%

    "In my dreams, I can get out. In my dreams, I can fit in." 'ghostpia' mixes the adorable art style of an illustrated book with glitches-and-noise effects. There are no choices to be made. There's only a lonely girl in a ghost town and her story full of mystery, friendhood...and a bit of violence.

    Why similar: Dark Humor 19.9%, Visual Novel 16%, Point & Click 12.2%, Horror 10.9%, Choices Matter 9.9%

  57. #57 Leviathan: The Last Day of the Decade
    69% matchMostly Positive79% of 689 reviews2014
    Dev: Lostwood
    Windows · Mac · Linux
    Median: 3.1 hrsMean: 4.9 hrs≥1hr: 94%

    "Leviathan: The Last Day of the Decade" is a detective story told by a dweller of a cruel dark fantasy world affected by the pandemic. The world ruled by a five noble-born kins under the suzerainty of the undead Plague King.

    Why similar: Visual Novel 39.5%, Point & Click 20.6%, Story Rich 17.4%, Choices Matter 11.3%, Adventure 8.5%

  58. #58 HIYOKU NO TORI
    67% matchPositive80% of 35 reviews2023
    Dev: kamotanprojectPub: iMel
    Windows

    An occult-mystery-adventure game set in Kyoto—detectives investigate to solve bizarre and complex cases. What did Kamotan detectives finally uncover on their way to the truth of these cryptic incidents?

    Why similar: Visual Novel 27.8%, Mystery 14.1%, Anime 13.8%, Choose Your Own Adventure 12.7%, Adventure 11.6%

  59. #59 Butt Tattoo Artist Simulator
    66% matchNo user reviews
    Dev: Hat Jump
    Windows

    Leo Pujols is just a wholesome man with a simple calling: open up a butt tattoo parlor. The historic town of Las Nalgas will never be the same. In this visual novel, your choices decide the fate of Leo and Las Nalgas. Also, you draw tattoos on butt cheeks.

    Why similar: Visual Novel 27%, Choices Matter 14.4%, Story Rich 14.4%, Point & Click 13.7%, Choose Your Own Adventure 9%

  60. #60 ROBOTICS;NOTES DaSH
    67% matchMixed67% of 268 reviews2020
    Dev: MAGES. Inc.Pub: Spike Chunsoft Co., Ltd.
    Windows
    Median: 2.3 hrsMean: 29.8 hrs≥1hr: 56%

    Half a year after the events of ROBOTICS;NOTES ELITE, Kaito Yashio is introduced to Itaru Hashida through Nae Tennouji. Unsettling incidents start occurring all around them, harbingers of an event that will again plunge the world into chaos.

    Why similar: Visual Novel 31.6%, Story Rich 25.8%, Mystery 16.8%, Anime 16.5%, Adventure 9.3%

Prescription: Madness cover art

Games Like Prescription: Madness

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