Games Like Project Hospital

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 54.2% ★, Management 15.2%, Building 9.8%, Simulation 7.1%, City Builder 5.5%

Why You'll Like It: It is the most direct thematic peer, offering a polished hospital management experience with a focus on layout and patient flow.

Design, build, and manage a high school with terrific teachers and fantastic facilities or simply let your students poop in the bushes? Academia : School Simulator is a management/tycoon game where you get to decide!

Why similar: City Builder 23%, Management 14.8%, Building 10.2%, Moddable 9.9%, Economy 9.4%

Why You'll Like It: It applies the same institutional management and building principles to a school environment, requiring careful resource allocation.

Take charge of a WW1 field hospital on the Western Front, and make all the decisions necessary to help the soldiers recover and to support the war effort. In this narrative management game, you are the last bastion of humanity.

Why similar: Medical Sim 45.4% ★, City Builder 19.1%, Management 12%, Building 8.4%, Economy 7.6%

Why You'll Like It: This game shares the medical management focus but adds high-stakes survival and ethical decision-making in a wartime setting.

Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.

Why similar: City Builder 23.3%, Management 15.2%, Building 13.5%, Sandbox 12.2%, Moddable 9.8%

Why You'll Like It: It features the same deep, grid-based building and management mechanics, requiring careful planning of infrastructure and staff.

Construct and design buildings for optimal working conditions. Hire people to design and release software, so you can defeat the simulated competition and take over their businesses. Manage and educate your employees to make sure they are skilled and satisfied with their job.

Why similar: Management 20.5%, Moddable 17%, Building 14.9%, Economy 14.6%, Sandbox 12.9%

Why You'll Like It: It offers an incredibly deep management simulation where you must design office layouts while managing complex business operations.

What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?

Why similar: Medical Sim 44.7% ★, Management 14.3%, Moddable 6.8%, Economy 6.4%, Isometric 5.2%

Why You'll Like It: It focuses on the medical industry, challenging players to manage production lines and research while balancing economic success.

Build the university of your dreams with Two Point Campus, the sim with a twist from the makers of Two Point Hospital. Build, hire staff and run an academic institution packed with wild courses.

Why similar: City Builder 24.1%, Management 21.2%, Building 13.6%, Sandbox 10.1%, Simulation 7.5%

Why You'll Like It: It refines the management mechanics of the Two Point series, focusing on the specific needs of an educational campus.

Project Highrise is a skyscraper construction and management sim...

Why similar: Management 30.7%, Building 21%, Simulation 12%, City Builder 9.3%, Sandbox 8.9%

Why You'll Like It: It emphasizes vertical building and tenant management, requiring players to balance infrastructure and utility logistics.

Build a soviet republic from an impoverished country into a rich industrial superpower in a city builder with intricate production chains and a fully simulated global economy. Manage the lives of your citizens from education to work and party loyalty to criminal activity.

Why similar: City Builder 27.5%, Management 13.8%, Moddable 11.7%, Building 11.3%, Economy 10.6%

Why You'll Like It: It provides the deep, granular management and logistics simulation that fans of Project Hospital's complexity will appreciate.

Build a world for wildlife in Planet Zoo. From the developers of Planet Coaster and Zoo Tycoon comes the ultimate zoo sim. Construct detailed habitats, manage your zoo, and meet authentic living animals who think, feel and explore the world you create around them.

Why similar: City Builder 22%, Management 21.9%, Building 14.6%, Sandbox 12.1%, Economy 9.3%

Why You'll Like It: This game provides an unparalleled level of detail in sandbox building and complex animal welfare management.

Dive into the exhilarating role of a headmaster entrusted to revive your alma mater! Beyond just bricks and mortar, train teachers, recruit students. Sculpt your school into a unique educational haven! Let's School!

Why similar: Medical Sim 31.2% ★, City Builder 18.3%, Management 11.4%, Education 9.9%, Sandbox 7.7%

Why You'll Like It: It focuses on the design and management of an educational institution with a similar emphasis on facility layout and student needs.

Parkitect is a business simulation game that charges you with the construction and management of theme parks! Bringing back the best of classic theme park games with many new features and content on top. Now supports online co-op with up to 8 players!

Why similar: City Builder 19.8%, Management 15.4%, Moddable 12.7%, Building 12.4%, Economy 11.4%

Why You'll Like It: It offers superior building tools and management depth for those who enjoy the sandbox architectural aspects of Project Hospital.

Build and manage an international airport!

Why similar: City Builder 18%, Moddable 16.1%, Management 14.4%, Building 10.6%, Sandbox 9.5%

Why You'll Like It: It provides a detailed look at airport logistics, requiring players to manage everything from passenger flow to staff scheduling.

A sci-fi colony sim driven by an intelligent AI storyteller. Generates stories by simulating psychology, ecology, gunplay, melee combat, climate, biomes, diplomacy, interpersonal relationships, art, medicine, trade, and more.

Why similar: City Builder 22.5%, Moddable 19.2%, Management 17.9%, Sandbox 13.7%, Building 10.8%

Why You'll Like It: It features a highly detailed medical system and colony management that requires constant attention to individual character needs.

Step into the shoes of a hotel owner as you design, build, and manage grand hotels around the world. Juggle demanding guests, frantic logistics, and plenty of unexpected surprises in Hotel Architect; the ultimate hotel construction and tycoon management game!

Why similar: City Builder 26.2%, Management 15.9%, Building 12.7%, Sandbox 11.5%, Economy 11%

Why You'll Like It: It allows for detailed building and management of a service-based facility, focusing on guest satisfaction and operational efficiency.

Build & Manage Your Airport. An International Hub or a Regional Masterpiece -- it's up to you. Buy more land to scale out, or escalators to scale up with MULTIPLE FLOORS. You're in full control in this modern business management tycoon!

Why similar: City Builder 29%, Management 16.8%, Building 13.1%, Economy 12.6%, Sandbox 11.7%

Why You'll Like It: It focuses on the design and management of an airport, sharing the logistical and building challenges found in hospital management.

Become a landlord and deal with problematic tenants as you build your rental property empire. Decide how to react to annoyed neighbors or police interventions. Will you design your apartment for a group of gamer friends or an aspiring musician looking for a new home?

Why similar: City Builder 26.7%, Management 17.7%, Building 12.6%, Economy 11.6%, Life Sim 10.9%

Why You'll Like It: It focuses on property management and interior design, allowing for the same level of creative control over building layouts.

Start your own game development studio in 1976. Build your own offices, production facilities and server rooms. Develop the games of your dreams and produce the next next-gen console. Rise from a small garage company to a huge corporation.

Why similar: City Builder 23.8%, Management 23%, Economy 15%, Building 11.3%, Sandbox 9.3%

Why You'll Like It: It offers a deep management simulation focused on the game development industry, requiring careful resource and staff management.

Build a fortress and try to help your dwarves survive against a deeply generated world. Keep your dwarves happy, grow their community and beware of digging too deeply. The deepest, most intricate simulation of a world that's ever been created.

Why similar: City Builder 31.7%, Management 18.6%, Building 15.1%, Sandbox 14.3%, Simulation 7.5%

Why You'll Like It: It offers the ultimate simulation experience with unmatched depth in management, building, and individual character simulation.

Humans are long gone. In a world struck by droughts and toxic waste, will your lumberpunk beavers do any better? A sandbox city-building game featuring ingenious animals, vertical architecture, water physics, and terraforming. Contains high amounts of wood.

Why similar: City Builder 38.6%, Management 16%, Building 13.2%, Sandbox 12.6%, Simulation 5.4%

Why You'll Like It: It introduces unique building mechanics and water-based resource management that require careful planning and optimization.

Production line is the new car factory management/simulation/tycoon game that pushes your organisational and entrepreneurship skills to the limit. Can you build the ultimate optimised, free-flowing car production line whilst beating the competition and still turn a profit?

Why similar: Management 18.6%, City Builder 11.8%, Building 10%, Economy 9.9%, Sandbox 8.4%

Why You'll Like It: It focuses on automation and production chains, appealing to those who enjoy the logistical optimization of Project Hospital.

Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day!

Why similar: Medical Sim 36.3% ★, Moddable 16%, Management 11.2%, Education 10.8%, Sandbox 7.1%

Why You'll Like It: It focuses on emergency services and dispatch management, sharing the high-pressure, time-sensitive nature of medical care.

It's time to Build a Zoo! Construct and decorate enclosures, buy and breed animals, hire zookeepers and vets... then try your hand at DNA splicing, and stitch together over 300,000 different types of animal. This can only go smoothly...

Why similar: City Builder 30.3%, Management 18.2%, Sandbox 13%, Building 12.5%, Simulation 9.4%

Why You'll Like It: It combines management and sandbox building with a quirky, detailed approach to animal care and facility design.

Frostpunk is the first society survival game. As the ruler of the last city on Earth, it is your duty to manage both its citizens and infrastructure. What decisions will you make to ensure your society's survival? What will you do when pushed to breaking point? Who will you become in the process?

Why similar: City Builder 50.5%, Building 11.7%, Resource Management 10.6%, Management 9.6%, Strategy 8.3%

Why You'll Like It: It challenges players with high-stakes management and infrastructure building under extreme survival conditions.

Raise a city from the ground up and transform it into a thriving metropolis with the most realistic city builder ever. Push your creativity and problem-solving to build on a scale you've never experienced. With deep simulation and a living economy, this is world-building without limits.

Why similar: City Builder 33.8%, Management 12.1%, Building 11.8%, Sandbox 9.6%, Economy 8.3%

Why You'll Like It: It is the gold standard for complex city-building and infrastructure management, offering endless sandbox potential.

Foundation is a grid-less, laidback medieval city-building game with a focus on organic development, monument construction and resource management.

Why similar: City Builder 44.7%, Management 11.6%, Sandbox 9.1%, Building 8.8%, Economy 8%

Why You'll Like It: It offers grid-less building and management with a focus on organic growth and community needs.

Curate and manage incredible museums! Explore to discover amazing artifacts. Design and refine the layout, keep staff happy, guests entertained, donations plentiful… and children off the exhibits

Why similar: City Builder 26.2%, Building 13.5%, Management 12.6%, Sandbox 10.6%, Life Sim 9%

Design and build the most efficient metro stations known to man! Excavate. Expand. Set staff priorities. And manage the commuter flow. Overcrowd is a 2.5D management/tycoon/simulator set below the bustling city of Lubdon Town.

Why similar: City Builder 26.4%, Management 17.1%, Building 12.3%, Sandbox 10.4%, Isometric 9.6%

Why You'll Like It: It focuses on the management of a complex public transit hub, requiring careful planning to avoid congestion.

Urbek is a city building game where you can build your own neighbourhoods: from nightlife district to industrial district. Don't exhaust your natural resources before you have an educated population to build more efficient structures.

Why similar: City Builder 30.2%, Management 16.1%, Building 13.5%, Sandbox 11.4%, Economy 10.7%

Why You'll Like It: It focuses on city planning and resource management, emphasizing the interconnected nature of urban infrastructure.

Build up your headquarters from scratch and design your own masterpiece. In Rescue HQ you build, organize and manage a joint station for firefighters, police and ambulance. Manage your resources wisely and master challenging emergencies to keep your city safe! Are you up to the challenge?

Why similar: City Builder 23.9%, Management 20.2%, Building 14.3%, Sandbox 13%, Isometric 10.5%

Why You'll Like It: It manages emergency services with a similar layout-building focus, requiring players to balance different departments.

Big Ambitions is a revolutionary role-playing business sim. Go from nothing to the biggest entrepreneur in New York by opening small businesses or slowly building huge corporations any way you like.

Why similar: Management 34.8%, Economy 21%, Life Sim 13.1%, Sandbox 11%, Simulation 9.4%

Modern Casino Tycoon Simulation in full 3D glory. Build the casino. Set the odds. Expand into a luxury hotel/casino or go cheap & extract max profits. Keep the vault secure at all times, and beware of criminals & cheaters!!

Why similar: City Builder 26.9%, Management 14.2%, Building 12.3%, Sandbox 11.8%, Economy 10.4%

Why You'll Like It: It involves building and managing a complex facility with a heavy emphasis on economy and customer behavior simulation.

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 38.3% ★, Job Simulator 26.6% ★, Management 9.8%, Life Sim 7.1%, Building 5.2%

Design, build and manage a giant shopping center. Open shops, supermarkets, restaurants, movie theaters, bowling alleys and more. Hire and manage the best staff for the job and milk your customers for all they're worth!

Why similar: City Builder 23.8%, Management 23.6%, Building 15.6%, Economy 10.5%, Simulation 8.2%

Startup Company is a business simulation sandbox game where you’re the CEO of a new company. Your job is to build your very own website and compete against the largest tech giants on the planet!

Why similar: Management 35.7%, Economy 17.8%, Simulation 12.3%, Building 8%, Sandbox 7.8%

Chef is a Restaurant Management game in which you create your own character, acquire supreme cooking skills, customize restaurants, design unique menus, and devise innovative recipes with a realistic editor.

Why similar: Management 44.7%, Simulation 16.2%, Sandbox 11.6%, Moddable 9.3%, Character Customization 8.5%

Build and run your own hotel from the ground up. Manage guests, design rooms, hire staff and upgrade floors. Set competitive prices for rooms and turn the tiny 1-floor building into a thriving 100-story luxury hotel.

Why similar: Job Simulator 27.2% ★, City Builder 14.9%, Management 14.7%, Building 9.7%, Life Sim 7.6%

Form your own game studio set in the early 1980s in a small garage. Develop your own game ideas, create a team and develop megahit video games. Research new technologies, train your staff and upgrade your office space, going from a lowly garage to a huge building. Expand your business and dominate the world market for video games!

Why similar: Management 28.2%, Economy 14.3%, Building 14%, Sandbox 11.7%, Isometric 9.3%

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 49.3% ★, Management 12.1%, Sandbox 9%, Economy 7.7%, Building 6.1%

Have you ever wanted to design and manage your own hotel, rundown motel, or elegant resort? With a ridiculous amount of customization tools to wield, a host of facilities to build, and a wide variety of guests to impress, Hotel Magnate has it all. Let your inner hotel manager shine!

Why similar: City Builder 24.5%, Management 17.1%, Building 13.2%, Sandbox 12.2%, Economy 10.7%

Tavern Master is all about managing your medieval tavern. You start with a very small room, couple of benches and tables and build your way up to a huge successful tavern with a kitchen, rooms for guests, group of loyal staff and much more!

Why similar: Management 32.6%, Building 21%, City Builder 18.8%, Simulation 11.2%, Resource Management 8%

Recipe for Disaster is a management sim that captures the fast-paced, drama-filled environment of a professional kitchen and dining room. Build your dream restaurant, create recipes, design menus and manage your staff, all while contending with demanding customers and disastrous situations!

Why similar: Management 21.3%, Building 13%, Life Sim 11.3%, Economy 11%, Isometric 8.2%

Build an intricate prison, hire the best staff, and pamper your prisoners to create the perfect rehabilitation facility in Prison Tycoon: Under New Management

Why similar: Medical Sim 30.7% ★, Management 15%, Building 11.1%, City Builder 9.5%, Sandbox 7.7%

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 37.8% ★, Job Simulator 27.6% ★, Management 9.7%, Economy 7.3%, Life Sim 6.5%

The classic transport simulation genre has a new gold standard with Transport Fever 2. Discover a whole new world by navigating transport routes through land, water and air. May progress and prosperity find their way!

Why similar: City Builder 25.9%, Management 17.7%, Economy 10.2%, Simulation 8.7%, Building 8.5%

Manage your workers, stations, machines and create awesome stuff as your little big workshop grows into your dream factory!

Why similar: Management 21.1%, Simulation 14.9%, Building 14.4%, Economy 11.2%, Strategy 10.9%

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 69.7% ★, Management 23.2%, Simulation 7.1%

Espresso Tycoon - a coffee shop simulator. Create your brand, decorate the coffee shop, manage your employees, and take care of your customers. Use the 3D coffee editor to create coffee recipes, order supplies, and collect rating points. Build the whole coffee business and complete all the missions!

Why similar: Management 17.1%, Education 16.8%, Building 14%, Isometric 10.5%, Sandbox 9.1%

Find the most effective way to construct and manage a hospital. Build your hospital smart and avoid excess time and resources consumed by examining your patients unnecessary. You can choose to micromanage your patients or hope that your doctors are able to identify the cause of their symptoms.

Why similar: Management 45.8%, Simulation 45.7%, Indie 8.5%

Good Company is an in-depth management sim about building a trail-blazing tech corporation. Assemble complex production lines, manage employee logistics, and sell high-quality products on the market to become the best company in the whole county!

Why similar: City Builder 18.6%, Management 16%, Building 12.8%, Economy 12.2%, Sandbox 11.7%

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 75.7% ★, Simulation 12%, Strategy 10.1%, Indie 2.3%

TasteMaker is a restaurant tycoon game. Design your own restaurant from the ground up, decorate, create a menu, hire and manage staff, and much more. Keep your customers happy and make a profit to keep the restaurant of your dreams from turning into a nightmare.

Why similar: Management 22.9%, Building 17.8%, Sandbox 17.5%, Economy 14.8%, Isometric 10.7%

The public aquarium simulator. Design your displays, look after your fish, manage your staff and keep your guests happy! It's all in a day's work as the curator of your very own Megaquarium.

Why similar: Management 21%, Building 17.9%, Sandbox 16.3%, Moddable 13.5%, Simulation 9.2%

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 47.4% ★, Life Sim 10%, Simulation 8.8%, Education 8.6%, Management 6.6%

Run your own Pharmacy! Sell medicines, advise customers, validate prescriptions, and fulfill them. Start small and expand your business - make it big in the medicine world!

Why similar: Medical Sim 28.9% ★, Management 18.2%, Economy 13.2%, Simulation 11%, Building 8%

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 46.6% ★, Job Simulator 33.1% ★, Life Sim 6.8%, Sandbox 5%, Realistic 4.7%

Build, manage, and expand your own lucrative parking enterprise in this management sim. Parking World puts the power to build your perfect parking garage at your fingertips while solving everybody else's parking problems in unique narrative scenarios or without any objectives in freeplay mode.

Why similar: City Builder 21.2%, Management 15.1%, Building 12.6%, Economy 11%, Sandbox 10.2%

Design, build and manage a recreation center! Host fitness classes, build swimming pools, arcade & entertainment areas, build event rooms to host parties & much more. With endless customisation, Rec Center Tycoon goes much more in-depth than your average business management simulator.

Why similar: Medical Sim 32.8% ★, City Builder 16.2%, Management 10.8%, Building 8.9%, Sandbox 8.1%

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 53.6% ★, Management 14%, Building 11.5%, Economy 10.8%, Simulation 5.5%