- #1 Vampire Therapist
97% matchVery Positive94% of 937 reviews2024
Dev: Little Bat Games
Windows · Mac · Linux
Median: 2.2 hrsMean: 5.2 hrs≥1hr: 73%
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 29.5%, LGBTQ+ 27.9%, Funny 11.2%, Horror 10.9%, Story Rich 9.5%
Why You'll Like It: A narrative-driven game where you provide therapy to vampires, blending dark humor with psychological exploration.
- #2 The Infectious Madness of Doctor Dekker
96% matchVery Positive83% of 601 reviews2017
Dev: D'Avekki Studios Ltd
Windows · Mac · Linux
Median: 4.2 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: Psychological 25.8%, Dark 18.4%, Psychological Horror 16.2%, Story Rich 10.8%, Horror 10.8%
Why You'll Like It: An FMV mystery where you interview patients to uncover the truth, closely matching the patient-interaction focus.
- #3 Mind Scanners
96% matchMostly Positive76% of 1,308 reviews2021
Dev: The Outer ZonePub: Brave At Night
Windows · Mac
Median: 5.6 hrsMean: 6.6 hrs≥1hr: 86%
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 65% ★, Choices Matter 13.6%, Simulation 10.7%, Story Rich 10.7%
Why You'll Like It: You diagnose and treat citizens in a dystopian city, mirroring the clinical decision-making and patient-interaction loop of the seed game.
- #4 Interrogation: You will be deceived
95% matchMostly Positive78% of 375 reviews2019
Dev: Critique GamingPub: Assemble Entertainment
Windows · Mac · Linux
Median: 4.4 hrsMean: 5.2 hrs≥1hr: 92%
As a detective tasked with bringing down a dangerous terrorist group, you fight on two fronts: interrogating suspects & managing your team and its reputation. With time running out, how far will you go to stop these criminals? Manipulation, threats or even torture? Does the end justify the means?
Why similar: Psychological 34.1%, Dark 20.2%, Choices Matter 16.5%, Psychological Horror 16.3%, Story Rich 12.9%
Why You'll Like It: Focuses on high-stakes dialogue and psychological pressure during interrogations to uncover the truth.
- #5 Beholder
94% matchVery Positive92% of 30,475 reviews2016
Dev: Alawar Stargaze (Warm Lamp Games)Pub: Alawar
Windows · Mac · Linux
Median: 4.3 hrsMean: 13.6 hrs≥1hr: 82%
You’re a state-installed landlord in a totalitarian country. Place listening devices, steal and sneak into your tenants’ apartments. Use what you uncovered to report anyone capable of plotting against the state. You MUST! But WILL you?
Why similar: Dark Humor 33.2%, Dark 20.3%, Choices Matter 17.8%, Story Rich 12.3%, Simulation 11%
Why You'll Like It: A surveillance simulation where you must balance your job duties with the lives of those you observe.
- #6 Papers, Please
93% matchOverwhelmingly Positive97% of 78,992 reviews2013
Dev: Lucas PopePub: 3909
Windows · Mac · Linux
Median: 4.3 hrsMean: 10.2 hrs≥1hr: 85%
Congratulations. The October labor lottery is complete. Your name was pulled. For immediate placement, report to the Ministry of Admission at Grestin Border Checkpoint. An apartment will be provided for you and your family in East Grestin. Expect a Class-8 dwelling.
Why similar: Simulation 58.7%, Story Rich 32.9%, Casual 8.5%
Why You'll Like It: A bureaucratic simulation that forces players to make difficult moral choices under pressure while managing a job.
- #7 Depression Quest
94% matchMixed61% of 3,934 reviews2014
Dev: The Quinnspiracy
Windows · Mac · Linux
Median: 42 minMean: 78.1 hrs≥1hr: 42%
Depression Quest is an interactive fiction game where you play as someone living with depression. You are given a series of everyday life events and have to attempt to manage your illness, relationships, job, and possible treatment.
Why similar: Psychological 47.8%, Psychological Horror 18.9%, Dark 15.4%, LGBTQ+ 12.9%, Story Rich 4.9%
Why You'll Like It: A poignant, choice-driven interactive fiction game dealing with mental health and personal struggles.
- #8 Orwell: Keeping an Eye On You
92% matchVery Positive90% of 15,430 reviews2016
Dev: Osmotic StudiosPub: Daedalic Entertainment
Windows · Mac · Linux
Median: 3.2 hrsMean: 8.2 hrs≥1hr: 86%
Big Brother has arrived - and it’s you. Investigate the lives of citizens to find those responsible for a series of terror attacks. Information from the internet, personal communications and private files are all accessible to you. But, be warned, the information you supply will have consequences.
Why similar: Choices Matter 56.1%, Simulation 39.7%, Story Rich 4.2%
Why You'll Like It: Investigates citizens through digital footprints, requiring careful analysis and decision-making similar to clinical diagnosis.
- #9 Do Not Feed the Monkeys
91% matchVery Positive94% of 12,357 reviews2018
Dev: Fictiorama StudiosPub: Alawar
Windows · Mac · Linux
Median: 3.7 hrsMean: 6.8 hrs≥1hr: 87%
A digital voyeur simulator where you watch strangers through surveillance cameras. Invade their privacy and witness their most intimate moments, but don’t interact with the subjects – anything could happen if you dare feed the monkeys!
Why similar: Dark Humor 42.4%, Choices Matter 17.3%, Funny 15.9%, Story Rich 13.2%, Simulation 11.1%
Why You'll Like It: A voyeuristic simulation game that requires careful observation and ethical choices regarding the subjects you watch.
- #10 Who's Lila?
91% matchVery Positive95% of 3,610 reviews2022
Dev: Garage Heathen
Windows
Median: 3.6 hrsMean: 4.7 hrs≥1hr: 78%
A reverse-detective adventure, where you control your character's face
Why similar: Psychological Horror 30.3%, Horror 22.9%, Choices Matter 18.8%, Story Rich 14.1%, 3D 8.1%
Why You'll Like It: A psychological horror game featuring a unique facial expression system that influences dialogue and narrative outcomes.
- #11 The Test: Reality Check
89% matchOverwhelmingly Positive98% of 640 reviews2025
Dev: Randumb Studios
Windows
The Test: Reality Check is one of multiple installments in an ongoing social experiment that can be classified as an atmospheric, psychological-simulation with horror elements. Dive deep into your own psyche to find answers to questions you've kept locked away, hidden from yourself for far too long.
Why similar: Dark Humor 23.7%, Psychological Horror 14.4%, Immersive Sim 12.6%, Choices Matter 11.3%, Horror 10.1%
Why You'll Like It: A psychological simulation game that tests your personality and choices through interactive scenarios.
- #12 Stories Untold
90% matchVery Positive87% of 5,426 reviews2017
Dev: No CodePub: Devolver Digital
Windows · Mac
Median: 2.6 hrsMean: 3.0 hrs≥1hr: 76%
Stories Untold is a compilation tape of four experimental adventures, including a remaster of the original hit episode “The House Abandon”.
Why similar: Psychological Horror 45.7%, Horror 38.5%, Story Rich 15.8%
Why You'll Like It: A narrative-driven psychological horror game that uses retro-simulation mechanics to tell a chilling, fragmented story.
- #13 Doki Doki Literature Club!
88% matchOverwhelmingly Positive96% of 221,125 reviews2017
Dev: Team Salvato
Windows · Mac
Median: 3.0 hrsMean: 38.4 hrs≥1hr: 74%
The Literature Club is full of cute girls! Will you write the way into their heart? This game is not suitable for children or those who are easily disturbed.
Why similar: Psychological Horror 43.6%, Dark 22%, Horror 20.2%, Story Rich 12.3%, Casual 1.9%
Why You'll Like It: A meta-psychological horror game that subverts expectations through intense dialogue and character interaction.
- #14 The Cat Lady
89% matchVery Positive94% of 6,142 reviews2013
Dev: Harvester GamesPub: Screen 7
Windows
Median: 3.2 hrsMean: 6.0 hrs≥1hr: 91%
The Cat Lady follows Susan Ashworth, a lonely 40-year old on the verge of suicide. She has no family, no friends and no hope for a better future. One day she discovers that five strangers will come along and change everything...
Why similar: Psychological 24.3%, Psychological Horror 22%, Horror 21.2%, Dark 16.8%, Story Rich 15.7%
Why You'll Like It: A dark, story-rich psychological horror game that explores heavy themes through interactive, choice-based storytelling.
- #15 Hypnospace Outlaw
86% matchOverwhelmingly Positive97% of 5,418 reviews2019
Dev: TendershootPub: No More Robots
Windows · Mac · Linux
Median: 3.4 hrsMean: 6.7 hrs≥1hr: 77%
Greetings Enforcer, and thank you for enlisting in the Hypnospace Patrol Department! As the world falls into its slumber, Hypnospace becomes a bustling global village. These virtual streets aren't going to police themselves!
Why similar: Psychedelic 25.9%, Simulation 23.9%, Psychological 20.4%, Funny 16.1%, Story Rich 13.8%
Why You'll Like It: A surreal simulation game that captures a specific, slightly unsettling vibe through its unique, nostalgic interface.
- #16 The Council
86% matchVery Positive84% of 5,631 reviews2018
Dev: Big Bad WolfPub: Focus Entertainment
Windows
Median: 4.4 hrsMean: 17.3 hrs≥1hr: 77%
Experience a Narrative Adventure where your choices and character growth truly matter. As a member of a 1793 secret society, live a tale of intrigue and manipulation on the hunt for your missing mother.
Why similar: Choices Matter 55.7%, Story Rich 31.2%, Horror 13%
Why You'll Like It: An episodic narrative game where dialogue choices and psychological manipulation are the primary mechanics.
- #17 Unemployment Simulator 2018
84% matchVery Positive87% of 103 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 30.4%, Life Sim 17.8%, Immersive Sim 13.7%, Psychological Horror 12%, Story Rich 9.7%
Why You'll Like It: A dark-humor simulation that explores the struggles of daily life through choice-driven gameplay.
- #18 Autopsy Simulator
85% matchMixed52% of 1,557 reviews2024
Dev: Woodland GamesPub: Team17 Digital Ltd
Windows
Median: 4.3 hrsMean: 4.8 hrs≥1hr: 81%
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 50.1% ★, Simulation 16%, Horror 11.9%, Psychological Horror 10.5%, Dark 7.3%
Why You'll Like It: A medical simulation game that leans into the dark, clinical, and horror-adjacent themes of the profession.
- #19 We Happy Few
84% matchMostly Positive77% of 13,698 reviews2018
Dev: Compulsion GamesPub: Gearbox Publishing
Windows
Median: 3.9 hrsMean: 14.4 hrs≥1hr: 85%
From the independent studio that brought you Contrast, We Happy Few is an action/adventure game set in a drug-fuelled, retrofuturistic city in an alternative 1960s England. Hide, fight and conform your way out of this delusional, Joy-obsessed world.
Why similar: Psychological Horror 41.1%, Horror 27.1%, Dark 22.4%, Story Rich 9.4%
Why You'll Like It: A dark, psychological adventure set in a dystopian society where perception and mental state are central themes.
- #20 Fran Bow
82% matchOverwhelmingly Positive97% of 22,182 reviews2015
Dev: Killmonday Games AB
Windows · Mac · Linux
Median: 7.4 hrsMean: 10.5 hrs≥1hr: 91%
Fran Bow is a creepy adventure game that tells the story of Fran, a young girl struggling with a mental disorder and an unfair destiny.
Why similar: Psychological Horror 32.4%, Psychological 20.9%, Dark 16.1%, Horror 15.6%, Story Rich 15%
Why You'll Like It: A surreal, psychological horror adventure that delves into the mind of a young girl navigating trauma.
- #21 The Confession
82% matchOverwhelmingly Positive95% of 1,016 reviews2020
Dev: Randumb Studios
Windows
Ever wondered how much of a kinky pervert you are? Ever wanted to know what your fate entails for being such a kinky pervert? Answer a series of disgustingly hilarious, immoral questions to reveal ridiculous scenarios & unlock the answers you seek...
Why similar: Dark Humor 24.7%, Psychological 15%, Life Sim 12.7%, Immersive Sim 9.8%, Funny 9.5%
Why You'll Like It: A simulation game centered on dark humor and branching narrative choices.
- #22 Fun Hospital
83% matchMixed64% of 600 reviews2018
Dev: OrangesGame Technology Limited
Windows · Mac
Median: 1.2 hrsMean: 32.8 hrs≥1hr: 52%
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 73.2% ★, Simulation 17.8%, Casual 9%
Why You'll Like It: A medical simulation game that provides a lighter, management-focused take on the hospital setting.
- #23 Welcome to the Game II
81% matchVery Positive84% of 3,439 reviews2018
Dev: Reflect Studios
Windows · Mac
Median: 2.2 hrsMean: 8.7 hrs≥1hr: 70%
Welcome to the Game II is an atmospheric horror / strategy / puzzle game that takes you into the world of the deep web in search of the shadow web. Play as an investigative reporter trying to solve a case of a mysterious woman broadcasting for help as masked men are on the hunt to kill her.
Why similar: Horror 39.5%, Psychological Horror 32%, Simulation 14.5%, Dark 14.1%
Why You'll Like It: An intense, simulation-based psychological horror game that focuses on observation and survival.
- #24 Pathologic 2
79% matchVery Positive92% of 12,002 reviews2019
Dev: Ice-Pick LodgePub: tinyBuild
Windows
Median: 4.6 hrsMean: 12.5 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: Psychological Horror 22.1%, Immersive Sim 21.3%, Choices Matter 20.8%, Story Rich 17.9%, Dark 17.8%
Why You'll Like It: A punishing, atmospheric psychological survival game that forces players to make impossible moral choices.
- #25 Not Tonight
80% matchVery Positive83% of 2,722 reviews2018
Dev: PanicBarnPub: No More Robots
Windows
Median: 4.5 hrsMean: 6.5 hrs≥1hr: 90%
Person of European Heritage #112: Welcome to Relocation Block B, your new home. Your designated role is 'Bouncer'. Work hard, stay out of trouble, and we might let you stay in the UK.
Why similar: Life Sim 60.7%, Simulation 29.3%, Story Rich 8.1%, Casual 1.8%
Why You'll Like It: A social simulation game that forces players to navigate a dystopian society through difficult, choice-driven work.
- #26 Mother Simulator
81% matchVery Positive83% of 706 reviews2018
Dev: Steppe Hare Studio
Windows
Median: 1.9 hrsMean: 4.5 hrs≥1hr: 67%
It’s a humorous project about a young parent's difficult weekdays. If you feel worried, irritated, you don’t understand what’s going on and what you must do next, so don’t worry. We want to give you exactly these feelings in our game.
Why similar: Psychological Horror 49.9%, Simulation 20.1%, Funny 16.4%, Casual 8.7%, Colorful 4.8%
Why You'll Like It: A dark-humor simulation game that captures the stressful, chaotic nature of caretaking.
- #27 Therapy Simulator
78% 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: Life Sim 21.1%, Immersive Sim 21.1%, Choices Matter 15.8%, Story Rich 12.8%, Funny 11.3%
- #28 Observation
79% matchMostly Positive78% of 5,112 reviews2020
Dev: No CodePub: Devolver Digital
Windows
Median: 3.7 hrsMean: 5.0 hrs≥1hr: 85%
Observation is a sci-fi thriller uncovering what happened to Dr. Emma Fisher, and the crew of her mission, through the lens of the station’s artificial intelligence S.A.M.
Why similar: Horror 43.2%, Psychological Horror 33%, Story Rich 23.8%
Why You'll Like It: A sci-fi psychological thriller where you play as the station's AI, observing and interacting with the environment.
- #29 Prescribe and Pray
78% matchMostly Positive77% of 66 reviews2026
Dev: Nuclear Rabbits
Windows
Awaken the incompetent doctor within you! Diagnose strange patients, examine their absurd symptoms… and prescribe treatments that could change their lives… or cut them short. Your actions will have consequences.
Why similar: Medical Sim 54.9% ★, Choices Matter 14.9%, Dark Humor 12.7%, Simulation 8.5%, Story Rich 6.4%
- #30 Revenge Of The Colon
77% matchVery Positive85% of 411 reviews2023
Dev: Lilou Studio
Windows
Median: 2.5 hrsMean: 3.2 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 25.1% ★, Psychological 17.6%, Dark Humor 15.9%, Psychological Horror 10.8%, Horror 8.9%
- #31 Do No Harm
76% matchMostly Positive75% of 901 reviews2025
Dev: Darts Games
Windows
Median: 2.5 hrsMean: 5.9 hrs≥1hr: 76%
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 51.9% ★, Psychological Horror 11.4%, Choices Matter 10.9%, Dark 10.9%, Story Rich 9%
- #32 Sanatorium - A Mental Asylum Simulator
75% matchMixed62% of 215 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 47.5% ★, Psychological 18.8%, Dark 10.9%, Choices Matter 9.2%, Story Rich 7.2%
- #33 CURE - A Hospital Simulator
73% matchVery Positive89% of 730 reviews2025
Dev: Sentinel Games
Windows
Median: 4.6 hrsMean: 8.1 hrs≥1hr: 84%
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 30.3% ★, Outbreak Sim 28.4% ★, Dark Humor 15%, Life Sim 10.8%, Immersive Sim 8.3%
- #34 Cactus Simulator
76% matchVery Positive91% of 323 reviews2022
Dev: Dynamic Games
Windows
Cactus Simulator is a game in which you can become a cactus.
Why similar: Life Sim 17.1%, Abstract 17%, Psychological Horror 15.5%, Immersive Sim 12.7%, Simulation 8.4%
- #35 Russian Psychiatric Pastoral: Prologue
75% matchMostly Positive78% of 102 reviews2025
Dev: Ivan Lysenko
Windows
Introductory demonstration version. An interactive movie that combines a psychiatrist simulator, a detective story and unique fight sequences. Take on the role of a psychiatrist, encounter various psychiatric diagnoses, and investigate disappearances of various people.
Why similar: Horror 26%, Simulation 24.6%, Choices Matter 23.7%, Story Rich 20.4%, Casual 5.2%
- #36 Depression The Game
77% matchMixed69% of 310 reviews2018
Dev: DeepWorks Studios
Windows
Depression The Game is an interactive game simulating major depression. You are joining a young man on one of his really bad days trying to handle his thoughts and survive that day... Will he?
Why similar: Psychological 22.6%, Life Sim 18.1%, Psychological Horror 13.7%, Immersive Sim 10.1%, Choices Matter 9.1%
- #37 Chair F*cking Simulator
74% matchVery Positive94% of 1,100 reviews2020
Dev: SoSorrySoft
Windows
Median: 18 minMean: 16.2 hrs≥1hr: 29%
Use our innovative patented funky fresh ChairF*cker simulation tech to meet the chair of your wildest dreams.
Why similar: Dark Humor 24.6%, LGBTQ+ 23.8%, Psychological Horror 16.2%, Horror 11.1%, Funny 10.2%
- #38 Doctor Life Simulator
74% matchMixed67% of 138 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 50.2% ★, Life Sim 19.4%, Choices Matter 9.6%, Simulation 8.9%, Story Rich 4.8%
- #39 Pathologic 3
71% matchVery Positive81% of 2,562 reviews2026
Dev: Ice-Pick LodgePub: HypeTrain Digital
Windows
Median: 4.9 hrsMean: 16.6 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: Psychological 23.4%, Psychological Horror 22%, Horror 15.5%, Immersive Sim 11.7%, Choices Matter 10.5%
- #40 Prison Simulator
73% matchVery Positive86% of 2,503 reviews2021
Dev: Baked Games
Windows
Median: 3.9 hrsMean: 8.0 hrs≥1hr: 79%
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: FPS 27.3%, Funny 23.4%, Simulation 19%, Story Rich 18.5%, Casual 11.8%
- #41 PAGER
72% matchVery Positive87% of 135 reviews2025
Dev: bilge
Windows
You are wetware, working a mysterious job.
Why similar: Dark Humor 23.2%, Psychological 19.7%, Psychological Horror 15.4%, Immersive Sim 12.5%, Horror 10.9%
- #42 Quadrober Simulator
72% matchMostly Positive76% of 1,015 reviews2024
Dev: PropilGames
Windows
Median: 42 minMean: 5.4 hrs≥1hr: 40%
Are you a quadrober?
Why similar: Life Sim 37.4%, Dark Humor 30%, Simulation 18.9%, Funny 13.6%
- #43 Smile More
71% matchVery Positive97% of 217 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 57.1% ★, Horror 13.3%, Psychological Horror 11.4%, Simulation 8.7%, Dark 5.7%
- #44 Covid Simulator
73% 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 43.5% ★, Dark Humor 17.7%, Life Sim 13.8%, Immersive Sim 11.9%, Choices Matter 6.9%
- #45 Galacticare
70% matchVery Positive87% of 633 reviews2024
Dev: Brightrock GamesPub: Mythwright
Windows
Median: 6.0 hrsMean: 12.6 hrs≥1hr: 95%
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 28.3% ★, Outbreak Sim 27.3% ★, Dark Humor 15.2%, Story Rich 7.2%, Choices Matter 6.3%
- #46 The Horrorscope
71% matchVery Positive94% of 1,100 reviews2020
Dev: Randumb Studios
Windows
You will answer a series of questions that will reveal your potential fate. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Horrorscope, and if you do, are you sure you want the answers you seek?
Why similar: Psychological 21.8%, Psychological Horror 15.8%, Life Sim 11.8%, Immersive Sim 9.3%, Dark 9.2%
- #47 Heal Hitler
70% matchMostly Positive75% of 225 reviews2021
Dev: Jon Aegis
Windows
POV: You are Hitler’s psychologist in 1925. Diagnose his complexes by using both Jungian and Freudian psychotherapy and attempt to heal him. Resolve Hitler's trauma and prevent catastrophe via therapy and psychology. Succeed and avoid the war and holocaust.
Why similar: Psychological 58.5%, Casual 24.9%, Story Rich 16.7%
- #48 WTF Is Wrong With You?
69% matchVery Positive93% of 362 reviews2021
Dev: Randumb Studios
Windows
Have you ever wondered WTF Is Wrong With You? Well, so have we... Let's find out together, shall we?
Why similar: Dark Humor 24.3%, Psychological Horror 12.5%, Life Sim 11.9%, Choices Matter 11.4%, Immersive Sim 11.2%
- #49 Oyabu Clinic Deathcare Corporation
68% matchVery Positive94% of 235 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 49.7% ★, Dark Humor 16.9%, Horror 9.9%, Funny 7.9%, Story Rich 6%
- #50 Interrogation Simulator
69% matchVery Positive95% of 61 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 28%, Immersive Sim 18.5%, Abstract 17.7%, Psychological Horror 15.3%, Story Rich 9.2%
- #51 Egg Squeeze
66% matchVery Positive99% of 437 reviews2024
Dev: MATTER GAMES
Windows
Egg Squeeze is a biological intuition test where you squeeze eggs for as long as you can without breaking them.
Why similar: Dark Humor 19.2%, Abstract 15.3%, Psychedelic 14.4%, Psychological Horror 12%, Immersive Sim 10.5%
- #52 PowerSimulator
70% matchMixed42% of 209 reviews2023
Dev: SHIT MAKER
Windows
Do you want to be a upright official or corrupt officials？Choose your choice,Reaching the pinnacle of power.
Why similar: Dark Humor 37.1%, Choices Matter 16.1%, Life Sim 14.4%, Funny 13.4%, Simulation 8.8%
- #53 The Test: Reimagined
66% matchVery Positive83% of 120 reviews2026
Dev: Randumb Studios
Windows
The Test: Reimagined is a masterful mix of Personality Test Psychology and Dark Tarot. Answer a series of fully-narrated questions to receive a personalized, unique ending based on your choices. Dive deep into your own psyche and join millions in a social experiment that you will NOT want to miss!
Why similar: Psychological Horror 21.8%, Choices Matter 19.7%, Psychological 17.6%, Simulation 17.1%, Dark 11%
- #54 Healing Spree
69% 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 47.7% ★, Dark Humor 23%, Funny 9.7%, Simulation 6.4%, Colorful 5.2%
- #55 Robotherapy
66% matchVery Positive87% of 125 reviews2023
Dev: Lucas Molina
Windows · Mac · Linux
An emotional dark comedy about robots doing therapy. In Robotherapy, you're a robot therapist in a dystopian society that killed all the humans, but is still not happy. Treat patients, meet weird robots and enter their minds. If killing all humans doesn't bring happiness, then what does?
Why similar: Dark Humor 39.3%, Psychological 32.5%, Story Rich 14.2%, Funny 10%, Casual 4.1%
- #56 Project Hospital
65% matchVery Positive89% of 9,130 reviews2018
Dev: Oxymoron Games
Windows · Mac · Linux
Median: 4.4 hrsMean: 24.2 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 74.6% ★, Life Sim 14.5%, Simulation 10.9%
- #57 Rise of Insanity
67% matchMostly Positive79% of 1,274 reviews2018
Dev: Red Limb Studio
Windows · Linux
Median: 3.3 hrsMean: 5.0 hrs≥1hr: 94%
In Rise of Insanity, as a doctor of psychology you will explore the darkest recesses of the human mind. Overcome your fear to find the truth behind the tragedy that has befallen your family.
Why similar: Psychological Horror 22.5%, Psychedelic 20.4%, Horror 19.6%, Dark 15.5%, Simulation 12.9%
- #58 Surgeon Simulator
66% matchVery Positive82% of 16,822 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 46% ★, Dark Humor 25.1%, Funny 10.4%, Dark 8.5%, Simulation 7.6%
- #59 Magical Massage
63% matchVery Positive97% of 108 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: Dark Humor 36.6%, Psychological Horror 21.5%, Story Rich 12.8%, Simulation 12.1%, Funny 11.4%
