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Games Like Roots of Insanity

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

Roots of Insanity header art

As Dr. Riley McClein, you have to figure out what is real and what is not as you try to uncover the mysterious happenings at the hospital, while also trying to deal with your epileptic attacks that have haunted you all your life.

Reviews: Mixed — 67% — of 439 reviews
Released: 2017-04-04
Developer: Crania Games
Genres: Action, Adventure, Indie
Platforms: Windows
Median playtime: 3.2 hrs
Mean playtime: 3.4 hrs
Players ≥ 1 hr: 92%

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  1. #1 Rise of Insanity
    97% matchMostly Positive79% of 1,266 reviews2018
    Dev: Red Limb Studio
    Windows · Linux
    Median: 3.3 hrsMean: 5.1 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: Horror 46.9%, Psychological Horror 25.8%, Adventure 15.1%, Indie 12.3%

  2. #2 Blackbay Asylum
    96% matchMixed57% of 552 reviews2014
    Dev: TAD Productions ABPub: KPL
    Windows
    Median: 2.7 hrsMean: 3.9 hrs≥1hr: 94%

    In Blackbay Asylum, you take on the role of a confused psychopath who finds himself able to leave his cell one day. Explore the hospital grounds, solve mind shattering puzzles, survive relentless horrors and follow the story of Doug Dunheiw as he tries to find some clarity in what goes on at Blackbay Asylum.

    Why similar: Gore 43.8%, Violent 20.5%, Horror 17.8%, Adventure 12.6%, Indie 5.2%

  3. #3 The Story of Henry Bishop
    95% matchVery Positive83% of 545 reviews2019
    Dev: Blazes Games
    Windows
    Median: 3.4 hrsMean: 4.1 hrs≥1hr: 85%

    The story of Henry Bishop is a first-person psychological thriller, where the player will have to fight, guess riddles, immerse into a mystical plot and an incredible story.

    Why similar: Horror 24.7%, Violent 24%, Gore 15.7%, Psychological Horror 9.5%, Adventure 8.2%

  4. #4 Dementium II HD
    96% matchMixed50% of 1,263 reviews2013
    Dev: Memetic GamesPub: Missing Link Games
    Windows
    Median: 3.7 hrsMean: 5.2 hrs≥1hr: 93%

    The visage of doctors and patients alike fade in and out of these nightmarish visions of tortured memories. This eggshell reality is fractured by experiments conducted in the ward. Blood, flesh and screams surround as you put together the pieces of your story and make your escape from the Bright Dawn Treatment Center while the dark...

    Why similar: Horror 55.4%, Action 14.4%, Adventure 12%, FPS 10.2%, Indie 8%

  5. #5 Ruined Nurse
    94% matchVery Positive83% of 568 reviews2024
    Dev: eTIRUe
    Windows

    Explore the hospital by Thwarting the creatures that are trying to stop you and solving puzzles. Successfully install the internet and surprise customer...

    Why similar: Horror 29.5%, Nudity 19.3%, Psychological Horror 15.6%, FPS 15.5%, Action-Adventure 8.6%

  6. #6 Old School FOTD
    94% matchMostly Negative35% of 85 reviews2017
    Dev: Andrey BelyPub: Narko Games
    Windows
    Median: 42 minMean: 8.6 hrs≥1hr: 42%

    You play as a schizophrenic and must find an outlet at any cost...

    Why similar: Gore 34.3%, Violent 26.8%, Horror 10.9%, Action 8.8%, Adventure 7.4%

  7. #7 Skautfold: Shrouded in Sanity
    93% matchVery Positive81% of 524 reviews2016
    Dev: Steve GalPub: Pugware
    Windows
    Median: 2.9 hrsMean: 3.4 hrs≥1hr: 82%

    Discover the secrets of the estate, as you look for answers among the violent inhabitants. A strange and repelling madness took hold of the servants roaming the halls, and they will attack on sight, for their madness is one rooted in a deeper understanding of cosmic insignificance.

    Why similar: Horror 23.8%, Violent 19.9%, Psychological Horror 18.8%, Action 16.2%, Adventure 11.7%

  8. #8 Remothered: Tormented Fathers
    92% matchMostly Positive74% of 2,314 reviews2018
    Dev: Stormind Games
    Windows
    Median: 3.6 hrsMean: 4.9 hrs≥1hr: 90%

    Remothered: Tormented Fathers is the pure and realistic survival horror videogame

    Why similar: Gore 22.3%, Horror 21.9%, Violent 19.8%, Psychological Horror 11.2%, Action 7.9%

  9. #9 Devil Inside Us: Roots of Evil
    91% matchVery Positive97% of 65 reviews2021
    Dev: Fernando TittzPub: Mr.Skull Game Studio
    Windows

    In this story focused horror game, you are a priest! And you need to help a family with their cursed house, explore, follow your visions, find the root, and exorcize it!

    Why similar: Horror 42.7%, Psychological Horror 26.6%, Action 9%, Action-Adventure 8.5%, Adventure 7.1%

  10. #10 Ad Infinitum
    90% matchMostly Positive79% of 1,409 reviews2023
    Dev: HekatePub: Nacon
    Windows
    Median: 3.1 hrsMean: 4.5 hrs≥1hr: 83%

    When reality is a nightmare, nightmares become real. In this psychological horror game, you fight the terrifying creatures invading your mind. Can you save your sanity?

    Why similar: Gore 28.3%, Horror 26.4%, Psychological Horror 15.3%, Violent 12.4%, Action 8.5%

  11. #11 Deluded Mind
    91% matchMixed62% of 108 reviews2018
    Dev: Sky HaubrichPub: Pyxton Studios
    Windows

    You wake up at the psychiatric institution Hillstone Asylum and find that you have been given a potent hallucinogen. As you cross the corridors of Hillstone Asylum, you notice that there's something wrong with you: The hallucinogen shows its effects and literally puts you in hell on earth.

    Why similar: Gore 30.8%, Violent 24.8%, Horror 16.6%, Psychological Horror 10.6%, Adventure 9.6%

  12. #12 Insanity VR: Last Score
    89% matchVery Positive83% of 179 reviews2017
    Dev: Threevol
    Windows
    Median: 30 minMean: 7.2 hrs≥1hr: 35%

    Insanity VR combines an immersive and intuitive locomotion system in VR, a compelling horror story and escape the room like puzzles with stealth mechanics. As the new intern at a futuristic institute for mental illnesses you get transported into the mind of a patient to reconstruct his memories.

    Why similar: Gore 28.9%, Horror 25.8%, Violent 22.3%, Psychological Horror 9.3%, Adventure 8.7%

  13. #13 Sanity of Morris
    89% matchMixed67% of 60 reviews2021
    Dev: Alterego GamesPub: StickyLock Studios
    Windows · Mac · Linux

    Sanity of Morris: a psychological horror adventure game. Your flashlight reveals the clues you need to stay sane in the search for your father. Discover the truth. Could aliens be real?

    Why similar: Horror 37.3%, Psychological Horror 26.4%, Action 13.3%, Action-Adventure 10.8%, Adventure 8.2%

  14. #14 Neverending Nightmares
    88% matchMostly Positive76% of 2,989 reviews2014
    Dev: Infinitap Games
    Windows · Mac · Linux
    Median: 3.3 hrsMean: 3.7 hrs≥1hr: 91%

    Experience true psychological horror as you explore nightmares inspired by the creator's struggles with depression and OCD. The defenseless protagonist must avoid monstrous manifestations of what haunts his subconscious in his quest to wake up into reality.

    Why similar: Horror 36.3%, Gore 24.2%, Psychological Horror 19.9%, Violent 6.1%, Indie 5.8%

  15. #15 Root Of Evil: The Tailor
    87% matchVery Positive83% of 529 reviews2016
    Dev: EastFog Studios
    Windows · Mac
    Median: 2.9 hrsMean: 3.9 hrs≥1hr: 94%

    You will play a telepath named James. He has the ability to connect with the soul thus he can understand their past. He was hired to explore what happened in the previous 20 years in a haunted house This is the puzzle game!

    Why similar: Horror 53.4%, Adventure 17.8%, Action 16.2%, Indie 12.7%

  16. #16 Deep Inside
    86% matchVery Positive83% of 118 reviews2024
    Dev: Nick Abrams
    Windows

    Deep Inside - is a first-person psychological horror game! You are a police officer trying to find out who is behind the most high-profile murders in the city and have therefore become the number one target for a maniac!

    Why similar: Indie 32.7%, Horror 24.3%, Action 15.2%, Psychological Horror 14.3%, Adventure 13.5%

  17. #17 Mists of Aiden
    84% matchVery Positive91% of 1,138 reviews2020
    Dev: Steppe Hare Studio
    Windows
    Median: 2.0 hrsMean: 3.1 hrs≥1hr: 79%

    Mists of Aiden is a first-person story driven horror game. You play as a thief trapped in an eerie mansion. Each choice can open a new mystery of the house and lead to a unique walkthrough and ending. Uncover final secret of the house. Uncover your own secrets.

    Why similar: Horror 29.9%, Violent 24%, Gore 14.9%, Psychological Horror 11%, Adventure 7.7%

  18. #18 Locked Fears
    86% matchMixed67% of 66 reviews2016
    Dev: dekoga.d
    Windows
    Median: 2.5 hrsMean: 2.9 hrs≥1hr: 71%

    Locked Fears is a first person puzzle/horror game with platforming elements and creepy atmosphere. You play as Samuel Custer, a late worker at UNIVERS HORIZONS, when things at the office start to drift into a dreadful situation. With the help of an unknown Individual you try to survive and escape this nightmare.

    Why similar: Gore 38.5%, Horror 23%, Psychological Horror 13.1%, Action 10.1%, Adventure 8.9%

  19. #19 Infliction
    83% matchVery Positive81% of 936 reviews2018
    Dev: Caustic Reality
    Windows
    Median: 3.8 hrsMean: 9.0 hrs≥1hr: 88%

    Wander through an interactive nightmare set within the confines of a once-happy household. Piece together the mystery behind a harrowing series of events while struggling to survive encounters with an entity that relentlessly stands in the way of finding absolution.

    Why similar: Gore 29.8%, Horror 25.1%, Violent 19.8%, Psychological Horror 14.7%, Adventure 6.2%

  20. #20 Stairs
    84% matchMostly Positive70% of 361 reviews2015
    Dev: GreyLight EntertainmentPub: Digital Tribe
    Windows
    Median: 3.1 hrsMean: 3.7 hrs≥1hr: 90%

    STAIRS is a first-person atmospheric psychological horror game, inspired by real-life events, that takes players through the stories of three missing people as seen through the eyes of journalist Christopher Adams. Start preparing yourself now, for to descend down these steps is to descend into madness...

    Why similar: Horror 42.5%, Psychological Horror 19.3%, Adventure 13.9%, Action 13.3%, Indie 11.1%

  21. #21 Fragile
    82% matchMixed64% of 429 reviews2020
    Dev: Beer Night Studio
    Windows

    Get pulled into the nightmares of reality as you play as an abducted girl from the ger district of Ulaanbaatar, Mongolia. Uncover a secret organization that deals in human trafficking and other horrendous activities. Try to escape from the scariest place on earth!

    Why similar: Gore 38.2%, Violent 25.8%, Horror 15.1%, Adventure 7.1%, Psychological Horror 6.6%

  22. #22 Familiar Stranger
    81% matchMixed64% of 53 reviews2025
    Dev: Duanyang WangPub: Horror engine games
    Windows

    The Familiar Stranger is a 3D psychological horror game where twisted memories and nightmares blur. Uncover dark secrets while evading a relentless entity that watches from the shadows. Can you escape the horrors of the past, or will they consume you?

    Why similar: Horror 34%, Psychological Horror 19.2%, Action-Adventure 17.3%, Indie 10.3%, Action 10.2%

  23. #23 Shrouded in Sanity: Freebirth
    82% matchVery Positive83% of 183 reviews2018
    Dev: Steve GalPub: Pugware
    Windows
    Median: 36 minMean: 6.1 hrs≥1hr: 41%

    Free version of Shrouded in Sanity. Discover the secrets of the estate, as you look for answers among the violent inhabitants. Servants roaming the halls will attack on sight, for a strange and repelling madness took hold... one rooted in a deeper understanding of cosmic insignificance.

    Why similar: Gore 41%, Violent 31.6%, Action 9.4%, Adventure 9%, Indie 8.9%

  24. #24 DOCTOR VISCERA
    78% matchVery Positive100% of 67 reviews2025
    Dev: Liminal RoadPub: Nuntius Games
    Windows

    Trapped in an abandoned asylum with the sinister Doctor Viscera, who will stop at nothing to keep you there as his test subject for cruel experiments. Explore the old GrimmHaus Asylum in this PSX-style survival horror game.

    Why similar: Horror 35.7%, Gore 12.5%, Psychological Horror 12%, Violent 10%, Adventure 8.7%

  25. #25 Madness inside
    78% matchMostly Positive76% of 87 reviews2024
    Dev: ZV GAMES
    Windows

    "Madness Inside"" immerses you in the dark depths of an abandoned psychiatric hospital, where horrifying experiments were once conducted. Police Lieutenant Vic Voight, in pursuit of a dangerous criminal, unexpectedly finds himself trapped in this nightmarish place.

    Why similar: Violent 37.4%, Horror 24.7%, Action-Adventure 11.3%, Psychological Horror 9.8%, Adventure 8.6%

  26. #26 Forest Asylum 2
    77% matchVery Positive98% of 55 reviews2025
    Dev: Michal Piotrowski
    Windows

    Forest Asylum 2 - An Indie Psychological Horror Game and the sequel to the well-received first part. Embark on a Therapy that will change your life!

    Why similar: Horror 25.3%, Psychological Horror 20.8%, Gore 19.5%, Violent 15.7%, Adventure 12.5%

  27. #27 Lethe - Episode One
    79% matchVery Positive85% of 398 reviews2016
    Dev: KoukouStudiosPub: Faber Interactive
    Windows
    Median: 3.5 hrsMean: 4.3 hrs≥1hr: 94%

    Lethe is a first person adventure with survival horror elements. Explore an atmospheric and frightening world and uncover the dark secrets of your origins.

    Why similar: Horror 41.1%, Action 22.7%, Adventure 21.1%, Indie 15%

  28. #28 Fear in Hospital
    80% matchMixed48% of 504 reviews2019
    Dev: IO Games
    Windows

    Fear in Hospital is a short survivor horror in hospital where you should find a occult path to escape alive!

    Why similar: Gore 27.8%, Horror 23.9%, Violent 17.9%, Psychological Horror 14.7%, Adventure 7.1%

  29. #29 Distorted Reality
    81% matchMostly Negative21% of 71 reviews2017
    Dev: Berdochan
    Windows
    Median: 18 minMean: 8.5 hrs≥1hr: 16%

    Distorted Reality is a first-person survival horror, which takes place in the hospital of Alexandria. For mysterious reasons, the usual laws of physics in the hospital completely stopped working.

    Why similar: Adventure 37.3%, Action 37%, Indie 25.7%

  30. #30 Hegis' Grasp: Evil Resurrected
    79% matchMixed50% of 54 reviews2017
    Dev: Odd Branch Studio
    Windows · Mac · Linux
    Median: 36 minMean: 5.8 hrs≥1hr: 43%

    Hegis' Grasp is a story-driven, atmospheric survival horror game. Play as Henry Wood, a curious journalist investigating rumors of what is happening to the once peaceful village, Hegis. It will be up to you how this story ends, but first, you must survive the insanity of the natives within this damned place.

    Why similar: Gore 34.9%, Violent 28.1%, Horror 14.4%, Action 9.1%, Adventure 8.1%

  31. #31 Absinth
    77% matchMixed69% of 98 reviews2020
    Dev: Soulven Games
    Windows

    A psychological first-person horror experience. Set in California, USA, blurring the line between game and reality. Confront the events which completely changed Zane Zaminsky´s life.

    Why similar: Horror 30.7%, Psychological Horror 19.2%, Gore 14.4%, Violent 13.5%, Indie 8%

  32. #32 7th Floor
    74% matchVery Positive98% of 53 reviews2025
    Dev: Vörös GergelyPub: IGT Games
    Windows

    Find your missing daughter in the Hospital of Madness. Collect items, fight enemies, and do whatever it takes to reach her!

    Why similar: Horror 24.2%, Violent 21.8%, Gore 21.4%, Psychological Horror 14.2%, Action 7.4%

  33. #33 Minds Eyes
    76% matchMixed70% of 1,826 reviews2016
    Dev: Stanislaw TruchowskiPub: TurnVex
    Windows
    Median: 36 minMean: 2.6 hrs≥1hr: 22%

    You venture through your mind, trying desperately to wake up from your nightmares. Will you make it out?

    Why similar: Horror 71.2%, Psychological Horror 7.8%, Action 7.5%, Adventure 6.7%, Indie 4.5%

  34. #34 Deca
    76% matchVery Positive83% of 60 reviews2021
    Dev: Chrome Horizon 3DPub: Chrome Horizon 3D
    Windows

    It is a horror game, developed inside the psychiatric hospital Deca. Our protagonist wakes up disoriented, bloody, and unable to remember what she does there. Everything is dark, but she can see corpses lying on the floor and she hears noises, which leads her to think that she is alone.

    Why similar: Gore 28.9%, Violent 21.6%, Horror 17.6%, Nudity 14.6%, Action 6.7%

  35. #35 Lunacy: Saint Rhodes
    75% matchMixed59% of 172 reviews2023
    Dev: Stormling StudiosPub: Iceberg Interactive
    Windows
    Median: 4.1 hrsMean: 4.9 hrs≥1hr: 90%

    Lunacy: Saint Rhodes is a first-person psychological horror adventure game. Explore your dark family history, solve puzzles and experience a gut-wrenching feeling of terror. You are being watched; never alone, never safe.

    Why similar: Horror 43.7%, Psychological Horror 26.9%, Action 17.7%, Action-Adventure 11.8%

  36. #36 Parasitic Evil
    72% matchVery Positive92% of 673 reviews2023
    Dev: R'sPub: Playmeow
    Windows
    Median: 1.4 hrsMean: 3.6 hrs≥1hr: 63%

    Amidst a catastrophe, the protagonists find themselves trapped inside a hospital that has been conducting mysterious research. While they manage to survive the initial disaster, they are soon confronted with insane mutations—and the struggle to escape the hospital which leaves both their sanity and physical forms under siege.

    Why similar: Nudity 50.2%, Psychological Horror 24.8%, Action 13.3%, Adventure 11.8%

  37. #37 Fear Of Nightmares: Madness Descent
    75% matchMostly Positive74% of 90 reviews2017
    Dev: Christoffer Ryrvall
    Windows

    After having witnessed his own hanging, the character finds himself in a forest where strange events begin to happen. While traveling through dark enviroments in order to restore his sanity he will encounter various obstacles aswell as malformed horrors lurking in the dark.

    Why similar: Horror 35.4%, Action 25.4%, Adventure 22.4%, Indie 16.8%

  38. #38 Project Nightmares Case 36: Henrietta Kedward
    72% matchMostly Positive77% of 393 reviews2021
    Dev: NC Studio
    Windows
    Median: 1.9 hrsMean: 20.1 hrs≥1hr: 56%

    Project Nightmares is a survival horror game with a procedural structure, creating unique scares every time you play. A machine will induce you into a dream state, throwing you into a living nightmare firsthand in order to discover the story of Henrietta Kedward, an old woman with a dark past.

    Why similar: Gore 28%, Violent 21.9%, Horror 19.9%, Nudity 14%, Action 7.3%

  39. #39 The Dark Occult
    73% matchMixed69% of 1,264 reviews2018
    Dev: RYM GAMES
    Windows
    Median: 3.6 hrsMean: 10.0 hrs≥1hr: 79%

    The Dark Occult is a psychological driven horror game that puts players in a constant state of anxiety that crescendos into raw panic and terror. You will encounter grotesque creatures, who will take your life at any moment.Your only goal -- survive.

    Why similar: Horror 27%, Gore 24.3%, Violent 20.2%, Psychological Horror 9.8%, Action 7.8%

  40. #40 PSYCHO
    73% matchMixed65% of 52 reviews2022
    Dev: LTZinc
    Windows

    PSYCHO - is an exciting 3D shooter with hardcore elements where you will explore an abandoned psychiatric hospital playing as a fighter SWAT.

    Why similar: Horror 49.2%, Action 18.6%, Adventure 16.7%, Indie 11.5%, Gore 4%

  41. #41 Imaginary Friend Institution
    69% matchVery Positive96% of 52 reviews2025
    Dev: Nightmare Emporium
    Windows

    Experience the not-so-ordinary life of a young institutionalized woman in the 1950’s. Amidst the daily struggles and overbearing loneliness, she often sees things that others do not. However, as the imaginary begins to seep into reality, she realizes she may not be as crazy as she once thought.

    Why similar: Horror 47.2%, Psychological Horror 28.4%, Action 12.3%, Action-Adventure 12%

  42. #42 JANITOR BLEEDS
    70% matchVery Positive87% of 265 reviews2022
    Dev: KorpusPub: Bonus Stage Publishing
    Windows
    Median: 2.3 hrsMean: 4.9 hrs≥1hr: 75%

    Enter the abandoned arcade after your car has crashed, and the shelter you were looking for is trying to eat you alive in this dark mystery-horror adventure. Solve mysteries, keep JANITOR satisfied, and always be aware of what's behind your back.

    Why similar: Horror 44.3%, Psychological Horror 27.9%, Action 15.7%, Adventure 12.1%

  43. #43 Charon's Staircase
    71% matchMixed63% of 72 reviews2022
    Dev: Indigo Studios - Interactive StoriesPub: SOEDESCO
    Windows

    In this first-person horror mystery game, you set out to bury the horrible past of a tyrannical government. Retrieve and destroy the documents that unravel the secrets that lie beneath Oack Grove. Will you discover the terrifying truth and find your way out?

    Why similar: Gore 22.2%, Horror 20.8%, Violent 18.2%, Psychological Horror 15.2%, Adventure 10.8%

  44. #44 INHUMAN
    71% matchMixed63% of 111 reviews2023
    Dev: Qiutaixu studio
    Windows

    "INHUMAN" is an independent horror game. The story takes place in the conspiracy of an ancient clan, and the protagonist is in a psychedelic state and can't even distinguish herself. With further exploration and confrontation with all kinds of ghosts, the puzzle will be solved step by step...

    Why similar: Horror 39.5%, Psychological Horror 24.2%, Adventure 12.6%, Action 11.1%, Indie 6.6%

  45. #45 Psychopathy Assessment
    69% matchMostly Positive71% of 137 reviews2024
    Dev: Tarba Paul CornelPub: Galactic Crows
    Windows

    Psychopathy Assessment is a retro-80s V.H.S PS1 style analog horror game that blurs the line between reality and delusion. Step into a universe where you're not just playing a game; you're taking a psychopathy test, but the stakes are considerably higher than a straightforward diagnosis.

    Why similar: Gore 37.2%, Violent 29.9%, Horror 10%, Psychological Horror 7.5%, Action 6.3%

  46. #46 Pneumata
    70% matchMixed53% of 85 reviews2024
    Dev: Deadbolt InteractivePub: Perp Games
    Windows

    Prepare to question what is reality, and what is insanity in one of the scariest psychological horrors in years. The tenants are going missing, screams echo and blood seeps through the walls of Clover Hill.

    Why similar: Horror 40.4%, Psychological Horror 23%, FPS 21.9%, Action-Adventure 8.6%, Action 6.1%

  47. #47 Psych
    68% matchMostly Positive78% of 340 reviews2022
    Dev: MediaTale
    Windows
    Median: 3.3 hrsMean: 4.2 hrs≥1hr: 81%

    Experience the story of Alexander Green and find out what happened on the day of the accident in this First Person horror Adventure. Follow the development of Alex, solve puzzles around the event and try not to fall into madness as you search for answers.

    Why similar: Horror 41.1%, Psychological Horror 25.3%, Adventure 11.5%, Action-Adventure 9.1%, Action 8.3%

  48. #48 Omitted
    70% matchMixed46% of 56 reviews2022
    Dev: PsychoRavens
    Windows

    Omitted is a first-person psychological horror game. Experience being left alone in an old hospital, discover its secrets and try to survive.

    Why similar: Gore 32%, Horror 31.4%, Psychological Horror 20.7%, Action 6.5%, Adventure 6.4%

  49. #49 Jack Holmes : Master of Puppets
    67% matchVery Positive84% of 164 reviews2024
    Dev: @TonyDevGamePub: indie.io
    Windows

    Survival Horror in first person where you must manage your ammunition well, explore varied scenarios and face nightmarish beings, while investigating the macabre experiments with children, the result of a mind unhinged by madness and family loss.

    Why similar: Gore 29%, Horror 23.7%, FPS 15.7%, Psychological Horror 15.5%, Action 8.9%

  50. #50 Fortuito: Lost History
    69% matchMostly Positive79% of 78 reviews2021
    Dev: FabioPDJ
    Windows

    Fortuito: Lost History is an indie adventure first-person horror, face the unknown with classic fps mechanics, solve puzzles and immerse in this bad trip!

    Why similar: FPS 26.6%, Horror 23.6%, Adventure 17.2%, Action-Adventure 12.9%, Psychological Horror 10.7%

  51. #51 Pyromaniac
    65% matchVery Positive90% of 158 reviews2026
    Dev: Dominik BraunPub: tayoDEV
    Windows

    Play as Nikolas, a 20-year-old guy who found himself lost in an abandoned city... or so he thought it was at first. Explore the city, defend yourself from monsters, and find answers to what is really going on.

    Why similar: Horror 17.4%, Psychological Horror 16.1%, Gore 14.5%, Violent 11.7%, Action 10.9%

  52. #52 Madhouse Madness: Streamer's Fate
    67% matchMixed67% of 102 reviews2024
    Dev: Hurrycat Studios
    Windows

    Dive into Madhouse Madness: Streamer's Fate, where your stream turns into a wild, eerie adventure. Uncover secrets, solve puzzles, and expect the unexpected in a haunted asylum where nothing is as it seems. Will you brave the madness and reveal the truth?

    Why similar: Horror 59.4%, Action 16.9%, Adventure 15.8%, Action-Adventure 8%

  53. #53 The Works of Mercy
    71% matchMostly Negative39% of 232 reviews2018
    Dev: Peпtacle
    Windows

    The Works of Mercy is a psychological thriller inspired by the classics of the genre. The game’s plot revolves around mysterious killings committed on seemingly random victims. Only this time it’s the player who becomes the murderer.

    Why similar: Gore 27.2%, Violent 24.6%, Horror 19.5%, Action 8.9%, Adventure 7.5%

  54. #54 Insomnis
    67% matchVery Positive91% of 272 reviews2022
    Dev: Path Games
    Windows
    Median: 2.8 hrsMean: 3.6 hrs≥1hr: 86%

    Insomnis is a first-person horror game focused on story, exploration and solving puzzles to advance through a terrifying atmosphere. Players take control of Joe Castevet, who will have to deal with a mysterious inheritance he has just received. Discover all the secrets of the Castevet mansion!

    Why similar: Gore 34.4%, Horror 27.4%, Psychological Horror 15.5%, Adventure 8.9%, Action-Adventure 7.2%

  55. #55 Veil of Sanity
    66% matchMixed69% of 72 reviews2025
    Dev: Sphereka
    Windows

    Veil of Sanity: Echoes of the Carnival (Chapter 1) combines psychological horror with intense gameplay. Keep your sanity intact as you explore a forsaken carnival. More chapters coming soon!

    Why similar: Horror 41.8%, Psychological Horror 24.7%, Action 14%, Action-Adventure 11.6%, Adventure 7.8%

  56. #56 The Beast Inside
    65% matchVery Positive83% of 11,932 reviews2019
    Dev: Illusion Ray
    Windows
    Median: 3.3 hrsMean: 8.9 hrs≥1hr: 72%

    The Beast Inside is a unique, gripping twist on thriller and survival horror. Immerse in the story of long-buried secrets, personal tragedies, and madness. Play as two protagonists bounded by dark heritage. Combat the enemies, solve riddles and experience real terror in the 3D-scanned environment.

    Why similar: Horror 40.3%, Gore 18.1%, Violent 14.1%, Psychological Horror 10.4%, Adventure 7%

  57. #57 Imaginary Friend Asylum
    64% matchVery Positive100% of 63 reviews2024
    Dev: Nightmare Emporium
    Windows

    A psychological horror game about being a child in an insane asylum. You're in a cruel world but your imaginary friends have your back. Here, you will uncover a dark conspiracy where you are to receive a terrible fate.

    Why similar: Horror 37%, Action 22.2%, Psychological Horror 21.5%, Adventure 19.3%

Based on tag similarity + player behavior
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