Games Like Sanatorium - A Mental Asylum Simulator

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

Why similar: Medical Sim 51.2% ★, Psychological 13.5%, Multiple Endings 9.4%, Choices Matter 8.4%, Story Rich 5.3%

Why You'll Like It: It features a similar medical-simulation loop where you must diagnose and treat patients while managing the pressures of a dystopian society.

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

Why similar: Detective 24%, Psychological 16.6%, Dark 11.3%, Mystery 10.8%, Multiple Endings 8.6%

Why You'll Like It: This FMV title puts you in the shoes of a psychiatrist investigating patients, mirroring the medical-detective gameplay of the seed.

A new kind of detective game that allows you to think and investigate freely. Discover clues surrounding 12 strange and gruesome deaths and build your own theory. Pick your suspect, deduce the motive, unmask the awful truth.

Why similar: Detective 24.3%, Historical 13.6%, Point & Click 12.3%, Mystery 11.7%, Dark 7.6%

Why You'll Like It: This game excels at the same methodical, puzzle-based detective work required to piece together dark historical narratives.

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

Why similar: Detective 22.6%, Point & Click 14.7%, Noir 14.1%, Psychological 13.6%, Multiple Endings 10.7%

Why You'll Like It: It combines point-and-click adventure with psychological analysis and historical figures, closely matching the thematic focus on early 20th-century psychiatry.

Card Shark is an adventure game full of cunning, intrigue, and delectable deceit. Enter a world where you’ll need to play your opponents better than you play your cards.

Why similar: Historical 19.3%, Card Game 18.7%, Alternate History 18.1%, Mystery 10%, Point & Click 9.8%

Why You'll Like It: It shares the historical setting and the high-stakes tension of using deception and card-based mechanics to survive in a dangerous world.

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: Point & Click 30.9%, Multiple Endings 16.5%, Simulation 14.3%, Puzzle 10.4%, Story Rich 8.5%

Why You'll Like It: It perfectly mirrors the tension of acting as a gatekeeper who must identify impostors while navigating strict political and bureaucratic rules.

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 48.4% ★, Choices Matter 8.1%, Point & Click 8.1%, Mystery 7.1%, Multiple Endings 6.9%

Why You'll Like It: It explores the dark side of medical practice through a lovecraftian lens, focusing on choices and time-management.

Strange Horticulture is an occult puzzle game in which you play as the proprietor of a local plant store. Find and identify new plants, pet your cat, speak to a coven, or join a cult. Use your collection of powerful plants to influence the story and unravel Undermere’s dark mysteries.

Why similar: Detective 20.8%, Point & Click 12.6%, Mystery 10.2%, Dark 9.4%, Multiple Endings 8.7%

Why You'll Like It: This game features a dark, atmospheric mystery where you must identify and categorize items to solve puzzles, much like diagnosing patients.

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: Point & Click 18.7%, Choices Matter 17.2%, Multiple Endings 15.8%, Dark 15%, Story Rich 9.6%

Why You'll Like It: This game focuses on the political pressure of surveillance and making difficult moral choices while hiding your true identity from authorities.

Disco Elysium - The Final Cut is a groundbreaking role playing game. You’re a detective with a unique skill system at your disposal and a whole city to carve your path across. Interrogate unforgettable characters, crack murders or take bribes. Become a hero or an absolute disaster of a human being.

Why similar: Detective 30.7%, Noir 21.3%, Choices Matter 16%, Point & Click 11.7%, Story Rich 11.3%

Why You'll Like It: It is the definitive noir detective experience that dives deep into psychological themes and complex, branching dialogue.

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: Noir 27.7%, Detective 22.2%, Psychological 15.9%, Choices Matter 9.6%, Dark 9%

Why You'll Like It: It focuses on the art of questioning and uncovering truths, capturing the noir detective atmosphere and the pressure of high-stakes investigations.

Seize forbidden treasures. Summon alien gods. Feed on your disciples. Cultist Simulator is a game of apocalypse and yearning. Play as a seeker after unholy mysteries, in a 1920s-themed setting of hidden gods and secret histories.

Why similar: Card Game 49.3%, Choices Matter 22.4%, Story Rich 14.7%, Simulation 13.6%

Why You'll Like It: It utilizes a complex card-based interface to manage dark, occult themes and resource management in a historical setting.

The Fabulous Fear Machine is a narrative-driven strategy game with a pulp horror style. As the Machine's new Master, you must sow fear and expand your influence by creating Legends, harvesting resources, manipulating events, and spying on your enemies.

Why similar: Choices Matter 22.9%, Card Game 22.9%, Story Rich 15.7%, Simulation 14.5%, Atmospheric 10.5%

Why You'll Like It: This strategy-simulation game focuses on spreading influence and fear, capturing the darker, manipulative side of the seed's theme.

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

Why similar: Medical Sim 29.6% ★, Detective 13.3%, Alternate History 12.7%, Point & Click 8.7%, Multiple Endings 6.6%

Why You'll Like It: It is a story-rich medical simulation that emphasizes the emotional toll of treating patients in a high-pressure environment.

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: Detective 35.8%, Choices Matter 19.7%, Story Rich 13.6%, Dark 12.9%, Atmospheric 11.5%

Why You'll Like It: It offers a grueling medical simulation experience set in a crumbling society where every choice carries heavy consequences.

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

Why similar: Detective 31.7%, Point & Click 18.3%, Mystery 14.3%, Choices Matter 12.9%, Multiple Endings 5.6%

Why You'll Like It: This indie detective game focuses on mystery and investigation, providing a similar investigative loop to the seed.

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 48.8%, Simulation 26.4%, Detective 9.2%, Mystery 4.2%, Point & Click 3.2%

Why You'll Like It: This detective simulator forces you to sift through information to make political decisions, mirroring the investigative nature of the seed game.

Potion Craft is an alchemist simulator where you physically interact with your tools and ingredients to brew potions. You're in full control of the whole shop: invent new recipes, attract customers and experiment to your heart's content. Just remember: the whole town is counting on you.

Why similar: Historical 31%, Point & Click 23.3%, Choices Matter 17%, Simulation 15.4%, 2D 8.2%

Why You'll Like It: It provides a tactile, simulation-heavy experience of diagnosing needs and crafting solutions, similar to the treatment mechanics in the seed.

An interactive horror experience of exploring a missing woman’s phone.

Why similar: Detective 22.3%, Point & Click 13.2%, Psychological 10.7%, Multiple Endings 9.2%, Choices Matter 8.9%

Why You'll Like It: This detective-focused game uses a simulated interface to uncover secrets, mirroring the investigative and point-and-click nature of the seed.

The Horror at Highrook is an occult card crafting narrative RPG. Explore a haunted mansion with your team of investigators, summon dark entities, craft powerful protections, uncover the fate of the missing family, and choose your own path through the darkness.

Why similar: Card Game 40.7%, Mystery 24.9%, Story Rich 12.2%, Simulation 7.3%, Atmospheric 6.7%

Why You'll Like It: This card-based mystery game captures the investigative and dark atmosphere found in the seed's asylum setting.

Lost at sea 1803 ~ The good ship Obra Dinn.

Why similar: Detective 38.3%, Mystery 16.1%, Historical 9.6%, Puzzle 9.5%, Story Rich 7%

Why You'll Like It: It is a masterclass in deductive reasoning and historical investigation, perfect for players who enjoy the detective aspect of the seed.

Take over the duties of a border guard inspector in a communist country of the 80's. Smuggling, corruption and forgery are the order of the day here. Be vigilant and earn the respect of your superiors.

Why similar: Detective 40.4%, Multiple Endings 22.3%, Simulation 13.7%, Story Rich 12%, Atmospheric 7.7%

Why You'll Like It: It combines simulation and detective work, requiring you to inspect individuals and make decisions based on evidence and political mandates.

Have you ever wanted to be a psychiatrist? Now you can! Be a shrink for 14 days. Meet 14 patients with unique story of their lives. Diagnosis, treatment, chosen dialogues have impact on history of patients. The choice is yours.

Why similar: Medical Sim 47.7% ★, Psychological 18.7%, Dark 10.9%, Choices Matter 9.1%, Story Rich 7.2%

Why You'll Like It: It leans into the psychological simulation aspect, focusing on the dark and often bizarre nature of treating mental health.

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: Dark 21.3%, Puzzle 18.8%, Simulation 17.7%, Atmospheric 13.7%, Story Rich 13.4%

Why You'll Like It: It provides a psychological horror experience that delves into the dark history of asylums and mental health treatment.

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: Detective 27.4%, Choices Matter 18.8%, Historical 13.3%, Mystery 9.2%, Story Rich 8.5%

Why You'll Like It: This historical narrative game focuses on social manipulation and investigative choices, fitting the political and detective tags of the seed.

In this 2D, short narrative-based game, you assume the role of the Grim Reaper... on an office job. Your job is to decide which people are going to live or die. The consequences of your choices are yours to bear, while the mystery of your incarnation awaits revelation!

Why similar: Point & Click 21.7%, Choices Matter 17%, Multiple Endings 15.6%, Story Rich 10.5%, Puzzle 10.4%

Why You'll Like It: This simulation game forces you to make life-or-death decisions based on limited information, echoing the moral weight of the seed's medical choices.

Germany, 1956. The war is over, but justice is not served. Former Nazis walk free, while their victims lie in unmarked graves. As a prosecutor, you'll unearth long-buried evidence, confront witnesses and hunt down perpetrators. Will you have the courage to bring these "ordinary men" to court?

Why similar: Detective 25.7%, Historical 21.9%, Noir 18.3%, Puzzle 8.2%, Mystery 5.8%

Why You'll Like It: It is a historical detective game that tasks you with investigating crimes, matching the historical and investigative themes of the seed.

An epic supernatural horror adventure and the spiritual successor to cult classic Scratches set in a massive, decaying mental institute. Inspired by H. P. Lovecraft, Hammer Films and twisted Euro Horror from the 80s.

Why similar: Point & Click 32.5%, Mystery 16.4%, Dark 14.3%, Atmospheric 10.8%, Story Rich 10%

Why You'll Like It: It is a classic-style point-and-click horror game that focuses on the atmospheric exploration of a mental institution.

Become the custodian of a store dealing in occult antiquities. Explore the quaint and gloomy town of Undermere, where strange goings-on and dark mysteries abound. Find and identify arcane artefacts, use your collection to aid the townsfolk with their unusual problems — and remember to pet your cat!

Why similar: Detective 20.4%, Point & Click 12.4%, Mystery 9.6%, Multiple Endings 9.4%, Dark 9.1%

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: Dark 29.9%, Adventure 24.5%, Atmospheric 24.5%, Story Rich 13.3%, Singleplayer 7.8%

Why You'll Like It: It captures the alternate-history, asylum-adjacent aesthetic and the constant need to blend in to avoid detection.

The Séance of Blake Manor is a supernatural detective mystery, set in 1897 Ireland, where you investigate the disappearance of Evelyn Deane in a remote hotel full of secrets and other-worldly occurrences.

Why similar: Noir 22.2%, Detective 20.9%, Historical 14.2%, Mystery 8.6%, Choices Matter 7%

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 42.7% ★, Detective 18.7%, Multiple Endings 9.2%, Choices Matter 9.1%, Point & Click 5.9%

A grim medieval deckbuilder where you use your dubious healing methods to protect bizarre villagers from the corrupting influence of ancient evils.

Why similar: Deckbuilding 35.6%, Card Game 31.1%, Choices Matter 17.6%, Simulation 9.3%, 2D 5.2%

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: Detective 28.4%, Psychological 25.7%, Choices Matter 14.4%, Story Rich 10.8%, Atmospheric 9%

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: Alternate History 55.1%, Simulation 20%, Multiple Endings 9.4%, Story Rich 5.9%, 2D 4.4%

Why You'll Like It: This political management game captures the feeling of working a high-pressure job in a dystopian, alternate-history version of society.

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

Why similar: Medical Sim 35.4% ★, Historical 17.1%, Multiple Endings 10%, Choices Matter 9.7%, Puzzle 8.2%

Rummage through the abandoned profiles of an old PC to unravel an inherited mystery. What secrets hide in this eerie adventure of cryptic games and outdated software? Who was using this computer? And what happened to them?

Why similar: Detective 31.5%, Point & Click 20.6%, Mystery 13.7%, Puzzle 11.3%, Simulation 7.3%

Examine and test patients for common and novel infections using sophisticated medical instrumentation and disinfection procedures. All infected patients must be sent to the isolation ward for further evaluation or treatment. Rumors of mysterious diseases and human experimentation are unconfirmed.

Why similar: Medical Sim 43.9% ★, Psychological 24.5%, Simulation 10.6%, Choices Matter 9.8%, Puzzle 5.1%

Care is an atmospheric first person horror game with puzzle elements, where your choices have consequences. Be observant with your surroundings and unravel the horrific secrets that hide within these walls.

Why similar: Mystery 19.7%, Dark 17.9%, Choices Matter 16.8%, Multiple Endings 15.9%, Puzzle 15.6%

THIEF’S SHELTER is a 3D Point and Click Psychological Adventure where the world mirrors a crumbling mind. Nothing stays still, and even your own thoughts can’t be trusted.

Why similar: Detective 25.1%, Psychological 18.3%, Point & Click 15.1%, Dark 10.2%, Puzzle 8%

Zoochosis is a bodycam horror simulation game. You’re a zookeeper. Identify infected mutant animals, make a vaccine and cure them. Will you save all of them and survive?

Why similar: Detective 29.1%, Dark 17.9%, Multiple Endings 13.6%, Choices Matter 13.1%, Atmospheric 8.2%

The Heilwald Klinikum used to be one of the most renowned medical facilities in Germany. That all changed when that curious loophole appeared...

Why similar: Dark 37.8%, Puzzle 19.7%, Atmospheric 19.2%, Adventure 11.3%, Multiple Endings 10.9%

Sinheritance is a terrifying and mind-bending puzzle game. Explore every corner in an intensely oppressive atmosphere to piece together a chilling story. Every step must be taken with caution, for the deepest fears often stem from your own choices and your gradually crumbling sanity.

Why similar: Detective 23.2%, Noir 18.6%, Point & Click 13%, Mystery 11%, Multiple Endings 8.1%

You are trapped in a small house, suffering from psychosis with no memory. Carefully observe your surroundings to distinguish reality from hallucinations, and overcome your illness by taking medication from visitors at the right time.

Why similar: Mystery 25.1%, Simulation 20.2%, Dark 14.8%, Atmospheric 11.8%, Adventure 11.3%

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: Dark 24.3%, Mystery 21.6%, Simulation 19.3%, Atmospheric 15.1%, Adventure 11.2%

Survive the night in a deadly asylum—deliver sinister meds, keep the insane in line, and outwit a killer hiding in the dark.

Why similar: Psychological 35.5%, Dark 20.1%, Puzzle 16%, Atmospheric 12.7%, Simulation 12.6%

Survive a mad Sultan's reign in this brutal resource management RPG. Draw a card every seven days and complete its challenge. Make dreadful choices to stay alive: will you die a loyal servant, become a kingslayer, or call down the gods' judgement?

Why similar: Card Game 33.1%, Multiple Endings 18.1%, Choices Matter 17.2%, Story Rich 11.4%, Simulation 9.5%

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: Multiple Endings 22.7%, Choices Matter 20.4%, Simulation 16.2%, Story Rich 14.3%, Atmospheric 13.9%

Use various cards to solve randomly generated murder cases in this roguelite deduction adventure game. The culprit always lies, and the innocent always tell the truth. Make too many mistakes, and it's back to square one. Put your wits to the test and solve as many cases as you can!

Why similar: Card Game 19%, Deckbuilding 18.3%, Detective 16.5%, Psychological 12.9%, Puzzle 8.1%

Dice Eater is a mystery card game based around supernatural powers where players must use their power to uncover the other player's tricks. Use your opponent's tricks against them to turn the tables and win.

Why similar: Detective 24.1%, Psychological 17.3%, Card Game 16.1%, Dark 11.7%, Mystery 8.4%

Immerse yourself in the winter forest and help a lost soul to find a piece of itself. What is awaiting you there.. or who?

Why similar: Noir 23%, Detective 20%, Point & Click 11.7%, Multiple Endings 10.2%, Dark 9.3%

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: Dark 35.5%, Adventure 22.8%, Puzzle 20.2%, Atmospheric 18.8%, Singleplayer 2.6%

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

Why similar: Detective 24.5%, Point & Click 15.9%, Choices Matter 11.6%, Multiple Endings 11.5%, Mystery 10.3%

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: Choices Matter 44%, Story Rich 28.8%, Simulation 22.2%, Singleplayer 5%

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 26%, Historical 22.7%, Choices Matter 13%, Multiple Endings 10.4%, Story Rich 9.2%

Inscryption is an inky black card-based odyssey that blends the deckbuilding roguelike, escape-room style puzzles, and psychological horror into a blood-laced smoothie. Darker still are the secrets inscrybed upon the cards...

Why similar: Card Game 25%, Deckbuilding 23.5%, Psychological 14.7%, Dark 9.9%, Story Rich 8.2%

Saint Kotar is a psychological horror detective game set in a cursed valley in rural Croatia. Investigate the disappearance of your relative in the occult-ridden town of Sveti Kotar as you switch between conflicting realities through the eyes of two godly men.

Why similar: Detective 22.5%, Psychological 13.7%, Point & Click 13.6%, Choices Matter 10.2%, Multiple Endings 9.1%

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

Why similar: Medical Sim 85.1% ★, Simulation 6.4%, Story Rich 4.1%, Adventure 3.4%, Singleplayer 1%

Everyone must resist the relentless unfairness with the cards they've been dealt. Use the randomly distributed holy verses to identify the names of the 10 demons. Save 5 people and exorcise the sixth threat lurking in the shadows. This is a compact game of continuous gambles and judgments.

Why similar: Point & Click 47%, Simulation 29.6%, Dark 21.6%, Singleplayer 1.7%

Uncover a disturbing mystery in a haunted museum. Track and exorcise restless spirits using your rail-mounted camera, spot up to 130 anomalies, and photograph them before they take over, with you along.

Why similar: Psychological 23%, Point & Click 19.4%, Mystery 13%, Dark 12.8%, Puzzle 11.6%