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Games Like Sanguine Sanctum

60+ similar titles based on shared tags and player behavior. Themes include Horror, Singleplayer, First-Person, Psychological Horror.

Sanguine Sanctum header art

It desires more. Feed It. Nourish It. Sanguine Sanctum is an atmospheric horror-exploration game with a low-poly, PS1 aesthetic.

Reviews: Very Positive — 95% — of 81 reviews
Released: 2018-09-07
Developer: Modus Interactive Games
Genres: Indie
Platforms: Windows, Mac

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    Dev: Elite Lords Studios
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    Paranormal VHS is a horror game that features a VHS tape-inspired aesthetic. The game's story revolves around a popular vlogger who spends a night in haunted locations in search of paranormal activity. Brace for intense jumpscares.

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  2. #2 GORE
    96% matchMostly Positive74% of 146 reviews2025
    Dev: CosmicArcade
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    GORE is a Lovecraft-inspired horror experience set deep in the Rocky Mountains. Explore the wilderness and uncover the origins of the fleshy entity.

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  3. #3 FEED IT
    96% matchVery Positive84% of 97 reviews2026
    Dev: Games On A ChairPub: Pretty Soon
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    A first-person, PSX-style horror game about living with a monster. Do as you're told... or don't. Just be ready for the consequences.

    Why similar: Horror 61.8%, Exploration 38.2%

  4. #4 Doorways: Holy Mountains of Flesh
    95% matchMostly Positive79% of 461 reviews2016
    Dev: Saibot Studios
    Windows · Mac · Linux
    Median: 3.4 hrsMean: 8.8 hrs≥1hr: 96%

    Doorways: Holy Mountains of Flesh is an Immersive Horror Adventure, featuring a Complex Story and Deep Atmosphere.

    Why similar: Gore 62.2%, Horror 27.2%, Indie 10.6%

  5. #5 Our Elusive Suffering
    94% matchMixed64% of 90 reviews2022
    Dev: 👁️Pub: ⚰️
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    🩸🌌💀🌫️⛪️

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  6. #6 God's Basement
    94% matchMostly Positive74% of 1,318 reviews2018
    Dev: Erebus
    Windows
    Median: 2.9 hrsMean: 3.6 hrs≥1hr: 69%

    God's Basement is a first-person, narrative-driven, single player horror game. Uncover the secrets of an afterlife shrouded in mystery, as an entity known as "The Operator" leads you deeper into the fringes of a seemingly eternal purgatory.

    Why similar: Gore 48.1%, Horror 32.9%, Exploration 10.5%, Indie 8.5%

  7. #7 廃病院探索
    93% matchVery Positive80% of 86 reviews2023
    Dev: カニお@VtuberPub: vkanio_game
    Windows

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  8. #8 SUBSUMED
    92% matchVery Positive83% of 64 reviews2026
    Dev: HazzyPub: adjective noun
    Windows

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  9. #9 The Dark Occult
    91% matchMixed69% of 1,271 reviews2018
    Dev: RYM GAMES
    Windows
    Median: 3.8 hrsMean: 10.3 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.

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  10. #10 Partum Artifex
    90% matchVery Positive97% of 157 reviews2023
    Dev: DalaKoala Games
    Windows

    A first-person atmospheric horror-puzzle game that focuses on the narrative to tie together the gruesome world with creative puzzles. Explore the mind of a twisted serial killer who wants nothing else than to show his work of art as well as tell his story to the world.

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  11. #11 RESTORER
    89% matchMostly Positive78% of 63 reviews2025
    Dev: Beshbarmak games
    Windows

    RESTORER is a classic walking simulator set in an old, atmospheric mansion. Something roams the halls… It wants to share its secret—with the price being your sanity.

    Why similar: Horror 52.1%, Indie 33%, Exploration 14.9%

  12. #12 The Tape
    91% matchMixed55% of 493 reviews2015
    Dev: Kazakov Oleg
    Windows
    Median: 3.2 hrsMean: 4.1 hrs≥1hr: 88%

    The Tape is a slow and creepy first person horror game, with mystical story and abstract psychological elements.

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  13. #13 White Room Protocol
    88% matchMostly Positive78% of 55 reviews2025
    Dev: Lefto Studio
    Windows

    A psychological first-person horror game where you enter a memory-erasing protocol and relive a trauma. Uncover dark secrets, and experience fear through immersive atmosphere.

    Why similar: Gore 49.7%, Horror 41.8%, Indie 8.5%

  14. #14 FLIGHTMARE
    89% matchMostly Negative27% of 62 reviews2023
    Dev: Van Studios
    Windows

    Indie horror game that will take your adrenaline to another level.

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  15. #15 The Repairing Mantis
    87% matchVery Positive95% of 145 reviews2021
    Dev: Erupting Avocado
    Windows

    The Repairing Mantis is a narrative horror game that lets you experience the disturbing, violent (yet absurdly poetic) story of a mantis on a mission to repair a bridge made of flying squirrel flesh.

    Why similar: Horror 42.4%, Gore 29.3%, Exploration 26%, Indie 2.3%

  16. #16 Whale Flesh
    86% matchMostly Positive72% of 64 reviews2025
    Dev: SUPERita
    Windows

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  17. #17 Below, Rusted Gods
    84% matchVery Positive88% of 381 reviews2026
    Dev: FromSouthGames
    Windows

    You are the lifeline supporting an expedition into the unknown. Keep both yourself and your squad alive by interpreting instrument readings, explore the facilities, and uncover something ancient and eager to be born.

    Why similar: Horror 62.7%, Exploration 37.3%

  18. #18 Feed The Pit
    84% matchOverwhelmingly Positive97% of 710 reviews2026
    Dev: Curious Fox Sox
    Windows

    JOIN THE SOCIETY in this story-driven, investigative horror game. Hunt down wealthy humans in a deadly forest in order to Feed The Pit. Act 1 is available at launch. Acts 2 & 3 will release as free updates in the coming months!

    Why similar: Horror 70.1%, Indie 29.9%

  19. #19 SEPTEMBER 1999
    86% matchVery Positive84% of 2,529 reviews2018
    Dev: 98DEMAKE
    Windows · Mac

    A free, VHS styled, first-person found footage horror game, which runs exactly for 5 minutes and 30 seconds.

    Why similar: Gore 53.2%, Horror 33.9%, Indie 12.9%

  20. #20 JANITOR BLEEDS
    85% matchVery Positive86% of 276 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 61.5%, Exploration 38.5%

  21. #21 Saint of Chains
    83% matchVery Positive86% of 92 reviews2026
    Dev: MystiveDev
    Windows

    Psychological single-player first-person horror. Explore dark environments, fight with melee and guns, and solve puzzles in this retro 2000s-inspired nightmare where the truth is more terrifying than the monsters.

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    Dev: NotexPub: N4bA
    Windows
    Median: 1.1 hrsMean: 1.3 hrs≥1hr: 64%

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    Windows

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  24. #24 Found Horror Game 101.exe
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    Dev: Yai Gameworks
    Windows

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    Windows
    Median: 36 minMean: 6.6 hrs≥1hr: 19%

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  26. #26 The Door in the Basement
    81% matchVery Positive88% of 191 reviews2021
    Dev: Aegon Games
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    The Door in the Basement is an atmospheric pixelated horror game set in a mysterious subterranean world.

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  27. #27 Lamentum
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    Windows · Linux
    Median: 4.7 hrsMean: 5.8 hrs≥1hr: 92%

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  28. #28 Scarred
    80% matchMixed57% of 129 reviews2025
    Dev: KOEX studioPub: iterco
    Windows

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  29. #29 Meat Madness
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    Windows · Linux

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  30. #30 Sad Satan
    78% matchMixed40% of 115 reviews2024
    Dev: DVGamix
    Windows

    Sad Satan is a horror and mystery game that takes you on a terrifying journey through dark corridors and locations filled with secrets

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  31. #31 Scorn
    74% matchMostly Positive77% of 19,900 reviews2022
    Dev: Ebb SoftwarePub: Kepler Interactive
    Windows
    Median: 3.4 hrsMean: 6.0 hrs≥1hr: 82%

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  32. #32 OYASUMII
    75% matchVery Positive82% of 123 reviews2025
    Dev: NEO PROJECT Studios
    Windows

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  33. #33 Presence
    77% matchMostly Positive76% of 108 reviews2021
    Dev: VLADIMIR GUSSAKOVPub: H.Studio
    Windows

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  34. #34 Psychopathy Assessment
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    Dev: Tarba Paul CornelPub: Galactic Crows
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    Why similar: Gore 76.5%, Indie 12.2%, Horror 11.3%

  35. #35 Infliction
    76% matchVery Positive80% of 968 reviews2018
    Dev: Caustic Reality
    Windows
    Median: 3.7 hrsMean: 8.9 hrs≥1hr: 89%

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  36. #36 Doorways: Prelude
    77% matchMixed62% of 636 reviews2013
    Dev: Saibot Studios
    Windows · Mac · Linux
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    Doorways is an immersive horror adventure, featuring a complex story and deep atmosphere.

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    Windows
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    Dev: Path Games
    Windows
    Median: 2.8 hrsMean: 3.6 hrs≥1hr: 86%

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    73% matchMixed70% of 165 reviews2025
    Dev: Farkas Interactive
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    Dev: Bigzur Games
    Windows · Mac
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    73% matchMostly Positive74% of 110 reviews2024
    Dev: Mirage Entertainment
    Windows

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    71% matchVery Positive89% of 54 reviews2026
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    Windows

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    74% matchMostly Positive71% of 119 reviews2017
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    68% matchMostly Positive74% of 3,794 reviews2026
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    Windows
    Median: 2.8 hrsMean: 4.4 hrs≥1hr: 79%

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    70% matchVery Positive92% of 869 reviews2020
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    71% matchVery Positive89% of 55 reviews2020
    Dev: BlazingfallgamesPub: TruemotionStudio
    Windows

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    68% matchVery Positive93% of 73 reviews2025
    Dev: Leigh CarrPub: Carrthulhu
    Windows

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    68% matchVery Positive83% of 139 reviews2026
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    67% matchVery Positive90% of 909 reviews2025
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    69% matchVery Positive88% of 65 reviews2023
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    Windows

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    70% matchMixed56% of 234 reviews2022
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    Windows
    Median: 3.2 hrsMean: 4.8 hrs≥1hr: 80%

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  55. #55 Scauage
    66% matchVery Positive91% of 870 reviews2024
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    69% matchMixed60% of 78 reviews2022
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    66% matchMostly Positive73% of 703 reviews2025
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