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Games Like Sticks and Stones

60+ similar titles based on shared tags and player behavior. Themes include Simulation, Singleplayer, Medical Sim, Life Sim.

Similar Games

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  1. #1 Life on the Edge
    97% matchVery Positive89% of 99 reviews2022
    Dev: LOTE Team
    Windows · Mac

    Life on the Edge is an educational tower defense game. You play as a cell struggling to survive waves of bacteria and the COVID-19 virus. Protect your cell and build an understanding of cell biology at the same time!

    Why similar: Medical Sim 23.2%, Science 20.1%, Outbreak Sim 19.6%, Tower Defense 18.3%, Education 12.1%

  2. #2 Supermarket Maker
    96% matchNo user reviews
    Dev: El NanPub: La Blen
    Windows

    Build and manage your very own Supermarket and make it success, with good offers and best selected products. Attract more customers with an aggressive strategy and grow to become the best Supermarket in town.

    Why similar: Medical Sim 29.6%, Outbreak Sim 24.5%, Farming Sim 20%, Life Sim 14.9%, Simulation 9%

  3. #3 Germ Swarm: Evolution & Mutation
    96% matchNo user reviews
    Dev: Interlink Game Studio
    Windows · Mac

    Fight ever-mutating bacteria and viruses, collect gene modules from fallen pathogens, evolve and strengthen your immune system, unlock a variety of medical interventions, and create powerful synergistic builds to survive an ever-escalating infection.

    Why similar: Outbreak Sim 33.2%, Medical Sim 31.5%, Tower Defense 12.6%, Science 10.1%, Survival 6.5%

  4. #4 Echo Maiden
    95% matchNo user reviews
    Dev: WarmZombie
    Windows

    This is an RPG game where you will follow our protagonist to fight and save lives!

    Why similar: Outbreak Sim 47%, Post-apocalyptic 13.1%, Strategy RPG 11.2%, Simulation 7.1%, Exploration 6%

  5. #5 Plague Doctor: Medieval Apothecary
    94% matchNo user reviews
    Dev: Immersion Interactive
    Windows

    In a city where death lingers in the air, you are the last one who can resist it. Put on the plague doctor’s mask and fight the plague before it reaches you.

    Why similar: Medical Sim 39.8%, Outbreak Sim 36.2%, Simulation 9%, First-Person 4.6%, Realistic 3.2%

  6. #6 Animal Rescue
    94% matchNo user reviews
    Dev: Spirit Games Studio
    Windows

    Animal Rescue is a unique game in which you play the role of a field rescuer-vet. Face the elements of nature and save innocent animals! Their life depends entirely on you! Someone has to save them! Will it be you?

    Why similar: Medical Sim 37.7%, Agriculture 15.7%, Education 13.7%, Life Sim 12.6%, Simulation 6.6%

  7. #7 eHUB cities - Blackout
    93% matchNo user reviews
    Dev: Andarion Games GmbH
    Windows

    The power grid has failed. You have no phone, no internet. Only the eHUB, your power source for emergencies. Your neighbors are counting on you — but what will you do? The story-driven simulation game “eHUB cities – Blackout” is being developed under the direction of the LOEWE Center emergenCITY.

    Why similar: Outbreak Sim 31.6%, Education 13.3%, Life Sim 13.2%, Artificial Intelligence 10.6%, Science 9.6%

  8. #8 Medic Simulator
    92% matchNo user reviews
    Dev: Eathrabaria
    Windows

    Become a doctor and treat patients in every area of medicine. Become a cardiologist, psychiatrist, dentist, dermatologist, oncologist, surgeon, ophthalmologist, neurologist…!

    Why similar: Medical Sim 44.7%, Science 20.6%, Life Sim 18.6%, Simulation 12.2%, 3D 3.8%

  9. #9 Pestis
    91% matchMostly Positive70% of 109 reviews2018
    Dev: DIEDEMOR STUDIO GAMESPub: Laush Studio
    Windows
    Median: 12 minMean: 3.0 hrs≥1hr: 32%

    A young Plague Doctor, only to learn that the Academy sent to a small village, which, like the whole country is gripped by plague

    Why similar: Medical Sim 30.2%, Outbreak Sim 29.6%, Science 14.7%, Education 12%, Survival 6.3%

  10. #10 Harvest Moon: Light of Hope Special Edition
    90% matchMostly Positive77% of 1,112 reviews2017
    Dev: TABOT, inc.Pub: Natsume Inc.
    Windows
    Median: 3.9 hrsMean: 14.6 hrs≥1hr: 90%

    In celebration of Harvest Moon's 20th Anniversary comes an all new Harvest Moon title for Steam! Harvest Moon: Light of Hope Special Edition! The game encompasses twenty years of the spirit that have made the franchise what it is today!

    Why similar: Farming Sim 39.7%, Agriculture 20.8%, Life Sim 19.2%, RPG 9.1%, Simulation 7.2%

  11. #11 Harvest Health
    89% matchNo user reviews
    Dev: Harvest Health LLC
    Windows · Mac · Linux

    You’ve graduated from Xepheria School of Immunis and inherited your grandfather’s clinic in the Springs Hope Village. Design your own clinic. When you are not fighting bacteria inside the body, mingle with villagers by farming, joining festivals, recruiting friends, raising monsters, and dating!

    Why similar: Medical Sim 30.9%, Farming Sim 21.7%, Agriculture 16.6%, Life Sim 15.6%, RPG 6.4%

  12. #12 中医模拟传承人
    88% matchPositive87% of 15 reviews2024
    Dev: guizhi0011
    Windows

    A game where everyone can learn traditional Chinese medicine.

    Why similar: Medical Sim 50.9%, Education 18%, Life Sim 16.3%, Simulation 12.1%, First-Person 2.7%

  13. #13 Rescue Operations Simulator
    87% matchNo user reviews
    Dev: Monuments Games
    Windows

    Rescue Operations Simulator is a game where you play the role of USAR (Urban Search and Rescue) member and a team leader. You will arrange and execute rescue operations from real life catastrophic events that shocked and changed the whole world.

    Why similar: Outbreak Sim 35.5%, Medical Sim 34.3%, Life Sim 15.1%, Simulation 6.8%, Realistic 5.7%

  14. #14 Herbal Haven
    86% matchNo user reviews
    Dev: Reminiscent Realms Studio LLC
    Windows · Linux

    In this life-sim, you are sent by the adventurer’s guild to run a local infirmary. Explore diverse biomes to gather ingredients, nurture your herbs and concoct remedies to aid your guild. Build relationships with your neighbors and engage in community events.

    Why similar: Medical Sim 31.9%, Farming Sim 22.3%, Agriculture 17.5%, Life Sim 15.8%, RPG 6%

  15. #15 Farmer's Dynasty - Final Harvest Edition
    86% matchMostly Positive75% of 4,307 reviews2019
    Dev: UMEO StudiosPub: Toplitz Productions
    Windows
    Median: 4.5 hrsMean: 13.3 hrs≥1hr: 94%

    Live – Build – Farm: Enjoy a unique mix of farming, constructing and life simulation that takes you to the countryside and holds plenty of challenging gameplay in stock!

    Why similar: Farming Sim 32.7%, Agriculture 23.8%, Life Sim 19.5%, Simulation 8.2%, RPG 7.3%

  16. #16 Countryside Life Simulator
    85% matchMixed63% of 41 reviews2024
    Dev: Ox Games
    Windows

    Countryside Life Simulator is an extremely comprehensive and detailed simulation of the life of a rural farmer who owns a farm shop.

    Why similar: Farming Sim 33.4%, Agriculture 19.4%, Life Sim 17.5%, Simulation 8.8%, Exploration 7.5%

  17. #17 Slav Junkie Simulator
    84% matchMixed58% of 31 reviews2024
    Dev: Eathrabaria
    Windows

    You live in a small soviet slav eastern european cyberpunk city. You have severe heroin addiction that you need to sustain. Heroin is very expensive and earnings in a rural city are very small, barely enough for survival. Survive one week.

    Why similar: Medical Sim 42.2%, Life Sim 17.1%, Simulation 7.7%, Realistic 7.4%, Post-apocalyptic 6.9%

  18. #18 After the Melodrama Novel
    83% matchNo user reviews
    Dev: GUO ZIFEI
    Windows

    Play as the once-villainous second female lead after the melodrama ends. Return home to build and manage your own orchard, recruit awakened novel characters, and grow relationships and profits in this short, thoughtful management simulation.

    Why similar: Farming Sim 32.7%, Agriculture 19%, Life Sim 18.9%, RPG 14.9%, Simulation 14.5%

  19. #19 Melting Hearts: Our Love Will Grow 2
    84% matchMixed55% of 70 reviews2016
    Dev: John Wizard
    Windows
    Median: 3.5 hrsMean: 4.3 hrs≥1hr: 97%

    The harsh winter conditions make farming almost impossible. Ancient farming secrets must now be unlocked as you are forced to learn to grow crops in winter and make friends and enemies in an equally icy social climate.

    Why similar: Farming Sim 39.9%, Life Sim 21.6%, Agriculture 18.4%, Simulation 8.7%, RPG 7%

  20. #20 69 Days After
    81% match7 user reviews100% of 7 reviews2025
    Dev: Noxious Games
    Windows

    Manage your resources, find food and water, contend with your desires, and avoid falling victim to others. Collect items to help you survive, explore and launch expeditions to gather resources, but be careful. Unlock all the Photos by playing the game and experiencing different possibilities.

    Why similar: Outbreak Sim 32.3%, Tactical RPG 17%, Strategy RPG 12.8%, Life Sim 12.3%, Post-apocalyptic 8.1%

  21. #21 A Healer's Almanac
    82% matchNo user reviews
    Dev: PINEROOST STUDIO LLC
    Windows

    A cozy pixel-art life sim inspired by traditional Chinese medicine. Grow medicinal herbs, examine symptoms, read the pulse, diagnose patterns, craft remedies, and care for a village through four seasons and the twenty-four solar terms.

    Why similar: Medical Sim 47.6%, Farming Sim 21.1%, Life Sim 16.3%, RPG 6.4%, Simulation 6.2%

  22. #22 Nano Fighter Anti Disease
    82% match9 user reviews89% of 9 reviews2021
    Dev: LBR games
    Windows

    Nano Fighter Anti Disease is a flight action game. Controlling a nanoscale fighter, flies over the acid sea of digestive system, passes through the scarred inflammatory lesions, launch a fierce attack towards various pathogens with medicine ammos and biological missiles.

    Why similar: Medical Sim 37.8%, Outbreak Sim 35.4%, Science 17.5%, Simulation 3.7%, Realistic 2.9%

  23. #23 Bio Inc. Redemption
    81% matchVery Positive87% of 3,210 reviews2018
    Dev: DryGin Studios
    Windows
    Median: 2.4 hrsMean: 5.9 hrs≥1hr: 72%

    Bio Inc.: Redemption is a realistic simulation and strategy game in which you make life or death decisions. Create a deadly illness to infect and torment your victim or play as the head of a medical team and hopefully find a cure to save your human patient. Will you be the plague or preserve humanity?

    Why similar: Medical Sim 40.8%, Outbreak Sim 35.1%, Education 10.6%, Post-apocalyptic 8.3%, Simulation 5.2%

  24. #24 No Emergency: Pestilence
    79% matchNo user reviews2026
    Dev: 20 July
    Windows

    No Emergency: Pestilence plunges players into the epicenter of a mysterious epidemic, where every arriving patient could be carrying a mutating pathogen, and a single mistake in a prescription turns the cure into poison.

    Why similar: Medical Sim 43.2%, Outbreak Sim 39%, Simulation 10.7%, First-Person 4.2%, 3D 2.9%

  25. #25 Food Decisions
    79% matchMixed68% of 25 reviews2021
    Dev: BPPub: FIT Talent Games
    Windows

    FOOD DECISIONS is an educational game for healthy nutrition. Explore food in a lab, a restaurant, a supermarket, a kitchen, and more. Battle your friends in mini games like Food Olympics and Health Chess. Live a day in an open world and get feedback on your diet at the end of the day.

    Why similar: Medical Sim 32.3%, Science 17.1%, Education 16.9%, Life Sim 16.5%, Simulation 5.8%

  26. #26 MediSim: Emergency Response
    78% matchNo user reviews
    Dev: Mehmet Hilmi Değirmenci
    Windows

    As a young doctor, save lives in emergencies, advance from a health center to a major hospital, and manage your own facility. Perform first aid, and diagnostics, take on ambulance and helicopter missions, and build your medical team. A realistic medical simulation where every decision matters!

    Why similar: Medical Sim 52.7%, Life Sim 16.9%, Simulation 12.6%, Education 10.5%, First-Person 4.3%

  27. #27 Remedy of Balance
    78% matchNo user reviews
    Dev: Azalexes
    Windows

    A farming sim with a potion-crafting twist. Craft and treat patients in Palmia. Climb the ranks to become Guildmaster of the Alchemist Guild. Along with other activities like farming, animal handling, building relationships, and more.

    Why similar: Medical Sim 34%, Farming Sim 27.9%, Life Sim 16.1%, Agriculture 15.7%, Simulation 6.3%

  28. #28 The Memory In Walden Pond
    77% match1 user reviews0% of 1 reviews2024
    Dev: Sakous
    Windows

    Imitate ancient Chinese,In the bamboo forest landscape, survival hunting, farming herding horses, fishing qiao Jiang Zhu, build their own peach blossom source.

    Why similar: Agriculture 23.3%, Farming Sim 22.7%, Life Sim 13%, Survival 8.9%, RPG 7%

  29. #29 Physician Simulator
    76% matchNo user reviews
    Dev: Pavel Shishkin
    Windows · Mac · Linux

    A district physician simulator. See patients, review lab results, make diagnoses and write prescriptions. Real doctors say they recognize themselves. Every decision has consequences.

    Why similar: Medical Sim 37.3%, Education 18.5%, Life Sim 17.2%, RPG 14.9%, Simulation 12.1%

  30. #30 Quarantine Zombies: Contamination
    75% matchMixed51% of 83 reviews2026
    Dev: Stones Games
    Windows

    A first-person shooter meets quarantine inspection in post-apocalyptic Chicago. You’ve got 30 days until the army arrives. Hold out, fix your car, and fight your way through Chicago to the main checkpoint to save your little brother.

    Why similar: Outbreak Sim 50.3%, Life Sim 12%, Survival 9.4%, Post-apocalyptic 9.4%, Simulation 5.9%

  31. #31 Farm Of Hope
    76% matchNo user reviews
    Dev: VGames Studios
    Windows

    Build a hopeful farm in rural Africa. Grow crops, dig wells, help villages survive drought, and transform dry land into a thriving community inspired by real humanitarian stories.

    Why similar: Farming Sim 36%, Life Sim 21.2%, Post-apocalyptic 14.5%, Simulation 10%, RPG 8.5%

  32. #32 Ministry of Pandemic
    77% match5 user reviews60% of 5 reviews2022
    Dev: Ceyhan KapusuzPub: Cookie Mechanics
    Windows

    Ministry of Pandemic is a strategy and simulation game that forces social and economic balance during the pandemic. Formulate your strategy for survival while keeping all aspects of society steady.

    Why similar: Medical Sim 32%, Outbreak Sim 30.5%, Science 12%, Education 11%, Life Sim 9.6%

  33. #33 英雄荣光医院
    74% matchPositive100% of 10 reviews2026
    Dev: Areas RPub: PeopleFirstAI
    Windows

    “Hero Hospital” is a classic hospital management game: send in undercover agents and fake patient brokers, unleash dogs to cause crashes and chaos, dump trash and throw bombs, and even head into outbreak zones to fight viruses. The gameplay can be expanded endlessly.

    Why similar: Medical Sim 41.5%, Outbreak Sim 36.8%, Strategy RPG 9.5%, Life Sim 8.1%, Simulation 4%

  34. #34 Pharmacy Simulator
    74% matchMixed59% of 255 reviews2024
    Dev: Altai Entertainment
    Windows

    Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.

    Why similar: Medical Sim 44.2%, Life Sim 19.8%, Simulation 11.6%, Education 10.4%, Realistic 6.3%

  35. #35 Dentist Simulator 2
    73% match4 user reviews100% of 4 reviews2025
    Dev: Code Lab
    Windows

    Screams, panic, and fear of the dentist’s chair — now YOU hold the drill! Master anesthesia, gum surgery, extractions, and bleeding control with precision. Go beyond basics: apply braces, craft gold & silver teeth, implants, and use inhalation sedation. Keep patients calm or hear their screams!

    Why similar: Medical Sim 49.4%, Education 18.3%, Life Sim 18%, Simulation 6.4%, Realistic 4.7%

  36. #36 CURE - A Hospital Simulator
    71% matchVery Positive87% of 942 reviews2025
    Dev: Sentinel Games
    Windows
    Median: 4.9 hrsMean: 9.5 hrs≥1hr: 86%

    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 32.8%, Outbreak Sim 30.7%, Life Sim 12%, Survival 6.7%, Realistic 6.2%

  37. #37 My Universe - Doctors & Nurses
    73% matchMostly Negative38% of 16 reviews2022
    Dev: It Matters GamesPub: Microids
    Windows · Mac

    Take turns to play either a doctor or nurse. Diagnose illnesses and infections so as to treat and help your many patients. Set out on an adventure in a buzzing hospital environment. Meet all sorts of different characters and discover a story full of surprises.

    Why similar: Medical Sim 55.9%, Life Sim 17.4%, Education 14.6%, Simulation 8.1%, 3D 4%

  38. #38 Constant Pressure
    72% matchNo user reviews
    Dev: ganduspl
    Windows

    After a nuclear disaster, you must take cover in an abandoned bunker. Play with friends, gather supplies by day and fight fearsome creatures by night.

    Why similar: Outbreak Sim 40.6%, Post-apocalyptic 16.9%, Life Sim 11.6%, Survival 11.5%, Simulation 6.8%

  39. #39 Garden Buddies
    71% matchMostly Positive72% of 95 reviews2023
    Dev: JamPicsPub: RedDeer.Games
    Windows

    Unleash your inner gardener and immerse yourself in the serene world of Garden Buddies, cultivating a vibrant flower garden alongside your new friend Mutsy. Discover an enchanting and fulfilling experience to release your stress.

    Why similar: Farming Sim 28.5%, Agriculture 24.9%, Life Sim 17.6%, RPG 7.6%, Education 7.2%

  40. #40 WirtschaftsWoche Virtual Reality
    73% match3 user reviews67% of 3 reviews2021
    Dev: Michael BertramPub: Handelsblatt GmbH – ein Unternehmen der Handelsblatt Media Group GmbH & Co. KG
    Windows

    Virtual Reality Simulation Experience in Virtual Reality how an electric car is created, or save a person's life in the hospital of the future.

    Why similar: Medical Sim 35%, Science 20.7%, Education 15.2%, Artificial Intelligence 9.5%, Realistic 5.6%

  41. #41 Emergency Room Simulator
    70% matchMostly Negative38% of 141 reviews2026
    Dev: Caipirinha GamesPub: Aerosoft
    Windows

    In Emergency Room Simulator, step into the role of an ER doctor: run targeted tests, treat patients, and save lives when it matters most. Experience intense shifts in a fast-paced medical environment.

    Why similar: Medical Sim 44.8%, Science 20.9%, Life Sim 13.9%, Realistic 8.7%, Simulation 5.1%

  42. #42 Gleaner Heights
    72% matchMostly Positive73% of 376 reviews2018
    Dev: Emilios Manolidis
    Windows · Linux
    Median: 3.0 hrsMean: 10.2 hrs≥1hr: 73%

    Experience the old-school charm of classic farming games with the suburban gothic atmosphere of certain 90's TV shows, along with contemporary game mechanics. Farming, crafting, combat, romantic relationships and mysterious events await!

    Why similar: Farming Sim 44.7%, Agriculture 20.1%, Life Sim 12.4%, RPG 10%, Simulation 8.1%

  43. #43 My Time at Portia
    70% matchVery Positive91% of 44,278 reviews2019
    Dev: Pathea GamesPub: Focus Entertainment
    Windows · Mac
    Median: 6.0 hrsMean: 35.9 hrs≥1hr: 88%

    Start a new life in the enchanting town of Portia! Restore your Pa's neglected workshop to its former glory by fulfilling commissions, growing crops, raising animals, and befriending the quirky inhabitants of this charming post-apocalyptic land!

    Why similar: Farming Sim 31.7%, Life Sim 21.1%, Agriculture 18.8%, RPG 9.1%, Simulation 7%

  44. #44 Covid Simulator
    71% 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 43.9%, Science 22.1%, Education 16%, Life Sim 14.3%, Simulation 3.8%

  45. #45 Terracian Trails: Financial Frontier
    69% match7 user reviews100% of 7 reviews2026
    Dev: Finlit Studios
    Windows

    Embark on a journey to learn the fundamentals of financial literacy through the practice of starting a cottage industry, managing resources, restoring the environment, and participating in a multi-regional economy.

    Why similar: Farming Sim 31.4%, Life Sim 18.6%, Education 14%, Agriculture 13.8%, RPG 9.4%

  46. #46 The Medieval Doctor
    70% matchNo user reviews
    Dev: SkyBanner
    Windows

    Gather medicinal herbs, craft remedies, treat patients, and expand your hospital to become the most renowned physician of the Middle Ages.

    Why similar: Medical Sim 30.8%, Life Sim 16%, RPG 11.4%, Artificial Intelligence 10.6%, Simulation 9.7%

  47. #47 Hospital Renovator
    69% matchNo user reviews
    Dev: GamesUP StudioPub: T-Bull
    Windows

    Become a one-man renovation company and take care of the reconstruction of a ruined hospital! Save a neglected facility and create a fully functional emergency complex. The entire process of cleaning, planning, repairing, and arranging is on your side. Build a dream clinic in the Hospital Renovator!

    Why similar: Medical Sim 48.3%, Life Sim 15.2%, Education 12.9%, Realistic 9.8%, Simulation 7.7%

  48. #48 Lifeguard Simulator
    68% matchNo user reviews2026
    Dev: FreeMind S.A.
    Windows

    Guard the beach, react fast, and save lives using quads, jet skis, motorboats, drones, and a helicopter. Patrol the bay, help those in need and uncover a hidden criminal intrigue beneath the waves.

    Why similar: Medical Sim 41.7%, Education 15.7%, Life Sim 14.4%, Realistic 8.3%, Simulation 6.5%

  49. #49 Man Made
    67% matchMixed64% of 13 reviews2024
    Dev: Rule51
    Windows

    Man Made is an massive open world simulator that will challenge your skills in all aspects. Build, hunt, fish, plant and do various jobs for the residents.It's up to you how you earn and spend your money.

    Why similar: Agriculture 24.4%, Farming Sim 19.7%, Life Sim 18.6%, Survival 10.7%, Simulation 8.4%

  50. #50 Turbulence - Airplane Survival Simulator
    68% matchNo user reviews
    Dev: True GamesPub: Idea Labs
    Windows

    When your airplane enters a massive storm, you aren’t a passenger anymore. You are a survivor. Trapped at 35,000 feet, you need to keep a cool head and act fast to live through the crisis. Can you make it to a happy landing?

    Why similar: Outbreak Sim 40.8%, Medical Sim 40%, Simulation 12%, First-Person 4.3%, Survival 3%

  51. #51 Be My Mom - maternity simulator, take care of your child
    67% matchNo user reviews2026
    Dev: FreeMind S.A.Pub: PlayWay S.A.
    Windows

    Become a mother and experience the best of maternity. The game is for future mothers, so they know what to expect, and also for their partners, so they can experience things their women do. The adventure begins just as you see the pregnancy test is positive.

    Why similar: Medical Sim 42%, Education 16.8%, Life Sim 16.7%, Realistic 6.7%, Simulation 6.4%

  52. #52 Valley General Hospital: NiVR
    69% match2 user reviews50% of 2 reviews2021
    Dev: Valley General
    Windows

    An exciting new approach to training and simulation in Healthcare.

    Why similar: Medical Sim 55.2%, Education 16%, Simulation 12.4%, Realistic 9.5%, First-Person 4.1%

  53. #53 Humanity's Fall
    67% matchNo user reviews2026
    Dev: Arcane Adventures
    Windows

    Explore the world of Humanity's Fall, a fantasy farming sim. Interact and build a community with the world's next apex lifeform. Build your farm and rediscover lost flora as you discover the world's lore.

    Why similar: Farming Sim 34.3%, Life Sim 20.1%, Agriculture 16.3%, RPG 11.4%, Exploration 9.7%

  54. #54 Story of Leaves
    66% matchNo user reviews2026
    Dev: Hollow Cat Studio
    Windows

    Start your new life! Build your dream farm, grow crops, craft, mine, fish, and forge heartfelt connection with charming townsfolk. Explore a vibrant world, uncover mysteries, and shape your own unforgettable story in this cozy farming / life sim RPG.

    Why similar: Farming Sim 34.8%, Agriculture 23.9%, Life Sim 19.6%, RPG 11.6%, Simulation 8.4%

  55. #55 Barricade Protocol
    66% matchNo user reviews
    Dev: Analiz Games
    Windows

    Barricade Protocol: Survive in the world's last bastion, the Vera Hospital. Farm on the rooftops, generate power on balconies, and transform patient rooms into shops to build your own vertical city within the hospital corridors.

    Why similar: Outbreak Sim 40.8%, Post-apocalyptic 15.7%, Life Sim 11%, Survival 10.9%, Simulation 8.1%

  56. #56 Sunville
    68% matchNo user reviews2022
    Dev: BitConfig
    Windows

    In our days it’s hard to find any organic grocery’s in markets. Every city turns into concrete jungle, streets are covered with smoke from manufactures and cars. In Sunville everyone can find peace and freedom, take all your savings and went to Sunville to start new free, fresh and bright live.

    Why similar: Farming Sim 31.8%, Life Sim 21.5%, Agriculture 14.8%, Simulation 13.1%, Realistic 6.5%

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