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Games Like Sticks and Stones

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

Similar Games

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  1. #1 Life on the Edge
    97% matchVery Positive90% of 98 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 23.3%, Science 20.1%, Outbreak Sim 19.6%, Tower Defense 18.4%, Education 12%

  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 29.5%, Outbreak Sim 24.3%, Farming Sim 20%, Life Sim 15%, Simulation 9%

  3. #3 I Am Zombie
    96% 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 46.9%, Post-apocalyptic 13.1%, Strategy RPG 11.3%, Simulation 7.2%, Exploration 6.1%

  4. #4 Animal Rescue
    95% 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 37.8%, Agriculture 15.6%, Education 13.5%, Life Sim 12.7%, Simulation 6.7%

  5. #5 eHUB cities - Blackout
    94% 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 31.5%, Life Sim 13.4%, Education 13.2%, Artificial Intelligence 10.7%, Science 9.6%

  6. #6 Medic Simulator
    94% 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 20.4%, Life Sim 18.8%, Simulation 12.3%, 3D 3.8%

  7. #7 Pestis
    93% 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 30.4%, Outbreak Sim 29.6%, Science 14.6%, Education 11.8%, Survival 6.3%

  8. #8 Harvest Moon: Light of Hope Special Edition
    91% matchMostly Positive77% of 1,109 reviews2017
    Dev: TABOT, inc.Pub: Natsume Inc.
    Windows
    Median: 3.9 hrsMean: 15.0 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 39.8%, Agriculture 20.6%, Life Sim 19.3%, RPG 9%, Simulation 7.3%

  9. #9 Harvest Health
    91% 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 16.5%, Life Sim 15.7%, RPG 6.4%

  10. #10 中医模拟传承人
    89% matchPositive86% of 14 reviews2024
    Dev: guizhi0011
    Windows

    A game where everyone can learn traditional Chinese medicine.

    Why similar: Medical Sim 50.9%, Education 17.7%, Life Sim 16.4%, Simulation 12.2%, First-Person 2.7%

  11. #11 Rescue Operations Simulator
    89% 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 35.3%, Medical Sim 34.3%, Life Sim 15.2%, Simulation 6.9%, Realistic 5.6%

  12. #12 Herbal Haven
    88% 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 31.8%, Farming Sim 22.4%, Agriculture 17.4%, Life Sim 15.9%, RPG 5.9%

  13. #13 Farmer's Dynasty - Final Harvest Edition
    87% matchMostly Positive75% of 4,283 reviews2019
    Dev: UMEO StudiosPub: Toplitz Productions
    Windows
    Median: 4.5 hrsMean: 13.4 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 32.8%, Agriculture 23.7%, Life Sim 19.7%, Simulation 8.3%, RPG 7.2%

  14. #14 Countryside Life Simulator
    86% matchMixed65% of 40 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 33.5%, Agriculture 19.2%, Life Sim 17.6%, Simulation 8.9%, Exploration 7.4%

  15. #15 Cyber Dose
    86% match1 user reviews100% of 1 reviews2023
    Dev: Usagi XR
    Windows

    Part puzzler, part farm-sim, part cyberpunk, part serious game. You are an AI databot in a new neural network in the HeXR Cloud. Gather data on digital twins of illicit drugs beamed in by AI health bots. Build your neural network. Stay BOOSTED while completing tasks or you could end up in bot rehab.

    Why similar: Medical Sim 35.9%, Farming Sim 24%, Education 15.2%, Artificial Intelligence 10.5%, Simulation 7.1%

  16. #16 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 17.3%, Simulation 7.7%, Realistic 7.3%, Post-apocalyptic 6.8%

  17. #17 After the Melodrama Novel
    84% 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%, Life Sim 19.1%, Agriculture 18.8%, RPG 14.7%, Simulation 14.6%

  18. #18 Melting Hearts: Our Love Will Grow 2
    85% 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 40%, Life Sim 21.8%, Agriculture 18.3%, Simulation 8.8%, RPG 6.9%

  19. #19 69 Days After
    82% 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 32.2%, Tactical RPG 17%, Strategy RPG 12.9%, Life Sim 12.5%, Post-apocalyptic 8%

  20. #20 Nano Fighter Anti Disease
    83% 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 37.9%, Outbreak Sim 35.3%, Science 17.5%, Simulation 3.7%, Realistic 2.9%

  21. #21 Bio Inc. Redemption
    82% matchVery Positive87% of 3,086 reviews2018
    Dev: DryGin Studios
    Windows
    Median: 2.4 hrsMean: 5.9 hrs≥1hr: 73%

    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 10.5%, Post-apocalyptic 8.3%, Simulation 5.3%

  22. #22 MediSim: Emergency Response
    80% 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 52.1%, Life Sim 17.2%, Simulation 12.8%, Education 10.5%, First-Person 4.3%

  23. #23 Food Decisions
    81% matchMixed70% of 23 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%, Education 16.7%, Life Sim 16.6%, Simulation 5.8%

  24. #24 The Memory In Walden Pond
    79% 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 23.2%, Farming Sim 22.8%, Life Sim 13.2%, Survival 8.9%, RPG 6.9%

  25. #25 Physician Simulator
    79% 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 37.4%, Education 18.2%, Life Sim 17.4%, RPG 14.7%, Simulation 12.2%

  26. #26 Quarantine Zombies
    77% matchMixed57% of 60 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 12.2%, Post-apocalyptic 9.4%, Survival 9.2%, Simulation 6%

  27. #27 英雄荣光医院
    77% match1 user reviews100% of 1 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 41.6%, Outbreak Sim 36.6%, Strategy RPG 9.6%, Life Sim 8.2%, Simulation 4.1%

  28. #28 Ministry of Pandemic
    78% 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 32.1%, Outbreak Sim 30.4%, Science 12%, Education 10.8%, Life Sim 9.7%

  29. #29 Pharmacy Simulator
    75% matchMixed60% of 246 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 19.9%, Simulation 11.7%, Education 10.2%, Realistic 6.2%

  30. #30 Dentist Simulator 2
    75% 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 49.5%, Life Sim 18.1%, Education 18%, Simulation 6.5%, Realistic 4.6%

  31. #31 My Universe - Doctors & Nurses
    76% matchMostly Negative29% of 14 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 17.5%, Education 14.4%, Simulation 8.2%, 3D 4%

  32. #32 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 32.8%, Outbreak Sim 30.6%, Life Sim 12.1%, Survival 6.7%, Realistic 6.2%

  33. #33 WirtschaftsWoche Virtual Reality
    76% 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 35.1%, Science 20.6%, Education 15%, Artificial Intelligence 9.5%, Realistic 5.5%

  34. #34 Constant Pressure
    74% 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 40.5%, Post-apocalyptic 16.9%, Life Sim 11.8%, Survival 11.4%, Simulation 6.9%

  35. #35 Garden Buddies
    73% matchMostly Positive72% of 93 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 28.6%, Agriculture 24.8%, Life Sim 17.8%, RPG 7.5%, Education 7.1%

  36. #36 Gleaner Heights
    74% 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 44.9%, Agriculture 20%, Life Sim 12.5%, RPG 9.9%, Simulation 8.2%

  37. #37 My Time at Portia
    72% matchVery Positive92% of 44,122 reviews2019
    Dev: Pathea GamesPub: Focus Entertainment
    Windows · Mac
    Median: 6.0 hrsMean: 36.0 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 31.8%, Life Sim 21.3%, Agriculture 18.7%, RPG 9%, Simulation 7.1%

  38. #38 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 43.8%, Science 22%, Education 15.8%, Life Sim 14.5%, Simulation 3.8%

  39. #39 Terracian Trails: Financial Frontier
    71% match5 user reviews100% of 5 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 31.6%, Life Sim 18.8%, Education 13.8%, Agriculture 13.7%, RPG 9.3%

  40. #40 Hospital Renovator
    72% 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 48.4%, Life Sim 15.4%, Education 12.7%, Realistic 9.7%, Simulation 7.8%

  41. #41 Lifeguard Simulator
    70% 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 41.8%, Education 15.4%, Life Sim 14.6%, Realistic 8.2%, Simulation 6.6%

  42. #42 Man Made
    70% matchMixed69% 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 24.3%, Farming Sim 19.8%, Life Sim 18.8%, Survival 10.6%, Simulation 8.5%

  43. #43 Turbulence - Airplane Survival Simulator
    70% 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 40.6%, Medical Sim 40.1%, Simulation 12.1%, First-Person 4.3%, Survival 3%

  44. #44 Be My Mom - maternity simulator, take care of your child
    69% 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 42.1%, Life Sim 16.9%, Education 16.5%, Realistic 6.7%, Simulation 6.4%

  45. #45 Valley General Hospital: NiVR
    71% match2 user reviews50% of 2 reviews2021
    Dev: Valley General
    Windows

    An exciting new approach to training and simulation in Healthcare.

    Why similar: Medical Sim 55.3%, Education 15.8%, Simulation 12.5%, Realistic 9.4%, First-Person 4.1%

  46. #46 Sunville
    71% 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 21.7%, Agriculture 14.6%, Simulation 13.2%, Realistic 6.4%

  47. #47 Humanity's Fall
    69% 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 34.5%, Life Sim 20.3%, Agriculture 16.2%, RPG 11.3%, Exploration 9.7%

  48. #48 Story of Leaves
    68% 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 34.9%, Agriculture 23.7%, Life Sim 19.7%, RPG 11.5%, Simulation 8.5%

  49. #49 Better Me Tree: Boot Camp
    69% matchNo user reviews2024
    Dev: Better Me Tree
    Windows

    Better Me Tree: Boot Camp is a daily self development application and motivator that encourages you to work on bettering your health, personal growth, wellness, inner peace, life goals, purpose, self awareness, accountability and more.

    Why similar: Medical Sim 32.2%, Farming Sim 30.2%, Life Sim 16.2%, Simulation 7.2%, Education 5.5%

  50. #50 Barricade Protocol
    67% 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 40.6%, Post-apocalyptic 15.6%, Life Sim 11.3%, Survival 10.8%, Simulation 8.2%

  51. #51 Hidden Harbor 2 Top-Down 3D
    68% matchMixed70% of 20 reviews2022
    Dev: AztechPub: Azerbaijan Technology
    Windows · Mac · Linux

    Find the objects that are hidden on the map.

    Why similar: Medical Sim 29.3%, Outbreak Sim 27.8%, Farming Sim 19.6%, RPG 6.7%, Simulation 6.1%

  52. #52 Fire Rescue Squad
    67% matchNo user reviews
    Dev: NPC GamesPub: Creative Forge
    Windows

    Fire Rescue Squad. An action game, a simulator from a first-person perspective, in which the player participates in firefighting actions, divided into several missions.

    Why similar: Medical Sim 33.6%, Outbreak Sim 33.2%, Life Sim 14.6%, Simulation 6.1%, Realistic 5.5%

  53. #53 Harvest Moon: One World
    68% matchMixed58% of 139 reviews2021
    Dev: Natsume Inc.
    Windows

    Trek across beaches, the desert, and even a volcano in the latest entry into the long-running Harvest Moon series! The Harvest Goddess has gone missing, and it's up to you to help bring her back! Along the way, you'll come across cows, sheep, camels, and even reindeer!

    Why similar: Farming Sim 41.9%, Agriculture 20.4%, RPG 13.6%, Simulation 12.7%, Adventure 8.4%

  54. #54 Live Hard, Die Hard
    64% matchVery Positive89% of 81 reviews2025
    Dev: Asobism.Co.,Ltd
    Windows

    Busy but Addictive! This BATTLE x MEDICAL Counter-Invasion Real-Time Strategy is like nothing you've ever seen! An army of aliens is here to invade the Earth! Show the Earth-style greeting to those unwanted visitors who lounge around our grounds! Lead your troops to extinguish zillions of aliens!

    Why similar: Medical Sim 37.6%, Strategy RPG 18.6%, Tower Defense 16.4%, Tactical RPG 14.3%, RPG 6.9%

  55. #55 Fire Station Renovation
    66% matchNo user reviews
    Dev: FrogVille Games
    Windows

    FIRE STATION RENOVATION is a renovator simulator for abandoned and forgotten fire stations. Buy old hovels, repaint, redecorate, clean and even build rodent traps and bring the firehouse back to life!

    Why similar: Medical Sim 41.7%, Life Sim 17.8%, Education 15.1%, Realistic 8.1%, Simulation 7.9%

  56. #56 Lost Scavenger
    67% matchMixed54% of 243 reviews2022
    Dev: Rockbee
    Windows

    How long could you survive in a parallel universe where the Mist dictates its rules? Would you be able to find the way to your homeworld, or will you adapt to live under the Mist domain? Fight for resources, get together with other survivors and discover the secrets of this world.

    Why similar: Medical Sim 33.7%, Tactical RPG 14.1%, Post-apocalyptic 13.2%, Life Sim 12.3%, Survival 8.9%

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