- #1 Ravenous Devils
97% matchVery Positive93% of 9,704 reviews2022
Dev: Bad Vices Games
Windows
Median: 4.4 hrsMean: 5.4 hrs≥1hr: 81%
A horror cooking simulator where the secret ingredient is crime. Improve your shops, buy new tools, expand your menu, and above all, make your customers happy.
Why similar: Villain Protagonist 30.8% ★, Crime 15.4%, Time Management 10%, Incremental 9.5%, Management 9.4%
- #2 Do No Harm
96% matchMostly Positive75% of 901 reviews2025
Dev: Darts Games
Windows
Median: 2.5 hrsMean: 5.9 hrs≥1hr: 76%
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 47.1% ★, Time Management 16.9%, Point & Click 8%, Choices Matter 7.6%, Management 7.5%
- #3 Creature Lab
96% matchMixed56% of 393 reviews2023
Dev: Image Power S.A.
Windows
Median: 3.0 hrsMean: 3.8 hrs≥1hr: 74%
Become a mad scientist! Conduct crazy experiments, mix mutagens, breed abominable creatures, and attach monstrous body parts to them. Manage your inventory, expand your lab, and make sure your hideout is safe. Send your creations into the city to obtain salvage and test subjects!
Why similar: Medical Sim 40.4% ★, Villain Protagonist 32.4% ★, Horror 11%, Management 9.7%, Simulation 5.5%
- #4 Prescribe and Pray
95% matchMostly Positive77% of 66 reviews2026
Dev: Nuclear Rabbits
Windows
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 48.6% ★, Choices Matter 10.1%, Multiple Endings 9.9%, Management 8.8%, Dark Humor 7.4%
- #5 Oyabu Clinic Deathcare Corporation
94% matchVery Positive94% of 235 reviews2023
Dev: Flying Panjandrum / ふらいんぐパンジャンドラムPub: GAMER Plan
Windows
Alchemy with patients' lives and health insurance! A quack doctor simulation game. DON'T imitate any of this!
Why similar: Medical Sim 53.1% ★, Management 11.8%, Dark Humor 11.8%, Horror 7.6%, Multiple Endings 5.2%
- #6 The Shrouded Isle
94% matchMostly Positive70% of 1,519 reviews2017
Dev: Jongwoo KimPub: Kitfox Games
Windows · Mac
Median: 2.4 hrsMean: 3.2 hrs≥1hr: 76%
Your Excellency, in this short systems-management survival game, we prepare for the awakening of our Lord. He hungers for human sacrifice. Sinners try to hide their dark secrets, but all must be purged...
Why similar: Villain Protagonist 35.5% ★, Noir 17.5%, Dark Humor 13.5%, Management 11.2%, Horror 6.5%
- #7 The Mortuary Assistant
92% matchVery Positive92% of 8,546 reviews2022
Dev: DarkStone DigitalPub: DreadXP
Windows
Median: 3.3 hrsMean: 5.9 hrs≥1hr: 87%
Alone with the dead... Embalm corpses, banish demons, save your soul.
Why similar: Medical Sim 40.9% ★, Horror 32.5%, Thriller 11.2%, Realistic 7.1%, Simulation 6.1%
- #8 MachiaVillain
93% matchMixed66% of 804 reviews2018
Dev: Wild FactorPub: Good Shepherd Entertainment
Windows · Mac · Linux
Median: 3.5 hrsMean: 10.5 hrs≥1hr: 89%
Machiavillain is an evil mansion management and strategy game, inspired by Dungeon Keeper, Prison Architect and all the horror movie clichés! Build your own manor, raise your monsters, set up your traps, and exterminate your victims. But to gain reputation you'll have to slay by the horror movie rules!
Why similar: Villain Protagonist 72.1% ★, Management 17.2%, Simulation 9.8%, Singleplayer 0.9%
- #9 Graveyard Keeper
91% matchVery Positive86% of 52,820 reviews2018
Dev: Lazy Bear GamesPub: tinyBuild
Windows · Mac · Linux
Median: 7.3 hrsMean: 27.3 hrs≥1hr: 80%
Build and manage a medieval graveyard while facing ethical dilemmas and making questionable decisions. Welcome to Graveyard Keeper, the most inaccurate medieval cemetery sim of the year.
Why similar: Management 42.1%, Dark Humor 33.4%, Simulation 13.8%, Story Rich 6.9%, Singleplayer 3.8%
- #10 My Lovely Daughter
91% matchMostly Positive70% of 1,304 reviews2018
Dev: GameChanger StudioPub: Toge Productions
Windows · Mac · Linux
Median: 2.9 hrsMean: 3.8 hrs≥1hr: 84%
My Lovely Daughter is an alchemist simulator that explores the depth of a father’s grief and how far he will go to resurrect his daughter. Contains dark and disturbing subject matters, might not be suitable for children or those who are easily disturbed.
Why similar: Villain Protagonist 44.9% ★, Dark Humor 14.9%, Management 12.7%, Horror 7.1%, Multiple Endings 7.1%
- #11 Angel Engine
89% matchVery Positive84% of 310 reviews2026
Dev: HMS StudiosPub: Aurakenn Games
Windows
Cage an angel. Ransack Heaven. In a far-flung dystopian future, the Angel Engine Initiative carries on as the last hope for humanity. Seal yourself in your operating room, perform surgery on comatose test subjects, and pray you make it out alive.
Why similar: Medical Sim 44.8% ★, Time Management 24.8%, Horror 8.6%, Point & Click 7.4%, Thriller 6.4%
- #12 Prison Simulator
90% matchVery Positive86% of 2,503 reviews2021
Dev: Baked Games
Windows
Median: 3.9 hrsMean: 8.0 hrs≥1hr: 79%
Get a taste of prison life! Become a prison guard and deal with dangerous convicts. Prison management, lots of daily activities. Will you become the best guard in history? Or maybe you'll turn into the worst scumbag this Prison has ever seen?
Why similar: Crime 55.9%, Realistic 14.5%, Story Rich 10.4%, Simulation 9.5%, Casual 6.6%
- #13 The Fabulous Fear Machine
89% matchVery Positive90% of 561 reviews2023
Dev: Fictiorama StudiosPub: AMC Games
Windows · Mac
Median: 4.0 hrsMean: 6.6 hrs≥1hr: 82%
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: Villain Protagonist 33.8% ★, Dark Humor 14.8%, Horror 12.9%, Management 11.7%, Choices Matter 11.3%
- #14 Goblin Goopmaxxing
88% matchVery Positive94% of 192 reviews2025
Dev: Bugfight Studio
Windows
Brew potions, create monstrosities, and commit atrocities... Fulfill the collector's sick fantasies by experimenting on goblins with wacky potion ingredients that can modify bodies in grotesque ways. If a goblin seems sad that you turned him into an abomination, just drop him into the meatgrinder!
Why similar: Dark Humor 50.5%, Choices Matter 14.9%, Horror 14.7%, Simulation 10.7%, Story Rich 9.1%
- #15 Sanatorium - A Mental Asylum Simulator
87% matchMixed62% of 215 reviews2025
Dev: ZeitglasPub: Shoreline Games
Windows · Mac
The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.
Why similar: Medical Sim 46.9% ★, Noir 21.1%, Point & Click 10.7%, Multiple Endings 7.1%, Choices Matter 6.9%
- #16 Bio Inc. Redemption
86% 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 71.4% ★, Management 15.8%, Horror 6.2%, Simulation 5.1%, Singleplayer 1.6%
- #17 The Unholy Priest
85% matchMostly Positive78% of 391 reviews2025
Dev: Grejuva
Windows
Manage a haunted funeral service as a priest in a cursed forest. Bury or cremate the dead, perform exorcisms, fend off demonic possessions, and quiet restless souls. Survive terrifying encounters, maintain sanity, and experience the pinnacle of horror simulation in The Unholy Priest!
Why similar: Management 35.9%, Horror 24.4%, Thriller 19.6%, Simulation 14.1%, Casual 3.5%
- #18 Horripilant
84% matchVery Positive93% of 2,201 reviews2026
Dev: Alexandre Declos Pub: Black Lantern Collective
Windows · Linux
Median: 18.6 hrsMean: 26.2 hrs≥1hr: 92%
KILL YOUR GOD. BECOME WORTHY. Horripilant is a chilling idle incremental dungeon crawl through the horrors of a forgotten underworld.
Why similar: Incremental 45.7%, Point & Click 21.8%, Horror 18.8%, Simulation 8.2%, Casual 5.4%
- #19 Organs Please
86% matchVery Positive84% of 324 reviews2023
Dev: TECHHOMEPub: HeroCraft PC
Windows
Median: 3.2 hrsMean: 4.2 hrs≥1hr: 82%
A dark and satirical management sim, where you take control of a recycling factory with a twist: it recycles humans. Your job is to decide who gets to escape our dying planet in a cozy spaceship and who sacrifices their blood, sweat and tears for humanity. Literally.
Why similar: Point & Click 24.4%, Management 23%, Multiple Endings 19%, Choices Matter 16.2%, Story Rich 9.2%
- #20 OVERDOSE
84% matchVery Positive85% of 131 reviews2025
Dev: For Fun GamesPub: Cheesecake Dev
Windows
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: Time Management 54.4%, Horror 27.3%, Simulation 14.1%, Singleplayer 4.2%
- #21 Execute
83% matchVery Positive92% of 569 reviews2025
Dev: Payne Robinson
Windows
Median: 3.8 hrsMean: 5.8 hrs≥1hr: 90%
Kill everyone in the world with a guillotine… on a cursed Win98 desktop.
Why similar: Incremental 49.2%, Management 28%, Horror 17.5%, Simulation 5.3%
- #22 The Confession
82% matchOverwhelmingly Positive95% of 1,016 reviews2020
Dev: Randumb Studios
Windows
Ever wondered how much of a kinky pervert you are? Ever wanted to know what your fate entails for being such a kinky pervert? Answer a series of disgustingly hilarious, immoral questions to reveal ridiculous scenarios & unlock the answers you seek...
Why similar: Dark Humor 38.9%, Multiple Endings 16.5%, Choices Matter 16%, Horror 13.8%, Simulation 11%
- #23 Revenge Of The Colon
81% matchVery Positive85% of 411 reviews2023
Dev: Lilou Studio
Windows
Median: 2.5 hrsMean: 3.2 hrs≥1hr: 67%
Revenge of the colon is a story driven, single-player, atmospheric, body horror game with multiple endings. Perform colonoscopies on five patients and discover the horrors concealed deep within them. PS1 horror style!
Why similar: Medical Sim 43.2% ★, Dark Humor 17.9%, Horror 11.1%, Choices Matter 9.3%, Multiple Endings 8.8%
- #24 The Deed II
82% matchVery Positive82% of 148 reviews2020
Dev: Pilgrim AdventuresPub: GrabTheGames
Windows
Median: 3.6 hrsMean: 4.7 hrs≥1hr: 94%
Can you commit the perfect murder? Outside a brothel in 1930s Paris, a man recognises one of the orderlies who had cruelly abused him while he was in a mental asylum. Some deeds cannot be forgiven ...
Why similar: Villain Protagonist 38.7% ★, Crime 27.8%, Choices Matter 12.7%, Multiple Endings 7.5%, Story Rich 6.2%
- #25 TORMENTOR
81% matchMixed49% of 268 reviews2025
Dev: Madmind Studio
Windows
Take on the role of a merciless torturer. Earn money from video transmissions of your manhunts.
Why similar: Villain Protagonist 68.8% ★, Horror 13.2%, Realistic 10.5%, Simulation 6.6%, Singleplayer 1%
- #26 Italian Brainrot: In Prison
79% matchVery Positive81% of 94 reviews2025
Dev: ShLeksPub: Immortal Hero
Windows
A horror survival game set in a prison corrupted by the madness of the Italian Brainrot movement. Watch the cameras, shut the doors, and save power to survive the monsters. Each night grows more terrifying and unpredictable.
Why similar: Point & Click 48.9%, Horror 41.5%, Singleplayer 7.2%, Casual 2.4%
- #27 He Needs His Medicine
79% matchMostly Positive79% of 1,528 reviews2021
Dev: Euphoric Bros
Windows · Mac · Linux
Median: 18 minMean: 1.8 hrs≥1hr: 10%
You have been dispatched for a 911 call. From the moment you step inside the apartment, you realize something is really wrong with the place. You are gonna make Him the last dosage. He needs his medicine.
Why similar: Horror 30.5%, Multiple Endings 26.4%, Choices Matter 24.6%, Story Rich 11.7%, Casual 6.7%
- #28 Life Eater
78% matchVery Positive83% of 357 reviews2024
Dev: Strange Scaffold
Windows
If you don't sacrifice your neighbors, the world ends. Life Eater is a horror fantasy kidnapping simulator where you must become intimately familiar with your targets' lives one intrusive action at a time... and hope that the dark god you serve is even real.
Why similar: Time Management 33.7%, Point & Click 22.8%, Horror 16%, Thriller 12%, Multiple Endings 7.8%
- #29 Human Fast Food
78% matchVery Positive91% of 81 reviews2025
Dev: Bricchi Games
Windows
A cooking simulator where you run an underground fast food for monsters and serve them with human meat. Improve your kitchen appliances, unlock new recipes, manage your stock and keep the monsters well fed.
Why similar: Time Management 46.5%, Management 30%, Relaxing 13.1%, Simulation 10.4%
- #30 Wunderdoktor
80% matchVery Positive91% of 116 reviews2017
Dev: Ghostbutter
Windows
Median: 3.3 hrsMean: 4.2 hrs≥1hr: 87%
Step into the role of the Wunderdoktor, a traveling doctor whose daily work is to cure rare and exotic diseases. Explore a world full of quackery, ghosts and addictive potions.
Why similar: Time Management 43.8%, Point & Click 27.8%, Horror 19.5%, Casual 5.3%, Simulation 1.9%
- #31 Tingus Goose
76% matchVery Positive91% of 1,304 reviews2025
Dev: SweatyChairPub: Playsaurus
Windows · Mac
Median: 1.9 hrsMean: 10.8 hrs≥1hr: 68%
Tingus Goose is a delightfully absurd idle game where you plant seeds in patients, bounce babies for profit, and ascend through surreal worlds toward riches.
Why similar: Incremental 42.6%, Management 28.8%, Horror 15.5%, Simulation 8.5%, Casual 4.7%
- #32 Go To Hell Must
77% matchVery Positive92% of 155 reviews2024
Dev: Easy S Studio
Windows
Want to decide where mortals go when they die? Welcome to hell! With one click, you can decide whether mortals should go to heaven or stay in hell.
Why similar: Time Management 30.7%, Dark Humor 28.6%, Incremental 19.3%, Management 10.4%, Simulation 6.7%
- #33 Retail Hell
75% matchVery Positive97% of 102 reviews2026
Dev: LEAP Game StudiosPub: Midnighters
Windows
Trapped in an infinite shift, you are the sole clerk of purgatory’s only convenience store. Manage stock, pay your taxes and keep nightmarish creatures at bay as you uncover the secret of why your shift never ends. Clock in. Serve the dead. Survive the shift.
Why similar: Time Management 29%, Dark Humor 21.7%, Management 18.6%, Horror 12.1%, Multiple Endings 10.7%
- #34 Sultan's Game
73% matchVery Positive94% of 33,952 reviews2025
Dev: Double CrossPub: 2P Games
Windows · Mac · Linux
Median: 12.4 hrsMean: 24.3 hrs≥1hr: 86%
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: Time Management 29.5%, Dark Humor 26.2%, Multiple Endings 13.2%, Choices Matter 12.8%, Story Rich 8%
- #35 Rogue AI Simulator
77% matchVery Positive83% of 385 reviews2023
Dev: Nerdook ProductionsPub: Surefire.Games
Windows
Median: 2.2 hrsMean: 7.5 hrs≥1hr: 65%
Play as a Rogue Artificial Intelligence, in the sequel to the hit Flash game "I'm an Insane Rogue AI", played more than 4 million times! Your Prime Directive is simple: design a facility & manage human Test Subjects for the Dept of Science. But be careful: they NEVER stop being suspicious of you...
Why similar: Dark Humor 30.7%, Management 26%, Multiple Endings 16.1%, Choices Matter 15.6%, Simulation 9.3%
- #36 Ghost Keeper
74% matchVery Positive89% of 61 reviews2026
Dev: Quest CraftPub: Gaming Factory
Windows
Become a Ghost Keeper and lead your fearsome minions against the living. Use diverse scare tactics, manage demonic creatures and harness dozens of skills. Oh, and don’t let the Brotherhood catch you! The ultimate scaring experience begins…
Why similar: Villain Protagonist 56.6% ★, Dark Humor 21.4%, Horror 9.1%, Relaxing 7.1%, Management 3%
- #37 Laundering Simulator - Clean Cash and Laundry
73% matchVery Positive82% of 397 reviews2025
Dev: Ritual Interactive
Windows
Laundering Simulator puts you in charge of a two-faced enterprise – a hidden counterfeiting workshop with a laundromat as its front! Help Eddie Wiser run this crazy show and deal with small-business management, a criminal underground, nosy authorities, and a rage-inducing grandmother!
Why similar: Crime 36%, Dark Humor 23.6%, Management 16.8%, Choices Matter 11.1%, Story Rich 7%
- #38 Smile More
72% matchVery Positive97% of 217 reviews2026
Dev: Pixel Poxet
Windows · Mac
A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!
Why similar: Medical Sim 70.4% ★, Horror 11.9%, Multiple Endings 11.6%, Simulation 5.5%, Singleplayer 0.6%
- #39 Unemployment Simulator 2018
73% matchVery Positive87% of 103 reviews2026
Dev: Samuel LehikoinenPub: turbolento publishing
Windows · Linux
Social welfare survival horror based on real events. Endure emotional pain and societal pressure. Stay entertained. Survive the routine and become the hero of your studio apartment—battle inner demons, hide skeletons in the closet, and most importantly… keep the bathroom clean.
Why similar: Dark Humor 46.5%, Multiple Endings 13.6%, Horror 13.2%, Story Rich 13.1%, Simulation 10.2%
- #40 The Executioner
76% matchMixed66% of 372 reviews2019
Dev: Lesser Evil Games
Windows
Median: 3.2 hrsMean: 5.0 hrs≥1hr: 85%
The Executioner puts you in the shoes of a man who tortures people for a living while trying to retain his own sanity. In this game the monster isn’t lurking behind you. You are the monster, if you choose to become one.
Why similar: Horror 41.6%, Choices Matter 35.1%, Story Rich 18.2%, Singleplayer 5.1%
- #41 Worshippers of Cthulhu
72% matchVery Positive81% of 1,507 reviews2025
Dev: Crazy Goat GamesPub: Crytivo
Windows
Median: 3.1 hrsMean: 5.9 hrs≥1hr: 80%
LEAD the CULT OF CTHULHU. Decide the fate of your followers, perform eldritch rituals, and master the art of city-building in a world where the line between sanity and madness blurs. Can you endure the horrors you unleash?
Why similar: Management 53.2%, Horror 27.6%, Simulation 14.7%, Singleplayer 4.4%
- #42 Magical Massage
71% matchVery Positive97% of 108 reviews2026
Dev: Pop Elephant StudioPub: Cyberisle
Windows
Extreme Life-and-Death Massage! Enjoy magician's look of agony and cure embarrassing ailments! From hemorrhoids that cause earthquakes to rhinitis that make huge explosion...nothing too fancy that you can't handle. However, if your skills fall short, these powerful, unclothed magicians may kill you.
Why similar: Dark Humor 50.2%, Multiple Endings 21.4%, Story Rich 15.4%, Simulation 12.9%
- #43 The Dweller
74% matchVery Positive94% of 754 reviews2016
Dev: Villainous GamesPub: Forever Entertainment S. A.
Windows · Linux
Median: 3.1 hrsMean: 3.8 hrs≥1hr: 94%
The Dweller is a puzzle game where you play as the MONSTER! It's time to get rid of all those pesky archaeologists snooping around in your lair. SCARE them, CRUSH them, DEVOUR them! ELIMINATE THE INTRUDERS!
Why similar: Villain Protagonist 80% ★, Simulation 11.9%, Casual 8.1%
- #44 Daily Chthonicle: Editor's Edition
75% matchMostly Positive74% of 171 reviews2016
Dev: Sinister SystemsPub: Sometimes You
Windows
Median: 3.1 hrsMean: 3.7 hrs≥1hr: 95%
Try on the role of a Supernatural Newspaper Agency boss and editor. The world it takes place in is a dark and haunted one, with ghosts, zombies, monsters and even shapeshifting murderers, pretending to be human after they have stolen their victims' bodies or infiltrated the humanity.
Why similar: Noir 50.8%, Simulation 37.9%, Casual 11.4%
- #45 Retale
70% matchVery Positive94% of 98 reviews2024
Dev: Grocery Guys
Windows
Experience working in retail with hardly any similarities to actually working in retail! Manage your time wisely to keep the shelves stocked, control the complaints of colorful and cranky customers, and be wary of the watchful eye of your manager to avoid being fired... or worse.
Why similar: Time Management 34.6%, Management 18.2%, Multiple Endings 13.2%, 2.5D 12.8%, Choices Matter 9.8%
- #46 Prison Architect
70% matchVery Positive89% of 73,349 reviews2015
Dev: Introversion SoftwarePub: Paradox Interactive
Windows · Mac · Linux
Median: 6.0 hrsMean: 30.2 hrs≥1hr: 87%
Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.
Why similar: Management 68.5%, Simulation 24.7%, Singleplayer 4.5%, Casual 2.3%
- #47 Veil Transfer
69% matchVery Positive95% of 102 reviews2024
Dev: Daniel Graves
Windows
An atmospheric, arcade first-person horror game where your sole job is to root out the Veils who take on the identity of humans. Interrogate and execute monsters that hide within people, and protect yourself while managing your ammunition and transfers.
Why similar: Time Management 43.7%, Management 29.3%, Horror 18.5%, Simulation 8.4%
- #48 Dead Finger Dice
68% matchVery Positive81% of 226 reviews2025
Dev: Rocket Adrift GamesPub: Black Lantern Collective
Windows · Linux
Play a sinister game of poker dice against blood-thirsty demon billionaires who’ve trapped you on their mega yacht in this rogue-like dice builder.
Why similar: Dark Humor 33.4%, Point & Click 29.3%, Management 20.7%, Horror 13.3%, Casual 3.4%
- #49 Godlike Burger
70% matchMostly Positive75% of 1,046 reviews2022
Dev: Liquid PugPub: Daedalic Entertainment
Windows · Mac · Linux
Median: 3.0 hrsMean: 4.3 hrs≥1hr: 78%
In Godlike Burger you run the craziest restaurant of the galaxy! Stun, poison and kill customers in many devious ways… and turn them into burger meat! And don’t worry: Alien customers will keep coming if you are smart about it, because cannibalism is just too damn tasty.
Why similar: Crime 41.9%, Time Management 37.2%, Management 14.3%, Simulation 4.2%, Singleplayer 2.4%
- #50 3 Blind Mice: A Remediation Game for Improper Children
71% matchMostly Positive78% of 146 reviews2019
Dev: James Earl Cox III
Windows
A remediation game designed for last attempt corrections for particularly troubled youth. Failure to complete this game may result in removal from society. Please do not attempt to find the surveillance units. They are only present for monitoring your progress. Have a pleasant day.
Why similar: Dark Humor 45.7%, Horror 27.2%, Simulation 27.1%
- #51 🧠 OUT OF THE BOX
71% matchVery Positive83% of 289 reviews2018
Dev: Nuclear TalesPub: 🚀 Raiser Games
Windows · Mac · Linux
Median: 3.2 hrsMean: 4.0 hrs≥1hr: 91%
Dive into a wild story of gangsters and criminals where you decide the fate of the peculiar customers of a luxurious nightclub in a never-ending race against the clock.
Why similar: Crime 31.9%, Point & Click 16.6%, Management 15.1%, Multiple Endings 12.5%, Choices Matter 12.4%
- #52 Self-Isolation
69% matchVery Positive86% of 491 reviews2020
Dev: Dymchick1
Windows
This game is a simulation of self-isolation. You need to support your family, not to lose your job and finally not to go crazy.
Why similar: Time Management 34.7%, Horror 21.3%, Choices Matter 16%, Multiple Endings 13.5%, Simulation 10.9%
- #53 MY ADAPTATION IN(TO) HUMAN
69% matchMixed65% of 57 reviews2024
Dev: SpoocleMacBoogle
Windows
You are a body snatching creature. Capture the body, explore the environment, reproduce.
Why similar: Point & Click 31.1%, Horror 20.8%, Dark Humor 19.6%, Thriller 14.4%, Simulation 9.2%
- #54 Sintopia
64% matchVery Positive82% of 818 reviews2026
Dev: Piraknights GamesPub: Team17
Windows
Median: 4.9 hrsMean: 12.0 hrs≥1hr: 77%
Manage Hell. Manipulate the Overworld. Build the resurrection business of your dreams! In Sintopia, you’re tasked with managing the bureaucratic administration of Hell: “re-educate” the sinful, generate profit, play god and expand your hellish empire. All part of a day’s work at Hell Incorporated.
Why similar: Dark Humor 46.5%, Management 38.8%, Simulation 11.4%, Singleplayer 3.3%
- #55 Survivor Dieland
67% matchVery Positive95% of 233 reviews2021
Dev: Randumb Studios
Windows
You're gonna get yourself killed being out here all by your lonesome... There's monsters on this island! Besides, It's not always the beasts you should be afraid of... Beasts are easy to predict. They just want to kill and eat you. Humans are much harder... They'll pretend to be your friend first...
Why similar: Dark Humor 34.2%, Multiple Endings 22.4%, Choices Matter 21.4%, Story Rich 11.7%, Simulation 10.4%
- #56 Hell Architect
68% matchMixed69% of 446 reviews2021
Dev: Woodland GamesPub: Leonardo Interactive
Windows · Mac
Median: 1.7 hrsMean: 6.0 hrs≥1hr: 64%
Hell Architect is a game about building and managing your own hell. You take on a role of a hell manager and are tasked with developing the underworld in a way that would make Lucifer himself fall off his chair.
Why similar: Dark Humor 50.4%, Management 39.6%, Simulation 7.1%, Singleplayer 2.9%
- #57 The HELL
65% matchVery Positive91% of 92 reviews2025
Dev: METROPOLICE
Windows
Take up the role of the Hell Governor and embrace the challenge of welcoming souls who perished in major, historically real human disaster. Build your city, manage your resources while defending the chaos from demons who steal and kill your folks....and also that GIANT TITAN lurking around.
Why similar: Time Management 40.5%, Management 20.2%, Multiple Endings 16%, Horror 15.1%, Simulation 8.2%
- #58 Autopsy Simulator
67% matchMixed52% of 1,557 reviews2024
Dev: Woodland GamesPub: Team17 Digital Ltd
Windows
Median: 4.3 hrsMean: 4.8 hrs≥1hr: 81%
Autopsy Simulator is a first-person horror-sim hybrid where players take on the role of a practice pathologist and study case files, created in collaboration with real-world forensic doctors, to help guide their dissection of anatomically accurate bodies to determine each subject’s cause of death.
Why similar: Medical Sim 63.3% ★, Horror 10.9%, Simulation 10.3%, Realistic 6.3%, Crime 5%
- #59 Super Life: Franchise Lord
68% matchMixed64% of 121 reviews2022
Dev: Klick Ink L.P.
Windows
Can you really take over the world with a sandwich? Short answer... MONEY IS EVIL!
Why similar: Time Management 25.3%, Incremental 23.3%, Dark Humor 18.4%, Management 15.4%, Point & Click 9.3%
- #60 The Flayed Man
63% matchVery Positive92% of 369 reviews2025
Dev: Snoring Dog Games
Windows
The Flayed Man is a short narrative-driven point and click horror game. Awaking without memories (or skin), you must uncover the sins of the past, pass judgement, and decide your fate in this macabre adventure.
Why similar: Point & Click 35%, Multiple Endings 21.8%, Horror 15.8%, Choices Matter 14%, Story Rich 10.9%