Games Like War Hospital

All Quiet in the Trenches is a narrative turn-based strategy RPG set in World War I. Get to know your soldiers, take care of their needs and lead them in battle, trying to strike a precarious balance between the ambitions of your superiors and the survival of your men.

Why similar: Historical 30.5%, Choices Matter 22.8%, Management 15.5%, Strategy 14%, Story Rich 10.2%

Why You'll Like It: It is a direct thematic match, focusing on the harrowing reality of the First World War through strategy and narrative decision-making.

The Great War is over - the fight continues. Command a legion of soldiers, desperately trying to make their way home amidst the chaos of civil war. Lead them through the unforgiving wilderness onboard an armored train. Manage your crew and resources and try to survive.

Why similar: RTS 23.6%, Historical 18.3%, Wargame 14.7%, Strategy 9.5%, Base Building 9%

Why You'll Like It: This title combines historical narrative with management and survival mechanics as you guide soldiers through a dangerous journey.

In This War Of Mine you do not play as an elite soldier, rather a group of civilians trying to survive in a besieged city; struggling with lack of food, medicine and constant danger from snipers and hostile scavengers. The game provides an experience of war seen from an entirely new angle.

Why similar: Base Building 30.7%, Management 22.3%, Choices Matter 22.1%, Strategy 15%, Story Rich 9.8%

Why You'll Like It: It perfectly captures the moral dilemmas and survival management of civilians caught in the crossfire of war.

Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

Why similar: Medical Sim 44.5% ★, City Builder 18.8%, Management 12.4%, Economy 8.3%, Building 8.2%

Why You'll Like It: It offers the most detailed medical management simulation for those who enjoy the hospital-building and patient-care aspects of the seed game.

Frostpunk is the first society survival game. As the ruler of the last city on Earth, it is your duty to manage both its citizens and infrastructure. What decisions will you make to ensure your society's survival? What will you do when pushed to breaking point? Who will you become in the process?

Why similar: City Builder 39.9%, Building 11.4%, Base Building 10.6%, Strategy 9.5%, Management 8.3%

Why You'll Like It: This game shares the intense resource management and high-stakes moral choices required to keep a society alive under extreme pressure.

Take command of a remote military air base during World War II. Build your own airfield, manage iconic aircraft and oversee your crew’s well-being. Prepare them against air raids and send your pilots on dangerous missions. Survive and help your nation win the war!

Why similar: City Builder 15.4%, Military 13.1%, RTS 13%, Base Building 12.3%, Historical 11.4%

Why You'll Like It: This game focuses on base management and the lives of personnel during the Second World War.

A medieval city under siege and a handful of civilians are all that keep the walls from falling. Mixing survival strategy and resource management, build your camp, craft supplies, and scavenge the occupied city to supply the last troops holding back the invaders.

Why similar: City Builder 20.3%, Strategy RPG 14.8%, Economy 14.2%, Historical 13.5%, Base Building 12.4%

Why You'll Like It: It focuses on resource management and survival during a siege, requiring you to support your people while under constant threat.

Build your own military camp, manage the economy, recruit the best candidates and train them to become elite specialists. Send them on missions across the land to end the war once and for all!

Why similar: City Builder 17.3%, Strategy RPG 13.6%, Tactical RPG 12.9%, Economy 12.4%, Base Building 12.4%

Why You'll Like It: It provides a management-heavy experience focused on training and maintaining a military force.

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: Multiple Endings 56.2%, Story Rich 26.6%, Strategy 17.1%

Why You'll Like It: It mirrors the bureaucratic pressure and moral weight of making difficult choices that affect individual lives within a rigid system.

Use the radio to give commands to the soldiers on the battlefield. Keep track of the situation based on their voice reports only. Lead US platoons to clash with Vietcong in a realistic, innovative approach to the RTS genre. Make hard choices in a narrative driven experience, and face the outcome.

Why similar: Wargame 18.4%, Military 15.6%, RTS 14.7%, Strategy RPG 14.3%, Historical 13%

Why You'll Like It: It provides a unique command-and-control experience that requires careful management of units based on limited information.

The Great War: Western Front is the definitive WW1 strategy game. Play a deciding role in history with this real-time tactical experience as you take charge in the iconic Western Front from 1914 to 1919. Pick your faction and lead your forces to victory.

Why similar: Grand Strategy 23.3% ★, RTS 21.9%, Historical 16.5%, Military 15.1%, Wargame 13.3%

Why You'll Like It: It offers a grand-strategy perspective on the specific historical conflict featured in the seed game.

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: Choices Matter 30.1%, Multiple Endings 27.8%, Strategy 16.7%, Story Rich 15.9%, 3D 9.5%

Why You'll Like It: This game forces you to make difficult moral choices while managing resources and monitoring individuals 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: Choices Matter 60.7%, Story Rich 39.3%

Why You'll Like It: It features intense medical survival mechanics and a heavy atmosphere where every decision carries significant consequences.

Build a soviet republic from an impoverished country into a rich industrial superpower in a city builder with intricate production chains and a fully simulated global economy. Manage the lives of your citizens from education to work and party loyalty to criminal activity.

Why similar: Grand Strategy 21.3% ★, City Builder 17.8%, Historical 13.9%, Economy 11.5%, Base Building 11.2%

Why You'll Like It: It provides a deep, complex management simulation for those who enjoy the logistical side of strategy games.

Lead your noble family in this medieval colony sim, facing off against class conflict, religious struggle, and political treachery. Tend to your people’s needs, uncover the lost knowledge of a fallen empire, and engage in nefarious plots against your enemies.

Why similar: Grand Strategy 21.7% ★, City Builder 16.7%, Historical 14%, Economy 11.8%, Base Building 11.6%

Why You'll Like It: It focuses on managing a noble family and their subjects, emphasizing choices and the consequences of leadership.

Manor Lords is a medieval strategy game featuring in-depth city building, large-scale tactical battles, and complex economic and social simulations. Rule your lands as a medieval lord – the seasons pass, the weather changes, and cities rise and fall.

Why similar: Grand Strategy 21.7% ★, City Builder 16.4%, Historical 14.3%, Economy 11.9%, Base Building 11.6%

Why You'll Like It: It offers complex city-building and management mechanics set within a historical context.

As a judge of the Revolutionary Tribunal, preside over complicated cases of ordinary citizens, dangerous criminals, and enemies of the revolution in revolutionary Paris. Make judgments, plot political intrigue, and try to not lose your own head!

Why similar: Historical 48.3%, Choices Matter 24.5%, Strategy 13.6%, Story Rich 13.5%

Why You'll Like It: This game emphasizes the narrative weight of judicial decisions and management during a turbulent historical period.

Build, manage and optimise intergalactic hospitals! Recruit staff to satisfy the whims of various alien species, and cure their bizarre illnesses - for money! Save the (literal) Galaxy in story mode, or head into sandbox to design the hospital of your dreams.

Why similar: Medical Sim 31.9% ★, RTS 13%, Economy 10.3%, Base Building 9.6%, Management 8.6%

Why You'll Like It: It offers a creative take on medical management with a focus on unique patient care and facility design.

Build a city to rule the world in Kaiserpunk, a grand city builder blending production-focused city building with world conquest in an alternate 20th century world. Manage your city, grow industries, build a military, and defeat rivals to become the greatest empire.

Why similar: Grand Strategy 18.5% ★, City Builder 15.4%, Military 13.4%, Wargame 13%, Historical 11.2%

Why You'll Like It: It blends city-building and grand strategy in an alternate history setting.

Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.

Why similar: Medical Sim 60.6% ★, Management 17.6%, Building 12.8%, City Builder 5.8%, Strategy 3.1%

Why You'll Like It: While lighter in tone, it provides a robust medical management and hospital-building experience.

Survive and thrive in a post-apocalyptic future — resources are scarce, but opportunity calls! Build the ultimate disaster proof colony, protect your colonists, and restore civilization to a devastated world.

Why similar: City Builder 45.4%, Base Building 19.7%, Strategy 14.7%, Building 10.5%, Management 9.7%

Why You'll Like It: It combines colony management with survival mechanics, requiring you to make tough calls to keep your population alive.

UBOAT is a simulator of a submarine from WWII era. It is a survival sandbox with crew management mechanics while its primary theme is life of German sailors. The boat is their home, but it can become their grave at any time.

Why similar: Military 33.1%, Historical 26.6%, RTS 22.7%, Management 17.6%

Why You'll Like It: It is a deep simulation that requires managing a crew and resources under the constant pressure of wartime conditions.

Broken Lines is a story-driven tactical RPG set in an alternate-history version of WWII. Lead a squad of soldiers and face the horrors of war. In the included expansion, 'The Dead and the Drunk', guide your troops through fights against both the living and the undead.

Why similar: Wargame 22.2%, Historical 21.1%, Tactical RPG 20.6%, Multiple Endings 10.7%, Choices Matter 10.2%

Why You'll Like It: It is a tactical game that focuses on the narrative and survival of a small squad of soldiers behind enemy lines.

11th November 1916, a young photographer leaves Canada to join the western front in Europe. The same day, a German technician is told that his son is missing in action. Both want to preserve their humanity and come back alive to their loved ones.

Why similar: Historical 67.8%, Story Rich 20.2%, Stylized 12%

Why You'll Like It: It is a narrative-driven experience that explores the human side of the First World War through a unique art style.

Make movies, even if someone has to die. Take the helm of a major Hollywood studio at the dawn of sound cinema, and guide it through decades of creative achievements and glamor, debauchery and dark deeds, tough choices and unpleasant compromises.

Why similar: City Builder 21.7%, Economy 14.3%, Historical 13.2%, Building 10.5%, Choices Matter 10.1%

Why You'll Like It: It focuses on management and difficult choices, requiring you to navigate the complexities of running a studio.

Take command in Europe's greatest 18th-century war. Equip & customize regiments, manage supplies, and engage in brutal real-time battles across procedural campaigns. Resources and replacements are scarce, and keeping your best men alive may matter more than any single victory.

Why similar: Military 18.5%, Historical 17.9%, RTS 17.6%, Wargame 16.2%, Strategy RPG 14.2%

Project Wunderwaffe will take you back into the realities of World War II, the end of which seems to be near. Germany is now just a shadow of its power. Your order is to build a secret military base and construct weapons of unprecedented power. Will you be capable of turning the tide of war?

Why similar: Wargame 20.1%, Military 17%, Base Building 14.4%, Historical 13.1%, Building 11.5%

Why You'll Like It: It combines base-building and management with a dark, historical wartime theme.

Command the checkpoint in a collapsing city. Screen survivors, manage scarce resources, and hold back the undead. Every choice matters and one mistake could unleash the plague beyond your walls.

Why similar: Military 30.2%, Management 17.3%, Base Building 17.2%, Choices Matter 16.9%, Building 12%

Build the new future of Europe! Flip, renovate, repair and rebuild places destroyed during World War 2. Get to know the history and stories of civilians. Play an immersive building simulator with grappling storytelling.

Why similar: City Builder 36.6%, Base Building 24.1%, Management 20.5%, Building 18.8%

Why You'll Like It: It offers a simulation experience focused on the aftermath of war and the process of reconstruction.

A Tactical Battle Simulator that allows you to command thousands of soldiers as a Union or Confederate General. The game features the most accurately created map, a non-linear battle campaign, complex morale, innovative control mechanics and smart AI.

Why similar: Historical 29%, RTS 24%, Wargame 23.2%, Strategy 12.9%, Military 10.9%

Why You'll Like It: It provides a tactical, historical strategy experience that focuses on the realities of battlefield command.

Besiege Great Khans, Imperial warlords and Shōgun commanders in Stronghold: Warlords, the latest 'castle sim' from Firefly Studios. Command AI warlords across the battlefield as you build a castle economy and new gunpowder-fuelled siege engines!

Why similar: City Builder 17.5%, Military 13.9%, RTS 12.2%, Economy 10.6%, Historical 9.9%

Why You'll Like It: It combines castle-building and resource management with tactical military strategy.

This is a 18+ hospital simulation game. You will play the role of the hospital director and manage a hospital.

Why similar: Medical Sim 46.8% ★, RTS 17.7%, Strategy RPG 11.5%, Base Building 11.4%, Building 4.9%

This is a strategy game with the theme of WWII. As a battlefield commander, maintaining your army's motivation and satisfaction, promoting your generals, managing your own economy, dealing with your friends' armies, and real time grand battle. What kind of commander will you become in the process?

Why similar: Grand Strategy 16% ★, Wargame 13.9%, Historical 13.6%, Military 12.5%, RTS 11.6%

Immerse yourself in the beautifully recreated golden age of Hellenic city-states. Builders of Greece is a city management game that lets you display your strategic and economic mastery. Build your Polis from scratch, make meaningful decisions, trade, fight and expand to become the ultimate ruler.

Why similar: City Builder 25.5%, Historical 15.7%, RTS 13.6%, Economy 11.9%, Building 11.1%

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 39.8% ★, Wargame 17%, Military 16.8%, Multiple Endings 10.2%, Choices Matter 9.5%

Choose any real region from the world. Choose your base of operations, then rebuild and readapt the buildings around you to create a self-sustaining settlement. Take charge of a group of survivors from your city. And when the night falls - Defend the zone from the infected!

Why similar: City Builder 29.9%, Base Building 24.8%, RTS 19.6%, Management 14.7%, Strategy 8.1%

Turn-based kingdom management simulator focused on decision-making. Will you survive and lead the kingdom to prosperity, or die in agony? The throne awaits.

Why similar: Strategy RPG 16.4%, City Builder 15.4%, Historical 14.6%, Building 11.1%, Economy 10%

In the medieval era, assume the role of a lord and engage with other lords，develop fiefdoms, and employ strategies involving intrigue, warfare, and plunder. Expand your territory and strengthen your house lineage Or, be a god, manipulate the world? This game primarily strategic role-playing elements

Why similar: Grand Strategy 23.8% ★, Historical 14.3%, Strategy RPG 12.9%, Management 10.1%, Wargame 9.8%

Design warships the way you want them, command fleets, win the naval arms race for your nation!

Why similar: Grand Strategy 21% ★, Wargame 16.3%, Military 14.4%, Strategy RPG 11.4%, Historical 11%

Protect and guide your people as you forge a town from untamed wilderness at the edge of the known world. Harvest raw materials, hunt, fish and farm to survive. Produce crafted items to trade, consume, equip and fight with as you battle for your survival against the elements and outside threats.

Why similar: City Builder 18.1%, RTS 13.9%, Historical 13.4%, Building 12.8%, Economy 11.3%

Build an intricate prison, hire the best staff, and pamper your prisoners to create the perfect rehabilitation facility in Prison Tycoon: Under New Management

Why similar: Medical Sim 30.6% ★, Management 15.6%, Building 13%, Base Building 10.1%, City Builder 9.2%

Be the drill instructor! Insult recruits with no remorse! Can you transform flabby recruits into lean war machines within 12 weeks?

Why similar: Military 29.6%, Management 23.5%, Base Building 20.8%, Historical 12.5%, Strategy 9.7%

Eyes of War is a real-time strategy game set in the medieval era, offering both single-player and multiplayer experiences where you can control every unit in character mode. Build your castle, lead your army, and dominate the map. Eyes of War invites you to epic battles of the medieval era!

Why similar: Wargame 21.5%, RTS 20.4%, City Builder 13.7%, Military 10.8%, Base Building 10.2%

Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day!

Why similar: Medical Sim 53.9% ★, RTS 22%, Management 17.1%, Strategy 7%

Experience something novel, bursting with extraordinary phenomena and strange situations in your hospital! Only you have the power to make the best decisions and to make your hospital the most popular one! But beware: Several events will add some spice to your life! Embark on the career of your life!

Why similar: Medical Sim 74.2% ★, Management 25.8%

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 60% ★, Choices Matter 11.4%, Management 10%, Multiple Endings 9.8%, Story Rich 7.1%

Establish a home for your industrious mice under the oppressive paw of your cat overlords in this city builder featuring complex simulations, intricate production chains, and the age-old rivalry between cat and mouse.

Why similar: Grand Strategy 21.8% ★, City Builder 16.8%, Historical 13.9%, Base Building 11.7%, Economy 11.6%

Command swarms of warriors at an unprecedented scale of warfare in this blend of RTS and base-building. Lead ant colonies against the many fearsome threats of the insect world, while building intricate nests, developing pheromone-based tactics, and evolving to meet growing dangers.

Why similar: Grand Strategy 21.9% ★, City Builder 16.5%, Historical 14%, Economy 11.7%, Base Building 11.6%

A unique and deeply engaging political/military strategic simulation from the creator of Plague Inc. Balance competing civilian and military priorities and deal with a deadly insurgency in order to stabilise a war-torn country.

Why similar: Grand Strategy 27.3% ★, Military 19.3%, Historical 17.7%, RTS 16.6%, Strategy RPG 13.3%

What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?

Why similar: Medical Sim 50.8% ★, Management 16.9%, Economy 11.6%, Base Building 9.1%, Building 6.3%

January, 1915. The Race to the Sea is over. The Great War has just begun. You are the commander of a single division in the meat grinder that is the Western Front. Lead your men over the top as you attempt to break the stalemate that is to claim the lives of millions over the course of years.

Why similar: Grand Strategy 23.3% ★, Wargame 19.7%, Historical 16.7%, Military 15.6%, Strategy 13.6%

Find the most effective way to construct and manage a hospital. Build your hospital smart and avoid excess time and resources consumed by examining your patients unnecessary. You can choose to micromanage your patients or hope that your doctors are able to identify the cause of their symptoms.

Why similar: Management 100%

Armored Battle Crew is a Tank and Crew Management Simulation game, where your skills as a Tank commander is tested. Customize your tank carefully and make strategic battle choices to achieve mission success! The fate of your crew lies in your hands!

Why similar: Military 36.6%, Historical 25.4%, Management 21.9%, Strategy 10.7%, 3D 5.4%

Fable Hospital is a medieval hospital management simulator with a touch of fantasy and humor. Cure hilarious diseases, manage an eccentric team, and gather resources in a world full of satire and fun.

Why similar: Medical Sim 53.8% ★, Management 13.8%, Economy 13.5%, Building 7.8%, Strategy 7.2%

Feudal Baron: King’s Land is classic-style city-builder. Turn a humble settlement into a medieval town, build workshops and churches, repel raids, and manage your subjects. Ensure steady supplies – or squeeze every last penny from the people.

Why similar: City Builder 22%, RTS 18.7%, Base Building 12.5%, Management 11.7%, Top-Down 7.2%

In this real-time grand strategy game, command armies, build cities, and manage a dynamic economy. Establish automated supply routes within your territory to streamline production. Fortify your defenses and brace for intense battles. Can you lead your empire to dominance?

Why similar: Grand Strategy 22.3% ★, Wargame 21.3%, City Builder 18.8%, RTS 16.6%, Economy 13.6%

Arms Trade Tycoon: Tanks is a unique combination of tank design and tycoon game. It puts you in charge of an arms trading company specialized in tanks from WWI to the modern era. Research, design, sell and follow your tanks in battle to make your own history!

Why similar: Grand Strategy 26.4% ★, Wargame 21.1%, Historical 18%, Military 17.2%, Management 13.5%

Until the Last Plane is an airfield management game during WW2. Send pilots on mission. Craft spare parts. Repair your planes. Face your enemy and resist.

Why similar: Military 24.7%, Historical 23.4%, Management 22.4%, Top-Down 10.8%, Strategy 9.7%

A turn-based WWI Grand Strategy game. Rush to field new modern weaponry and survive the horrendous attrition battles. Join the global conflict between the Great Powers of the age and forge a new world order for freedom or tyranny.

Why similar: Grand Strategy 23.9% ★, Wargame 21.7%, Historical 17.6%, Military 11%, Management 10.1%