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 31.1%, Choices Matter 22.9%, Management 15.1%, Strategy 13.9%, Story Rich 10.4%

Why You'll Like It: Shares the exact historical World War we setting and focuses on managing the lives and morale of soldiers under your command with heavy choices-matter elements.

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 24.5%, Historical 18.4%, Wargame 14.6%, Strategy 9.3%, Base Building 8.8%

Why You'll Like It: Combines harrowing historical military management and resource survival as you guide troops through a grueling conflict.

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 45.4% ★, City Builder 19.1%, Management 12%, Building 8.4%, Economy 7.6%

Why You'll Like It: Offers deep medical simulation and hospital layout management, echoing the logistical challenges of treating patients effectively.

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 60.9% ★, Management 17%, Building 12.9%, City Builder 6.1%, Strategy 3.1%

Why You'll Like It: Provides a starkly different, lighthearted take on hospital management that still tests your organizational and administrative skills.

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 21%, Strategy RPG 15%, Historical 13.9%, Economy 13.3%, Base Building 12.6%

Why You'll Like It: Puts you in charge of managing resource scarcity and craft logistics behind enemy lines while keeping civilians and defenders alive.

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 17.8%, Strategy RPG 13.8%, Tactical RPG 13.2%, Base Building 12.5%, Economy 11.6%

Why You'll Like It: Focuses on building and managing a specialized military installation to train and support troops.

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 18.6%, Military 15.8%, RTS 15%, Strategy RPG 14.3%, Historical 13.2%

Why You'll Like It: Delivers an intense, top-down command experience where you must make critical decisions relying entirely on voice reports from the field.

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 23.2%, RTS 21.8%, Historical 16.2%, Military 15.5%, Wargame 13.8%

Why You'll Like It: Immerses you directly into the strategic brutality of the First World War on the Western Front.

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 15.8%, Military 13.3%, RTS 13.2%, Base Building 12.3%, Historical 11.6%

Why You'll Like It: Challenges you to build and manage a military base during wartime, balancing structural safety and resource flows.

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 21.5%, City Builder 18.5%, Historical 14.1%, Base Building 11.3%, Economy 10.8%

Why You'll Like It: Features deep, intricate logistics and resource management mechanics for players who enjoy complex simulation systems.

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 25.2%, Historical 23.8%, Management 21.5%, Top-Down 10.6%, Strategy 9.6%

Why You'll Like It: Focuses on micro-managing scarce wartime resources, personnel, and repairs under tight military pressure.

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 19.2%, City Builder 14.6%, RTS 13.1%, Historical 12.7%, Base Building 10%

Why You'll Like It: Offers an intensely detailed historical city-building and management experience with grounded medieval warfare.

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 22.4%, Historical 21.4%, Tactical RPG 20.8%, Multiple Endings 10.7%, Choices Matter 10%

Why You'll Like It: Explores the psychological toll of war on soldiers through tactical combat and difficult narrative choices.

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 20.3%, Military 17.3%, Base Building 14.4%, Historical 13.3%, Building 11.6%

Why You'll Like It: Involves complex underground base building and resource management under tight wartime constraints.

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 54% ★, RTS 22.6%, Management 16.5%, Strategy 7%

Why You'll Like It: Tests your crisis management and rapid dispatch skills under extreme pressure similar to triage situations.

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 17.2%, Military 17%, Multiple Endings 10.1%, Choices Matter 9.2%

Why You'll Like It: Centers explicitly on the narrative-driven duties of managing medical crises and making difficult patient choices.

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 24.4%, Wargame 21.8%, Choices Matter 17.2%, Management 16.9%, Strategy 11.8%

Why You'll Like It: Captures the gritty, heartbreaking reality of surviving a conflict zone with heavy emphasis on moral choices and resource scarcity.

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 40.9%, Building 11.4%, Base Building 10.6%, Strategy 9.3%, Management 7.9%

Why You'll Like It: Emphasizes harsh survival mechanics and agonizing moral choices where every citizen's life hangs in the balance.

Become a Medic - a true war hero. Survive the brutality of the Pacific Front as bombs rain from above and bullets shred the air. You’re the last chance for your wounded allies. Every decision you make could turn the tide of battle - but none will be easy.

Why similar: Medical Sim 55.7% ★, Military 21.3%, Historical 19.9%, 3D 3.1%

Why You'll Like It: Puts you directly in the shoes of a combat medic saving lives under fire in historical warzones.

Plague Inc: Evolved is a unique mix of high strategy and terrifyingly realistic simulation. Your pathogen has just infected 'Patient Zero' - now you must bring about the end of human history by evolving a deadly, global Plague whilst adapting against everything humanity can do to defend itself.

Why similar: Strategy 100%

Why You'll Like It: Tests strategic planning and management of biological parameters under global pressure.

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 46.6%, Base Building 19.4%, Strategy 14.3%, Building 10.7%, Management 9.1%

Why You'll Like It: Combines colony survival with strict resource management and hazardous world events.

IXION is an unrelenting, city-building odyssey across the stars. As Administrator of the Tiqqun, DOLOS’ prototype space station, you are tasked with balancing preservation and exploration as you manage infrastructure, resources and crew. Can you keep the flame of humanity alight in the cold dark?

Why similar: City Builder 33.8%, Base Building 15.5%, Building 12.1%, Economy 9.9%, Strategy 8.2%

Why You'll Like It: Demands strict resource oversight and crew management while balancing harsh survival imperatives.

Take over the duties of a border guard inspector in a communist country of the 80's. Smuggling, corruption and forgery are the order of the day here. Be vigilant and earn the respect of your superiors.

Why similar: Management 41.2%, Multiple Endings 39%, Story Rich 19.8%

Why You'll Like It: Blends historical regime management and inspection mechanics with high-stakes individual decisions.

Command: Modern Operations is the next generation in cross-domain modern wargaming. It enables you to simulate every military engagement from post World War II to the present day and beyond. The scale is primarily tactical/operational, although strategic scale operations are also possible.

Why similar: Military 36%, Wargame 25.1%, RTS 18.7%, Grand Strategy 12.2%, Strategy 8%

Why You'll Like It: Offers extreme simulation depth for military strategy enthusiasts who love detailed command logistics.

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 18.7%, Historical 18.3%, RTS 18%, Wargame 16.3%, Strategy RPG 13.8%

Person of European Heritage #112: Welcome to Relocation Block B, your new home. Your designated role is 'Bouncer'. Work hard, stay out of trouble, and we might let you stay in the UK.

Why similar: Multiple Endings 62.9%, Story Rich 37.1%

Why You'll Like It: Presents a heavy narrative-driven management game where split-second decisions affect human lives.

Mandate Order is a Warring States war city-builder set in ancient China. Build a stronghold, manage industries and logistics, recruit scholars from the Hundred Schools of Thought, raise armies, and command real-time tactical battles with thousands of soldiers.

Why similar: City Builder 14.9%, Wargame 12.7%, Military 11.6%, RTS 10.9%, Historical 10.8%

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 29.9%, Multiple Endings 28%, Strategy 16.5%, Story Rich 16.2%, 3D 9.4%

Why You'll Like It: Centers entirely on oppressive management mechanics and making impossible ethical choices to survive.

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 49%, Choices Matter 24.1%, Story Rich 13.6%, Strategy 13.3%

Why You'll Like It: Focuses heavily on historical decision-making, moral dilemmas, and managing societal stability.

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 18.8%, City Builder 15.7%, Military 13.6%, Wargame 13.1%, Historical 11.3%

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 28.6%, Base Building 16.2%, Choices Matter 16.2%, Management 15.7%, Building 11.3%

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 22.2%, Historical 13.4%, Economy 13.3%, Building 10.6%, Choices Matter 10%

You are the leader of a city-state in high medieval Europe. Expand your city through deep city-building systems, build a trade empire across the known world, and lead men to war to defend trade routes in a high-stakes struggle of global strategy and brutal warfare.

Why similar: Grand Strategy 17.8%, RTS 12.9%, City Builder 12.7%, Wargame 12.1%, Military 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 16.1%, Wargame 13.9%, Historical 13.6%, Military 12.7%, RTS 11.7%

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 17.9%, Base Building 11.4%, Strategy RPG 11.3%, Building 4.9%

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 19.5%, City Builder 15%, Historical 12.7%, RTS 12%, Base Building 10.3%

Acceptable Losses is a short, replayable WWI command and management game. Lead squads through a brutal 20 day campaign, balancing morale, fatigue, cohesion, and the paperwork of war. Perform well enough and you may be ordered Over the Top, where success leads to a second act holding captured ground.

Why similar: Wargame 33.2%, Historical 28.6%, Choices Matter 16.2%, Military 14.9%, Strategy 7.1%

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 31.2% ★, Management 15.1%, Building 13.2%, Base Building 10.2%, City Builder 9.5%

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 14.5%, Strategy RPG 11.3%, Historical 11.1%

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 26%, Historical 16%, RTS 14.1%, Building 11.2%, Economy 11%

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 37.3%, Base Building 24%, Management 19.6%, Building 19%

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 37.3% ★, Base Building 11.2%, Economy 11.1%, Management 9.7%, Building 9.4%

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 30.2%, Base Building 25.3%, RTS 19.3%, Management 14.7%, Strategy 7.8%

Travel to the Holy Land with the First Crusades. Rise from a humble knight to the founding father of a world-spanning holy order. Lead through war, faith, diplomacy, and cunning schemes. Experience a unique blend of RTS, city-building, and sandbox gameplay, and shape history!

Why similar: Grand Strategy 27.3%, RTS 19.2%, City Builder 18.9%, Wargame 17.2%, Base Building 10.5%

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 24.2%, Historical 14.6%, Strategy RPG 13%, Wargame 10%, Tactical RPG 9.9%

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

Why similar: Military 30.4%, Management 22.6%, Base Building 20.9%, Historical 12.8%, Strategy 9.6%

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 21.6%, RTS 20.6%, City Builder 13.8%, Military 10.9%, Base Building 10.2%

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 16.5%, City Builder 15.7%, Historical 15.1%, Building 11.2%, Choices Matter 9.8%

Countryballs at War is a grand strategy wargame that combines turn-based empire building with real-time battles. Lead any countryball nation, expand your territory through conquest or diplomacy, and rise as the ultimate superpower.

Why similar: Grand Strategy 32.6%, Wargame 20.9%, Military 13.8%, Historical 11.2%, Strategy 10.3%

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 60.5% ★, Choices Matter 11.2%, Multiple Endings 9.8%, Management 9.6%, Story Rich 7.2%

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 24.3%, Wargame 22%, Historical 17.9%, Military 11.2%, Management 9.7%

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%

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 75.2% ★, Management 24.8%

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 23.5%, Wargame 19.9%, Historical 16.9%, Military 15.8%, Strategy 13.3%

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 54.9% ★, Management 13.4%, Economy 12.6%, Building 8%, Strategy 7.1%

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 37.4%, Historical 25.8%, Management 20.9%, Strategy 10.6%, 3D 5.3%

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 51.8% ★, Management 16.4%, Economy 10.9%, Base Building 9.2%, Building 6.4%

Design and build fortresses brick by brick to stand against endless hordes of Horrors in this real-time strategy game with resource management, siege defense, and exploration. Lead from the ramparts, push back the darkness, and hold fast against the creatures of the Mist.

Why similar: Grand Strategy 19.5%, City Builder 14.8%, Historical 12.7%, RTS 12%, Base Building 10.2%

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 22.8%, Wargame 21.4%, City Builder 19%, RTS 16.9%, Economy 12.5%