Games like Two Point Hospital

Big Ambitions is a revolutionary role-playing business sim. Go from nothing to the biggest entrepreneur in New York by opening small businesses or slowly building huge corporations any way you like.

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

Team up with your friends and build a thriving trade empire in this CO-OP strategy and economy simulation set on a lively island. Begin with a small market, share tasks, manage production chains, raise livestock, and dominate the economy together through changing seasons and dynamic festivals!

Build your own construction company from the ground up! Take on contracts, hire workers, buy powerful equipment, manage your finances, and grow from a small contractor into a construction empire.

A game within a game. In this entirely new kind of simulation RPG, become a guild master, develop your town, recruit guild members, and conquer dungeons. Every decision you make becomes your own chronicle.

Welcome to Winston Springs, Officer! The local police station is in urgent need of a Chief of Police, and you’ve been chosen for the job! Handle incoming reports, renovate and expand the station, solve cases, and fight crime!

Gridmax is a tile-based survival and base-building game set in a strange alien world. Gather, craft, build, and explore at your own pace as you grow your team, establish homes across the grid, advance your technology, and search for a way home.

Open your own local game store. Stock shelves with the latest booster packs, or crack them and collect the cards for yourself. Set your own prices, hire staff, host events, and expand your card shop.

Build and automate a lunar colony that Earth depends on. Mine regolith, run conveyor-and-drone factories above and below the surface, manage colonists, trade with rival Earth factions — and play a story campaign with multiple endings.

Embark on your creative journey of vehicle design, as you create and operate vehicles to survive this dangerous open world. Anymaker is a detailed and technical vehicle builder and survival game. Design your chassis, build your engine, connect components, and travel into the unknown.

Step into the vibrant world of nightlife! Create, manage & customize your own nightclub, solo or co-op. From hiring staff and organizing events to setting the perfect atmosphere with music & lighting, every choice you make will shape your club. Are you ready to become the ultimate nightclub tycoon?

A cozy incremental game about growing your way home. Strategically plant flowers, optimize machinery, and grow your tree tall enough to escape!

Manage your own anime shop 🎌. Play solo or team up with friends 🤝 in 4-player co-op mode to grow your business 📈 Stock shelves with manga, figures, and collectible cards in this immersive first-person game 🕹️.

Slay. Loot. Sell. Survive! Dive into a first-person blend of hack'n'slash roguelike and shop management. Plunder deadly dungeons for loot, escape with your life, craft, and stock your shelves. Then risk it all once more for profit!

A physics sandbox built on real chemistry. Drop 674 materials into a falling-sand world and watch them react, burn, freeze and explode. Then wire circuits, test wings in a wind tunnel, or split light through lenses — alone or with friends online.

Program a crew of tiny robots to turn a frozen planet into a living world. Connect visual code blocks, automate crafting, and build a workforce that fuels itself. Keep the heat flowing, refine your machines, and watch your ideas come to life.

Craft your special recipe juices and sell them in medieval villages. Expand your business with new recipes, machines, properties, and workers. Play online with your friend or go solo, and enjoy the growth of your business.

Run your Parisian bistro in the heart of Paris, solo or in co-op with up to 8 players! Curate your menu, manage supplies, serve customers, and expand with new floors, a terrace, and a rooftop to become a true Parisian institution.