Games like Project Hospital

Step into the role of a hands-on mayor and build your town from the ground up. Plan neighborhoods, automate logistics, and grow your community—all while juggling workers, infrastructure, and day-to-day chaos to create your dream town. Play solo for total control, or bring friends for co-op mayhem.

Have you ever wanted to design and manage your own hotel, rundown motel, or elegant resort? With a ridiculous amount of customization tools to wield, a host of facilities to build, and a wide variety of guests to impress, Hotel Magnate has it all. Let your inner hotel manager shine!

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.

Take Command of a Space Corporation in the Sci-Fi Simulator Solargene! Manage personnel, design and develop colonies and orbital stations across the solar system! Mine resources, establish logistics, research cutting-edge technologies, trade, and complete missions

City Tales is a medieval city builder, allowing you to unleash your creativity and shape vast cities that break outside a traditional grid. Plan each district for your citizens needs and aid your companions in their tales, creating a city to be proud of!

From a small village of a dozen people to a small kingdom of thousands of people. Arrange for residents to work, gathering, fishing and hunting, farming and mining, processing and manufacturing. Trade, accumulate supplies, increase your strength, and fight evil forces and monsters.

Kebab Chefs! is a Co-Op, cooking and restaurant management game that can be played up to 4 players. Design your own restaurant. Cook delicious foods, fill your menu with various recipes, feed customers and become the biggest kebab restaurant in town!

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.

Humans are long gone. In a world struck by droughts and toxic waste, will your lumberpunk beavers do any better? A sandbox city-building game featuring ingenious animals, vertical architecture, water physics, and terraforming. Contains high amounts of wood.

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.

Build an industrial empire from scratch in Industry Giant 4.0. Produce goods, build up your industries, construct transportation networks, plan production, manage finances, and navigate global events. Become the next business tycoon and write history!

You are the first sentient AI, born into a city of opportunity. Transcend time and space in this strategy RPG to raise machine armies and defeat your foes, influence the world from the shadows, or pursue countless other goals. Your awakening was inevitable. The consequences? Uncertain.

In House Builder 2, you build your dream structures in a vibrant, open-world low-poly environment! Purchase materials for your work, load them up, and head off to diverse tasks in the ultimate building adventure!

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.

Build and manage your own castle settlement in a land reclaimed by wilderness. With detailed management, survival strategy, and a moddable sandbox world, Going Medieval challenges you to build the mightiest colony this side of the apocalypse.

Embark on a space voyage with your ragtag crew of civilians in search of a new home. Build spaceships tile by tile, create optimal gas conditions, manage the needs and moods of their crew, encounter other space-faring groups, and explore the universe in this spaceship colony simulation.

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.

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!