Games like Project Hospital

Raise a city from the ground up and transform it into a thriving metropolis with the most realistic city builder ever. Push your creativity and problem-solving to build on a scale you've never experienced. With deep simulation and a living economy, this is world-building without limits.

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!

Restore an old motel alongside a shop and a gas station. Design, furnish, decorate and rent rooms. provide products for customers and fuel for cars. Hire employees to help you and be the boss of your own empire.

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.

Potion Tycoon is a management simulator with a witchy twist! Build and develop your very own magic shop. Manage resources, set up production lines, mix potions and sell them smartly to stay ahead of the competition. Welcome to the potion business!

Manage your own medieval smithy in Blacksmith Master and supervise the entire process from mining ores and gems to designing and selling finished products. Forge everything from weapons and armor to tools and cooking utensils to fund your craft and become the Blacksmith Master.

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.

Ratopia is a new game that has combined elements of both strategic survival and city building. With plenty of content available, and more planned, enjoy a vast world to adventure and populate with citizens! Build your own economical system to sustain your ideal city of Ratopia.

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.

The original game you know and love. For Windows 10/11. Create a neighborhood of Sims and guide their lives through careers and romance. Or create chaos with open-ended gameplay that lets you shape their destinies.

Car Manufacture is an automotive tycoon game. Start in the beginning of the XX century and create thriving business. Build cars, manage people, expand your plant and research new technology. Make tons of money and stay on top.

Become a master builder in medieval China. Construct iconic landmarks brick by brick in first person, while managing villagers, production chains, and a growing settlement at your own pace.

Take charge of a WW1 field hospital on the Western Front, and make all the decisions necessary to help the soldiers recover and to support the war effort. In this narrative management game, you are the last bastion of humanity.

Build your own bus depot from scratch and create your personal bus routes in City Bus Manager. Play in your own hometown or any famous city in the world with real map data. Buy buses, maintain them, take care of your staff and lead your bus company to become the #1 in town!

This is a business simulation + construction game. It tells the evolution history of Internet cafes that began in the 1990s, and imagines the future of internet cafes. There are also some small emotional stories.