Games like Hospital Tycoon

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.

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.

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.

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!

Relive the golden age of old-school video game stores! Sell hit games, deliver orders, trade and collect retros, hire staff, decorate and grow your store to be the best in town! Disclaimer: some game title parodies might crack you up!

Are you ready to shape fashion world? Make a brand deal, order products, fill the aisles, dress the mannequins and start selling. Dresses, shirts, coats, pants, nightwear, underwear, shoes and more are waiting for you.

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!

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!

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.

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 🕹️.

Run your dream ice cream shop in Ice Cream Simulator! Create delicious ice cream using a variety of ingredients, manage your business, hire staff, decorate your store, handle changing weather and different customers, and enjoy a relaxing first-person simulation experience.

Run your mall. Open new stores, sign contracts with leading brands, hire teammates, and meet customer needs. Play with friends or go solo, and enjoy the growth of your mall.

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.

Arena combat meets mercenary club management. Recruit from a dynamic market, build your squad, and compete season after season in leagues and cups.

As the new CEO of a derelict company, you must deal (or side) with rogue corporate AIs, rebellious labor unions and globalist aristocrats. Holonoptic combines economic simulation and RPG into a story-rich corporate alpine cyberpunk.

The original cooking horror returns in an unhinged co-op experience for 1-4 players. Grill burgers, serve customers, and hit your quota before the kitchen turns into a nightmare. When Asset Joy begins her hunt, try to escape alive and extract your hard-earned cash to survive another shift.

Train gladiators. Manage a ludus. Fight in the arenas. Conquer the tower. Gods of Sand is a gladiator manager with intense turn-based combat, inspired by the Swords and Sandals series, in a dark and unforgiving setting.

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.

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.

Starship Theory is a ship building survival game. Mine and trade to gather resources. Plan and construct new upgrades. Train and manage crew. Fight to survive.

Run a cute little plant shop in this cozy and relaxing game. Grow, sell, and care for a variety of real-life plants, help customers find their dream plants, complete orders, and customize your cozy shop just the way you like!

Dig mines, extract resources, and produce goods to restore order to the state. Become a successful businessman and an effective state governor in the late Wild West era!

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.

Save patients with your rhythm mastery! Rhythm Doctor is a rhythm game where you heal patients by defibrillating in time to their heartbeats. Learn each patient's unique heartbeat and defeat boss viruses trying to sabotage your rhythm, all set to heart-pumping, soul-soothing music.

Examine and test patients for common and novel infections using sophisticated medical instrumentation. Isolate and treat infected patients. Discover the wonders, mysteries, and horrors of medical science. Rumors of mysterious diseases and human experimentation are unconfirmed.

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.

In Junkyard Builder, you’re the proud owner of a once-forgotten junkyard, now brimming with endless potential. Dive into the satisfying world of restoration, recycling, and raw hustle as you transform trash into treasure and rise to become the ruler of the junk empire!

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.

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?

Play as the Sovereign of a magical tower in this story-rich, Round Table management RPG. Recruit eccentric Knights, assign quests and balance egos whilst carving out your kingdom's destiny. If destiny doesn’t go your way, keep turning back time, uncover secrets and rewrite fate again and again.

Rise from high school assistant to the top of the sport in one fully-simulated, connected football universe — from high school to college to the pros. Manage a roster, call every play, and watch it play out in a realism-based broadcast-style game engine.

The ultimate crossover between K-pop and Life Simulation! Step into the role of manager and build your dream idol group by scouting talent, managing schedules, choosing outfits, planning social media, and organizing the perfect album. Can you make it to debut?

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!

Rise from nothing to wealth! Build your economic empire in a medieval open world. Produce goods, hire workers, manage income sources, and keep growing your wealth to earn more, produce more, and expand further.

An online 1-6 player co-op "casino crawler" where you and your friends share one bank account and one massive debt. Gamble, buy sketchy items, make terrible decisions, and climb an ominous casino tower to hit your loan shark’s daily quota in 5 minutes - or face the consequences.

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.