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.

Develop your newspaper and become New York’s new media mogul! In this tycoon, build and manage your newspaper from printer to toilet. Create your editorial line and lead your journalists through unique 1930's stories and dig out the latest scoops!

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.

Run a cozy cat post office. Sort and deliver parcels from the daily boat, organizing everything your way. At night, the moon reveals hidden truths about packages. Clear a strange backlog, help locals, and unlock new abilities and destinations.

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!

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!

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?

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.

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.

You're not the manager, you're the agent. Scout hidden gems across 47,500 players, win them over face to face, build their careers, and sell them for millions. A deep football agency career sim where every contract has your name on it.

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.

Lead your club to greatness in Pro Basketball Manager 2026! The Basketball Champions League arrives with 53 licensed teams, putting you in charge of every decision as you aim to dominate both domestic and continental basketball.

A factory-building game. Survive a harsh climate, strip mine an infinite world, and build a sprawling factory, then trade or go to war with Colonists, Governments, Pirates, Rebels, and more!

A challenging trading and combat game with a story and quests, where goods have unique properties, and the more you carry, the more dangerous the journey becomes.

A 4-player online co-op survival horror game. Avoid the contaminated rain, gather scrap and get back to the tram. Monsters that copy your friends' voices and behavior, and many other threats, stand in your way. Gear up and stick together to survive.

An alien invasion has fractured humanity into seven ideological factions each with a unique vision for the future. Lead your chosen faction to take control of Earth’s nations, expand across the Solar System, and battle enemy fleets in tactical combat.

A casual city builder where growth is constant, production chains expand, citizens thrive, and upgrades push your city toward a bustling metropolis.

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

Take on a role of a hardened PMC fighter in a dark turn-based cyberpunk RPG. Engage in unforgiving combat, manage your ship and pile up the bodies of your clones to unravel the dark mystery behind threat to all life.

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.

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

You are a disease. Infect the human body as a lone pathogen in this cellular roguelike shooter. Collect organelles to evolve your parasite in a microscopic arms race against your host's immune system. Conquer a beautiful, procedurally generated world of tiny proportions.

Shelve the products, unlock new skills, and use your unique methods to tidy up the mall. Enjoy the online co-op and online PvP with your friends, or go solo! Fill up the shelves and experience a sense of relief and satisfaction.

Play as one of the bidders for abandoned warehouses and uncover hidden treasures! Storage Hunter is a garage auction simulation game. Bid, win, and sell for profit! Become the king of storage auction.

Rebuild hope in a world that was lost in the fog. Lead your Pioneers across the isles of Pagonia, unite scattered tribes, raise thriving communities and discover the history of your people as you reclaim your world in the new story campaign.

Embark on an e-commerce startup journey in E-Shop Tycoon! Optimize warehouse logistics, hire and train staff, and design unique office spaces as your business grows. Handle industry events and marketing crises. Come grow your startup into an e-commerce giant!

The Horde is coming, but you're ready to fight it! Assemble your squad, choose their upgrades, and build powerful synergies against thousands of undead. Survive. Then evolve. Then break every limit in this deceptively simple but addictive bullet heaven game.

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.

Build nuclear weapon, wage wars, strategize and become the strongest leader

In the second game of the series, competition has increased and now everyone wants to be a streamer. Are you ready to stream until your cpu burns out?

《学生时代》是一款可自由构筑的校园人生模拟器。你将在高度还原的中国校园中，从入学一路走到高考，与多个性格鲜明的同学一起成长，互相陪伴。你的养成和选择，不但会决定你的人生，也会影响到朋友们的未来。

The incremental idle MMO where your heroes keep fighting while you're gone! Spend their loot on upgrades, unlock classes from Elemental-Wizard to Cannon-Pirate, and level 20 unique skills like Farming, Sailing, and Construction!

Thrown into an otherworld of wuxia and fantasy with a ten-million-gold debt — no powers, no cheats. Travel a map of 279 cities, buy low and sell high, and raise up to four mercenary squads to punch through bandit roads. A caravan-trading & squad-management sim. Clear the debt to win.

A cozy horror game where you craft plants for late-night customers while you manage a small plant shop. Expand your plant collection, upgrade your shop & grow your business.

Catch a train to Cat Isle! In this cozy pixel art management game, build restaurants, expand and decorate the town. Figure out your cats needs as they dine, shop, explore and turn the island into their purfect home.

A relaxing underwater VR cleaning simulator! Use pressure washers and scrapers to clean boat hulls, smash barnacles, and expand your very own underwater wash. Buy furniture, upgrade your equipment, and get ready for clients of colossal proportions!

MY GARAGE is a car simulation game with main focus being simulating real car repair, maintenance and physics.

Petunia's Purgatory is a creepy-cute idle farming game that lives at the bottom of your screen. Grow cursed crops, feed the Elder God, and keep Petunia sane before her hallucinations invade your desktop.

Your turn to manipulate the market! A financial market simulator where you can choose your own path. Manipulate news, events, and financial engineering to make billions. Or play honestly, growing companies the legal way.

Behind every great victory is someone who got the roles right. Forge five adventurers, arm them, plot out their talents, build the party — then send them into twelve dungeons and find out whether you saw it coming.

Build your crappy vehicle into a race car, install the parts yourself. Make money by cutting wood, racing at night or delivering pizza. Maybe you want to manage a sugar shack or build yourself a big garage?

Explore endless Universe and create the most efficient constellation of colonies. Build conveyor systems to automate production. Take care of Astronauts and their needs! Establish new colonies as part of intergalactic simulation.