Games like Patient Zero: Plague Idle
by Game Gangsters
Nodebuster and Idle Colony play most like Patient Zero: Plague Idle. Of the 17 closest games below, most share its incremental and idler.
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Ranked by how similar the games actually are, not by sales. Released and Price are remembered for next time.
Closest matches
Plague Inc: Evolved
Feb 18, 2016 · Ndemic Creations
Both: Outbreak Sim
Top-down 3D modern-day strategy simulation, realistic 3D models. Evolving pathogens, infecting the world and competing in multiplayer.
StrategySimulationOutbreak SimIndieSingleplayerMultiplayerZombiesCasualTacticalReplay Value👍 59,300Swarm Idle
Sep 30 · Omicra Lyrae
Both: Incremental · Idler · Management
Top-down 2D sci-fi incremental idle game, stylized digital art. Command an alien swarm, conquer earth districts and evolve creature lineages.
Early AccessIncrementalRogueliteIdlerAuto BattlerSimulationManagementEconomyStrategyAutomationSixty Four
Mar 4, 2024 · Oleg Danilov
Both: Incremental · Automation · Resource Management
Isometric 3D incremental clicker strategy, stylized, abstract. Upgrading a factory, automating machines and managing resources.
IncrementalIndieStrategySimulationAutomationResource ManagementManagementIsometricStylizedCrafting👍 1,605Factory Town Idle
Jan 8, 2024 · Erik Asmussen
Both: Idler · Incremental · Resource Management
2D fantasy idle town builder, colorful 2D stylized. Managing economy, automating production and resource management.
CasualIdlerIncrementalMinimalist2DResource ManagementFantasyCity BuilderAutomationColony Sim👍 1,235Microcivilization
Jan 22 · Ondrej Homola
Both: Incremental · Resource Management · Automation
Side-view 2D historical strategy-clicker blend, pixel-art. Managing population and economy, collecting and merging heroes, overcoming disasters and wars.
IncrementalBase BuildingResource Management4XHistoricalStrategyAutomationInventory ManagementCity BuilderMythology👍 1,437Shelldiver
Nov 16, 2025 · Gagonfe
Both: Incremental · Resource Management · Management
Side-view 2D incremental resource management simulation, colorful and cute. Fishing jellyfish, upgrading equipment and exploring biomes.
IncrementalCasualResource ManagementManagementArcadeIdlerRelaxingSimulation2DColorful👍 17,002ORACLE: Humanity, Automated
Sep 14 · ZANKYO GAMES
Both: Incremental · Idler · Automation
2D sci-fi idle civilization simulation, minimalist UI. Growing a civilization, automating tasks and unlocking knowledge.
IncrementalStrategyIdlerColony SimArtificial IntelligenceScienceSimulationAutomationGod Game2D
Also worth a look
Share some of the same DNA, but further from the original.