Games like Two Point Hospital
by Two Point Studios
Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.
View on Steam · $29.99 →
Ranked by how similar the games actually are, not by sales. Released and Price are remembered for next time.
Closest matches
-20%$22.39Go-Go Town!
Jul 16 · Prideful Sloth
Both: Building · Management · Sandbox
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.
SimulationCity BuilderDecoratingLife SimBuildingManagementSandboxFunnyFishingIndie👍 2,476
$19.99Hotel Magnate
Sep 23 · Arcade Oven
Both: Management · Building · Sandbox
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!
ManagementSimulationBuildingSandboxResource ManagementRelaxingCity BuilderEconomyBase BuildingCasual👍 419
$25.99Big Ambitions
Aug 28 · Hovgaard Games
Both: Management · Sandbox
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.
ManagementEconomySimulationCapitalismLife SimSandboxSingleplayerResource ManagementTime ManagementInventory Management👍 14,060
$29.99shapez 2 - Factory
Apr 23 · tobspr Games
Both: Management · Building · Sandbox
Dive into a factory-building game with the focus on just that – building huge space factories! Design sprawling multi-level factories and satisfying production lines without limits. Tackle progressively challenging automation goals at your own pace, without the threat of enemies.
AutomationManagementBuildingStrategyFuturisticSimulationPuzzleSandboxCraftingBase Building👍 13,868
$24.99News Tower
Nov 18 · Sparrow Night
Both: Management · Sandbox · Building
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!
ManagementSimulationStrategySandboxIndieResource Management2DEconomyBuildingTime Management👍 4,316
-10%$8.09No Emergency: Pestilence
3 days ago · 20 July
Both: Medical Sim · Management
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.
SimulationRoguelikeMedical SimOutbreak SimTime Management3DFirst-PersonAtmosphericManagementCrafting
$24.99Space Haven
May 13 · Bugbyte Ltd.
Both: Management · Sandbox · Building
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.
Colony SimBase BuildingSurvivalStrategySpaceManagementSandboxSimulationBuildingSci-fi👍 10,267
$12.99Island Market Simulator
Sep 3 · Zentium Studio
Both: Management · Building
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!
SimulationOnline Co-OpManagementCasualMultiplayerLife SimStrategyEconomyBuildingSingleplayer👍 171
$17.99Kebab Chefs! - Restaurant Simulator
Jun 11 · Biotech Gameworks
Both: Management · Sandbox · Funny
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!
CookingMultiplayerSimulationManagementPhysicsSandboxFunnyTime ManagementImmersive SimBuilding👍 7,017
-40%$13.79City Tales - Medieval Era
Jan 29 · Irregular Shapes
Both: Building · Management
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!
SimulationCity BuilderBuildingRelaxingEconomyManagementResource ManagementInventory ManagementStory RichLogic👍 543
-40%$1.79Construction Company Tycoon
3 days ago · KokoGames
Both: Sandbox · Building · Management
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.
StrategySimulationCasualSandbox2DBuildingRelaxingManagementChoices MatterSingleplayer
$14.99House Builder 2: Casual Construction
Oct 22 · FreeMind S.A.
Both: Building · Sandbox
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!
CasualBuildingSandboxDesign & IllustrationSingleplayerIndiePhysicsEconomyEducation3D👍 101
-30%$8.39Creator Chronicles
7 days ago · Origin Studio
Both: Management · Building
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.
City BuilderManagementCRPGPixel GraphicsTop-DownMultiple EndingsBuildingEconomyCraftingRPG👍 501
$14.99Junkyard Builder
Apr 8 · FreeMind S.A.
Both: Management · Sandbox
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!
SimulationManagementFirst-PersonCasualLife SimFamily FriendlyImmersive SimRelaxingSandboxEconomy👍 223
$34.99Timberborn
Mar 12 · Mechanistry
Both: Sandbox · Building · Management
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.
City BuilderColony SimVoxelSandboxAutomationBuildingNatureManagementBase BuildingSurvival👍 38,783
$29.99Heart of the Machine
Mar 6 · Arcen Games
Both: Management · Building · Sandbox
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.
StrategySimulationGrand StrategyBase BuildingCity BuilderManagementHistoricalBuildingSandboxColony Sim👍 2,011
$12.99Clothing Store Simulator
Nov 28 · Kiki Games
Both: Management
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.
SimulationManagementEconomyLife SimSingleplayerTradingImmersive SimCapitalismResource ManagementInventory Management👍 1,120
$29.99Going Medieval
Mar 17 · Foxy Voxel
Both: Management · Sandbox
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.
Colony SimBase BuildingStrategyVoxelSurvivalManagementCity BuilderSingleplayerSandboxNature👍 17,036
-35%$9.09E-Shop Tycoon
Jul 28 · Aeolian Games
Both: Sandbox · Comedy
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!
CasualSimulationSandboxShop KeeperTime ManagementStrategy2.5DTop-DownStylizedComedy👍 605
-25%$29.99Corsair Cove
Jul 31 · Limbic Entertainment
Both: Management · Building · Sandbox
Build a sprawling pirate haven, raise a fleet to explore the high seas, and take on the Crown to keep the Age of Piracy alive! From ale to flintlock pistols, and from scallywags to swashbucklers, you’ll need to manage complex production chains and govern a rowdy crew to reign supreme over the seas!
StrategySimulationCity BuilderBase BuildingGrand StrategyManagementHistoricalBuildingEconomySandbox👍 3,065
$29.99Whiskerwood
Nov 6 · Minakata Dynamics
Both: Management · Building · Sandbox
Establish a home for your industrious mice under the oppressive paw of your cat overlords in this city builder featuring complex simulations, intricate production chains, and the age-old rivalry between cat and mouse.
StrategySimulationCity BuilderBase BuildingColony SimGrand StrategyManagementBuildingHistoricalSandbox👍 3,278
$34.99Solargene
Jan 19 · Alexander Semenov
Both: Sandbox · Management · Building
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
Colony SimBase BuildingCity BuilderSpace SimResource ManagementSandboxManagementBuildingEconomyStrategy👍 777
-10%$17.99Police Chief Simulator
4 days ago · Perfect Circle Team S.A.
Both: Management · Sandbox
Welcome to Winston Springs, Officer! The local police station is in urgent need of a Chief of Police, and you’ve been chosen for the job! Handle incoming reports, renovate and expand the station, solve cases, and fight crime!
SimulationFirst-PersonManagementLife SimImmersive SimSandboxAutomationPolitical SimInvestigationDetective👍 275
Also worth a look
Share some of the same DNA, but further from the original.
-10%$4.49Gridmax
3 days ago · Dream Gears
Both: Management · Building · Sandbox
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.
Base BuildingSurvivalManagementColony SimBuildingCraftingSandboxAutomationSimulation2D
$14.99Territory: Farming and Warfare
Feb 4 · Wit Studio
Both: Sandbox · Building
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.
SingleplayerSimulationBase BuildingCity BuilderStrategySandboxAutomationPixel GraphicsResource ManagementBuilding👍 738
$34.99Farthest Frontier
Oct 23 · Crate Entertainment
Both: Building
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.
BuildingCity BuilderStrategyResource ManagementMedievalAgricultureEconomyHistorical4XColony Sim👍 24,456
-15%$16.99TCG Card Shop Simulator
7 days ago · OPNeon Games
Both: Management
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.
SimulationManagementEconomySingleplayerCollectathonTrading Card GameCapitalismCard GameShop KeeperTrading👍 47,485
$29.99Nova Roma
Mar 26 · Lion Shield
Both: Management · Building · Sandbox
The glory of Rome is at your fingertips in this city-building game where you must appease the gods, enact laws, and develop complex supply chains to meet the needs of your citizens.
StrategySimulationCity BuilderBase BuildingGrand StrategyHistoricalManagementBuildingSandboxEconomy👍 2,093
-33%$40.19Jurassic World Evolution 3
Oct 21 · Frontier Developments
Both: Sandbox · Management
Build your own Jurassic World. Nurture generations of dinosaurs with the series debut of juveniles, create and manage sprawling prehistoric parks around the globe, and let your imagination roar with powerful new creative options.
SimulationDinosaursStrategySandboxCity BuilderSequelManagementActionResource ManagementEconomy👍 11,412
$24.99Industry Giant 4.0
Oct 17 · Don VS Dodo
Both: Management · Building
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!
ManagementStrategySimulationCity BuilderResource ManagementEconomyAutomationModernBuildingRealistic👍 506
-20%$4.79Cat Isle
Jul 20 · domkegames, pixelduckoo
Both: Building · Management
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.
Shop KeeperColony SimCity BuilderBuildingManagementTrainsStrategy2DCuteCozy👍 168
-20%$11.99Hozy
Mar 30 · Come On Studio
Both: Sandbox · Building
Restore a forgotten neighbourhood through your favourite hobby, one cozy room at a time. In Hozy, clean, paint, and decorate abandoned homes with satisfying mechanics and intuitive controls. Enjoy the little details as you interact with tools, items and furniture to bring each space back to life.
RelaxingCozyCasualSandboxPuzzleCutePhysicsSimulationColorfulBuilding👍 4,146
-35%$20.79The Crust
11 days ago · VEOM Studio
Both: Sandbox · Building · Management
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.
Base BuildingSpaceAutomationColony SimResource ManagementSandboxStrategyCity BuilderBuildingManagement👍 3,556
$49.99House Flipper Remastered Collection
Jun 4 · Frozen Way
Both: Building · Sandbox
Guess who's back – and shinier than ever! House Flipper Remastered Collection lets you become a one-person renovation crew. Clean, build, decorate, and sell for profit! Now with better graphics, voice acting, all expansions in one toolbox, and some more heartfelt addition. It’s flipping time!
SimulationDesign & IllustrationDecoratingCleaningBuildingCasualSandboxImmersive SimEconomy3D👍 856
$7.99BOXROOM
Jun 11 · Nested Loop Studios
Both: Building · Sandbox
BOXROOM allows you to design, define and decorate a room - a sanctuary - for your Steam library, and then revel in the organisation of your game collection.
SimulationSoftwareLife SimBuildingDecoratingSandboxModdableFirst-PersonDesign & Illustration3D👍 284
