Games like Two Point Hospital

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.

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.

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!

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.

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.

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!

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.

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.

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.

Embark on your creative journey of vehicle design, as you create and operate vehicles to survive this dangerous open world. Anymaker is a detailed and technical vehicle builder and survival game. Design your chassis, build your engine, connect components, and travel into the unknown.

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?

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

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 🕹️.

Slay. Loot. Sell. Survive! Dive into a first-person blend of hack'n'slash roguelike and shop management. Plunder deadly dungeons for loot, escape with your life, craft, and stock your shelves. Then risk it all once more for profit!

A physics sandbox built on real chemistry. Drop 674 materials into a falling-sand world and watch them react, burn, freeze and explode. Then wire circuits, test wings in a wind tunnel, or split light through lenses — alone or with friends online.

Program a crew of tiny robots to turn a frozen planet into a living world. Connect visual code blocks, automate crafting, and build a workforce that fuels itself. Keep the heat flowing, refine your machines, and watch your ideas come to life.

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.

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.

Biovoid is a creature-building roguelike game where you slay hordes of hostile aliens. Combine a variety of cells and mutations to create game-breaking builds and evolve from a fragile hatchling to a deadly predator.

A collaborative exploration and survival game for 1-10 players, set in a procedurally generated afterlife inspired by Viking culture. Battle, build, and conquer your way to a saga worthy of Odin’s patronage!

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

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.

Forage, craft and automate to grow your factory, unlock new technologies and expand your island to discover new biomes. Progress through the ages from sticks and stones to the Bronze Age, the Industrial Era and into the future to uncover the secret of the Lighthouse and escape this reality.

Build twisting mazes with tetromino blocks and deploy unique towers in this strategic roguelite tower defense adventure!

Run your sporting goods shop. Sign contracts with leading brands, order products, hire workers, expand your store, and run little contests to entertain your customers. Play with friends or go solo, and enjoy the growth of your shop.

Appointment is a first-person survival horror game set in a dark, abandoned hospital. Explore, solve interconnected puzzles, search for essential items, and stay quiet as a relentless doctor hunts by sight, sound, and even the light of your flashlight.

Master of Pottery is a pottery-themed creation + simulation game. Make pottery, open exhibitions, complete orders, train apprentices, run your own showroom and start a relaxing pottery journey.

A cozy multiplayer building sandbox where every world is shared and persistent. Place and break blocks, farm crops, fish, craft gear, and decorate your space alongside other players. No combat, no death penalty, just building at your own pace.

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.

On RuneScape's forgotten continent of Ashenfall, dragons have awoken. Gather, build, skill and craft in this co-operative survival adventure. Only by mastering survival and uncovering ancient secrets can you hope to face the ferocious Dragon Queen.

Cards Everywhere! is a cozy organizing game where you sort through 2,000 scattered cards, collect over 1,500 unique ones, and place them in your collection album. Discover dozens of unique sets and unlock helpful abilities as your collection grows.

Paint, combine and discover! Garden Ink is a cozy sandbox game. Combine decorations and use painting tools to customize your world. With hand-painted graphics and a relaxing soundtrack, it’s time to discover every cute surprise.

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.

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 character-driven Three Kingdoms strategy game. Recruit legendary officers, build your realm, and command real-time battles through preparation, tactics, and decisive intervention. Shape Guandu, Red Cliffs, and the anti-hegemon war, challenge Duel Mode, and climb global rankings.

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.