Games like Project Hospital

Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.

Become a landlord and deal with problematic tenants as you build your rental property empire. Decide how to react to annoyed neighbors or police interventions. Will you design your apartment for a group of gamer friends or an aspiring musician looking for a new home?

Dive into the exhilarating role of a headmaster entrusted to revive your alma mater! Beyond just bricks and mortar, train teachers, recruit students. Sculpt your school into a unique educational haven! Let's School!

Cities: Skylines is a modern take on the classic city simulation. The game introduces new game play elements to realize the thrill and hardships of creating and maintaining a real city whilst expanding on some well-established tropes of the city building experience.

Design, build, and manage a high school with terrific teachers and fantastic facilities or simply let your students poop in the bushes? Academia : School Simulator is a management/tycoon game where you get to decide!

Raise a city from the ground up and transform it into a thriving metropolis with the most realistic city builder ever. Push your creativity and problem-solving to build on a scale you've never experienced. With deep simulation and a living economy, this is world-building without limits.

Build your own military camp, manage the economy, recruit the best candidates and train them to become elite specialists. Send them on missions across the land to end the war once and for all!

Build & Manage Your Airport. An International Hub or a Regional Masterpiece -- it's up to you. Buy more land to scale out, or escalators to scale up with MULTIPLE FLOORS. You're in full control in this modern business management tycoon!

Build stunning Arcade Centre’s, purchase a range of arcades machines, manage troublesome staff in this colourful and humorous simulation management game. Inspired by Two Point Hospital, Let's Build A Zoo and Megaquarium.

Construct and design buildings for optimal working conditions. Hire people to design and release software, so you can defeat the simulated competition and take over their businesses. Manage and educate your employees to make sure they are skilled and satisfied with their job.

MMORPG Tycoon 2 is a single-player world-builder game about creating the greatest MMORPG of all time – yours.

Design, build and manage a giant shopping center. Open shops, supermarkets, restaurants, movie theaters, bowling alleys and more. Hire and manage the best staff for the job and milk your customers for all they're worth!

What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?

Build a world for wildlife in Planet Zoo. From the developers of Planet Coaster and Zoo Tycoon comes the ultimate zoo sim. Construct detailed habitats, manage your zoo, and meet authentic living animals who think, feel and explore the world you create around them.

Create your own Nation, build cities and bring prosperity to your people. Citystate II is a unique city-builder featuring realistic economics and complex political options. Slums or skyscrapers, experiment and bring about your vision of the ideal society.

Develop your own hospital drama and manipulate the results to your best advantage! In charge of a rapidly expanding hospital, your job is to cure the patients with your army of doctors and nurses while successfully managing the facilities and taking care of everyone's needs.

Project Highrise is a skyscraper construction and management sim...

Build and grow your very own computer repair enterprise as you learn to diagnose, fix and build PCs. With real-world licensed components and comprehensive hardware and software simulation, you can plan and bring your ultimate PC to life.

Ready to start anew? Build a village from scratch in Seeds of Resilience. Learn to choose the right items, understand nature's patterns, use real life-based constructions and craft techniques in this turn-based tycoon game.

Startup Company is a business simulation sandbox game where you’re the CEO of a new company. Your job is to build your very own website and compete against the largest tech giants on the planet!

Form your own game studio set in the early 1980s in a small garage. Develop your own game ideas, create a team and develop megahit video games. Research new technologies, train your staff and upgrade your office space, going from a lowly garage to a huge building. Expand your business and dominate the world market for video games!

Design and build the most efficient metro stations known to man! Excavate. Expand. Set staff priorities. And manage the commuter flow. Overcrowd is a 2.5D management/tycoon/simulator set below the bustling city of Lubdon Town.

Start your own game development studio in 1976. Build your own offices, production facilities and server rooms. Develop the games of your dreams and produce the next next-gen console. Rise from a small garage company to a huge corporation.

Work hard and you may reach the top of the video game industry!

Create a 21st century micro-nation and experiment with economic and political ideals. Futuristic skyscrapers or spreading slums, the Nation relies on your economic and city planning skills.

Build and manage your dream city in this captivating simulation game. Create unique urban landscapes and enjoy compatibility with the mobile versions. Unleash your creativity and shape the metropolis of your dreams.

It's time to Build a Zoo! Construct and decorate enclosures, buy and breed animals, hire zookeepers and vets... then try your hand at DNA splicing, and stitch together over 300,000 different types of animal. This can only go smoothly...

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.

Design your own skyscraper with more than 100 Floors. Rent offices, apartments or shops and build a financially lucrative skyscraper. Build cinemas, bars or a theater to satisfy your visitors and create an effective transport system with elevators and stairs.

Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.

Hell Architect is a game about building and managing your own hell. You take on a role of a hell manager and are tasked with developing the underworld in a way that would make Lucifer himself fall off his chair.

Design and build arenas for your guests to fight in, keep them happy, your workers paid and make a profit!

In this city-building game, you will lead a group of survivors in their search for a new home. Manipulate the landscape, manage limited supplies, plant crops, hunt wildlife, gather resources, and develop trade routes to build a bustling and unique town.

Farm Manager 2021 is an indie game that lets you relax and immerse yourself in farm management. A casual but grounded builder game that combines management and farm maintenance in one package. Grow and expand your farm into a thriving estate or enjoy it as a delightful escape from everyday life.

The game brings a fresh new take on the city building/management genre by introducing many RPG features. In Towns you manage a settlement on top of an active dungeon. Instead of playing the hero who delves deep into the dungeon, how about playing the town that houses and caters to the hero's needs?

Build and maintain a power grid for a constantly growing population, while fighting off all kinds of disasters in this thrilling resource management experience. It's time for you to give "Power to the People"! Do you have what it takes to keep the lights on?