Games like Project 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.

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.

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.

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 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.

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.

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 🕹️.

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.

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!

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.

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.

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?

Play a major role in an evolving simulation of simulations. Explore endless 2D and 3D dimensions spanning nearly every game genre, with 50+ experimental prototypes and stories whose worlds, systems, discoveries, and ideas can become part of the greater experience.

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

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 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.

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!

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.

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.

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.

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.

SAS is an Open World Multiplayer PVP and CO-OP Survival Game. Set in a vast environment that features Building, Crafting, Taming, Riding, Flying and Exploring Wildlife, Dinos and Dragons as well as Horrific Creatures and Instances with the ability to Morph into Spirit Animals.

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

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.

Cloudscrapers is a minimalist strategy game with a relaxing atmosphere. Build your tower, manage resources, unlock new tools, and uncover the secrets hidden in the sky.

A cozy minimalist settlement builder about growing a network of settlements, each with its own little economy. Manage the flow of resources between them at your own pace, pause at any time, and watch a civilization emerge as your settlements work together to raise a great temple and claim the land.

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.

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.

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.

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.

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.

POWDR is a high performance interactive particle sandbox featuring realistic fluids, sands, solids, interactions, and more! Every pixel is simulated. Every material interacts. Every experiment can become a catastrophe.

Master the art of driving! Enjoy 50+ handcrafted levels with 9 vehicles and realistic car physics. No traffic — just pure driving skills. Unlock cars, test your skills in mini-games, or just drive casually without any worries!