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.

You're not the manager, you're the agent. Scout hidden gems across 47,500 players, win them over face to face, build their careers, and sell them for millions. A deep football agency career sim where every contract has your name on it.

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.

An armour penetration sandbox. Build the target from plates, thicknesses and angles, pick a penetrator from American, Soviet and German service rounds, fire. The hit is not animated — it is solved from real terminal-ballistics models.

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!

Relaxing organization simulator set in a massive shopping mall. Sort and organize 30.381 items across 6 unique stores: supermarket, bookstore, electronics, games, wine and toys. Unlock new skills and turn chaos into perfect order at your own pace.

Every hero starts somewhere, usually with a dull axe, an even duller pickaxe. Background Hero puts you in charge of building one from scratch, one skill at a time. Idle progression, tiered upgrades, task lists, resources, dungeon rewards -- perfect for the completionist chasing the elusive 100%

Surf Sandbox is a tiny, casual surfing sim with realistic water physics. Create your perfect wave, catch a friendly ripple, get slammed by a heavy shorebreak, hit an air section, get barreled, or just sit back, relax, and watch the waves roll in.

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.

CELLS is a calm sci-fi trading game about goods, routes and decisions. Explore new worlds, build trade chains, mine resources and uncover the story of a broken network between the worlds.

Choose from professions like Smith, Preacher or Alchemist to gain riches in this medieval economic simulation. Climb the social ladder, dominate politics, and lead your dynasty to power over multiple generations to ensure your legacy.

Drift, slipstream, and chain risky near-misses at insane speeds to build huge combos. Adapt to procedurally generated streets and challenges, upgrade your ride, unlock abilities, and stack powerful cards to break records. Climb the Redline rankings and fight your way to the top of the leaderboards.

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.

From gliders and helicopters to wide-body jets, fly highly detailed and accurate aircraft in the Microsoft Flight Simulator 40th Anniversary Edition. The world is at your fingertips.

An incremental auto battler dungeon crawler where you build a synergized hero party to slay enemies and loot items. Unlock weapons with unique attack styles. Gear up your hero team and explore new dungeon rooms filled with enemies and legendary drops.

Open world zombie survival Coop game with base building, looting, crafting, vehicles, and exploration.

Sublight is a space bullet heaven roguelike, where you captain a powerful warship and carve through escalating waves of enemies. Upgrade your arsenal, unlock new ships, and experiment with countless builds to dominate the battlefield.

High intensity co-op roguelite space adventure party game for 2–4 players (or bots). Take on crew jobs, keep a failing ship alive, and survive procedural missions with endless exploration, light RPG progression, and real-time crisis gameplay.

Scan bags, catch smugglers, and keep the airport moving in this chaotic VR security simulator. Search passengers for absurd contraband, uncover disguises, and make split-second decisions before disaster — or comedy — strikes.

A cozy idle game about vibe-coding with AI. Hire a crew of agents, climb a five-branch upgrade tree, and dress the whole lab from 80 cosmetics across five tiers. Progress lands in minutes, not days — no subscriptions, no daily check-in. Numbers go up, vibes stay immaculate.

A visual Idle RPG where you hunt creatures for rare loot, enchant your equipment, and build your hero. Master 11 skills, trade with merchants, and progress even offline. No Microtransactions, No P2W, just pure idle fun.