Games like ECU: Eldritch Care Unit
Looking for games like ECU: Eldritch Care Unit? Here are top action recommendations with a fantasy focus, selected from player-similarity data — start with Hospital Tycoon, Democracy 4 or The Apothecary of Trubiz.
- 46%Game Brain ScoreMost mentioned positive aspects:humor, graphicsMost mentioned negative aspects:story, stability41% User Score 360 reviewsCritic Score 70%1 reviews
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. If you enjoyed this game, see our list of games similar to Hospital Tycoon.
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- 84%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, story85% User Score 6,798 reviewsCritic Score 83%2 reviews
Democracy 4 lets you take the role of President / Prime minister, govern the country (choosing its policies, laws and other actions), and both transform the country as you see fit, while trying to retain enough popularity to get re-elected... If you enjoyed this game, see our list of games similar to Democracy 4.
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- 95%Game Brain ScoreMost mentioned positive aspects:gameplay, emotionalMost mentioned negative aspects:story, graphics95% User Score 177 reviews
A Compact Fictional Language Deciphering GameYou are an apothecary. Prescribe the right medicine according to the conditions of the patients who visit you. In your workshop, you only have a manual written in a fictional language. You must decipher the fictional language to concoct and prescribe the medicine. Test the effects directly on patients to confirm them. Even if you fail, you can retry on… If you enjoyed this game, see our list of games similar to The Apothecary of Trubiz.
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- 84%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:replayability, monetization84% User Score 93 reviews
Dive into Darkness! Immerse yourself in the gripping world of Werewolf: The Apocalypse — Purgatory, a narrative-driven RPG thriller set in the acclaimed World of Darkness universe. Step into the shoes of Samira, a young werewolf navigating the shadows of Poland and beyond. Unleash Your Inner Beast Explore the chilling landscapes of a wintry Białowieża forest, the historic streets of Warsaw, an… If you enjoyed this game, see our list of games similar to Werewolf: The Apocalypse — Purgatory.
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- 79%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:optimization, grinding79% User Score 472 reviews
DISCOVER AN UNKNOWN WORLDYour citizens are immersed in a strange environment, both mesmerizing and unforgiving. Your goal is to build a city to help them survive, then prosper. You will need to explore, analyze and experiment with new things.In Synergy, the well-being of your citizens is paramount. You will need a deep understanding of their environment to help them adapt and thrive.ANALYZE YOUR E… If you enjoyed this game, see our list of games similar to Synergy.
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- 77%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:music, optimization79% User Score 678 reviewsCritic Score 71%2 reviews
Fate of the World is a dramatic global strategy game that puts all our futures in your hands. The game features a dramatic set of scenarios based on the latest science covering the next two centuries. You must manage a balancing act of protecting the Earth’s resources and climate versus the needs of an ever-growing world population, who are demanding ever more food, power, and living space. Fate … If you enjoyed this game, see our list of games similar to Fate of the World.
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- 89%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:graphics, music89% User Score 70 reviews
Geneforge 2 is a fantasy role-playing epic with a science fiction twist. In Geneforge 2, you explore a huge world, choose which side you will fight for, and make your own horde of completely obedient mutant monsters. If you enjoyed this game, see our list of games similar to Geneforge 2.
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- 90%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability90% User Score 928 reviews
The elders have entrusted you, an elite vampire courier, to deliver their secrets. Can you outrun the hunters, the other drivers, and the rising sun? If you enjoyed this game, see our list of games similar to Vampire: The Masquerade — Night Road.
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- 83%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:grinding, monetization85% User Score 1,026 reviewsCritic Score 75%1 reviews
Werewolf: The Apocalypse - Heart of the Forest throws you deep into a primeval wilderness in the center of modern Europe. It's where the protectors of nature wage their ancient, never-ending war against the forces of destruction. Visit real-world places of mystery and power. Explore local legends and traditions. Discover the fascinating world and history of the Polish-Belarusian borderlands. You … If you enjoyed this game, see our list of games similar to Werewolf: The Apocalypse — Heart of the Forest.
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- 98%Game Brain ScoreMost mentioned positive aspects:story, replayabilityMost mentioned negative aspects:character development, atmosphere98% User Score 550 reviews
"Open Sorcery" is a game about technology, magic and becoming a person. If you enjoyed this game, see our list of games similar to Open Sorcery.
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- 71%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:graphics, stability71% User Score 317 reviews
Supreme Ruler 1936 is Real Time Geo-Political/Military Strategy Game for PC (and soon Mac). Take control of a nation in the World War II era and guide it through a significant Military Campaign, or attempt one of many Set-Piece Historical Scenarios. Players can also customize their play experience with the Sandbox Mode and play as any Nation with their own preferred Victory Condition. If you enjoyed this game, see our list of games similar to Supreme Ruler 1936.
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- 87%Game Brain ScoreMost mentioned positive aspects:gameplay, humorMost mentioned negative aspects:stability, grinding87% User Score 765 reviews
2026 Roadmap for Early Access About the GameThe nightshift is yours! CURE is a co-op simulator that allows you and your friends to manage an overnight Emergency Room during the beginning stages of the apocalypse. Order supplies and manage your hospital’s budget - once patients (and other things) start arriving, things get hectic! Diagnose your patients with a variety of interactive … If you enjoyed this game, see our list of games similar to CURE - A Hospital Simulator.
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- 84%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, music84% User Score 69 reviews
Build a magical town, discover hidden spirits, and care for your villagers. Play Survival Mode to gather resources, discover spirit, and manage your town, or Creative Mode to build freely without limits. ✨ Wishlist on Steam to support us and get notified when the full game releases! ✨ ⚠️ Note: For the best experience, we recommend playing in full screen or downloading the Windows PC… If you enjoyed this game, see our list of games similar to Spiritstead.
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- 51%Game Brain ScoreMost mentioned positive aspects:optimization, musicMost mentioned negative aspects:grinding, gameplay51% User Score 53 reviews
Farm the world in an immersive top-down management game. It's up to you if you prefer to experience a rich strawberry harvest in the French countryside or if you like farming in the hot sun of South America. Choose your farm’s location anywhere on a real-world map and become a Global Farmer! Choose your location Based on real-world data from OpenStreetMap, you can play anywhere in the world. … If you enjoyed this game, see our list of games similar to Global Farmer.
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- 87%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, grinding90% User Score 4,754 reviewsCritic Score 77%2 reviews
Dread Delusion is an open world RPG brimming with strange places and dark perils. Carve your own path through the flying continents of a shattered land. Discover curious towns, unearth occult secrets, master powerful magic - and change the world through your choices. If you enjoyed this game, see our list of games similar to Dread Delusion.
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- 86%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:grinding, replayability86% User Score 240 reviews
Settlements is a feature rich game of Managing resources and crafting output over a limited space. Set in the ruins of our world, you will recruit workers and level their skills and equipment all the way from the stone age until the space age. The whole time trying your best to avoid the very thing that lead to our current civilisation being smashed back into the stone age. If you enjoyed this game, see our list of games similar to Settlements.
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- 40%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:story, replayability52% User Score 29 reviews
Unravel the Medical Mysteries in this Dramatic Puzzle Adventure! Follow Elizabeth through an engaging storyline with her fellow doctors, staff and some interesting sales reps.! Search for clues to diagnose and solve medical problems for a variety of patients in this enjoyable seek & find game. Study X-rays, blood tests and 4 more medical mini games add to the fun and future health of your patients… If you enjoyed this game, see our list of games similar to Elizabeth Find M.D.: Diagnosis Mystery - Season 2.
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- 95%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:character development, grinding95% User Score 676 reviews
Sacred Fire is a narrative RPG in which your humanity and emotions impact your fight for survival and inner freedom. Inspired by ancient Caledonia, the story follows a group of resistance fighters and their rise to power. Choosing motives, ideas and feelings is as important as choosing your actions. Develop your personality and compete for influence to change the story and avert a tragic ending. If you enjoyed this game, see our list of games similar to Sacred Fire.
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- 96%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:optimization, stability100% User Score 586 reviewsCritic Score 86%3 reviews
Buy Moss: Book II on PlayStation Store. Moss: Book II is a single-player action-adventure puzzle game for PlayStation VR. Quill is back - and she's being hunted. If you enjoyed this game, see our list of games similar to Moss: Book II.
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- 93%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:grinding, stability95% User Score 5,758 reviewsCritic Score 88%3 reviews
Roadwarden is an illustrated text-based RPG that uses isometric pixel art and combines mechanics borrowed from RPGs, Visual Novels, adventure games and interactive fiction. If you enjoyed this game, see our list of games similar to Roadwarden.
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- 70%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, replayability78% User Score 73 reviewsCritic Score 61%26 reviews
In The Dark Crystal: Age of Resistance Tactics, lead the heroic Gelfling to restore light to the world of Thra! Experience everything the fantasy world has to offer by playing through–and going beyond–the events of the Netflix series. Encounter never-seen-before playable characters, stories, and environments. Over the course of 80 unique turn-based campaign battles taking place across the lands of… If you enjoyed this game, see our list of games similar to The Dark Crystal: Age of Resistance Tactics.
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- 93%Game Brain ScoreMost mentioned positive aspects:story, emotionalMost mentioned negative aspects:optimization, grinding94% User Score 226 reviewsCritic Score 89%1 reviews
Welcome, interrogator, to the year 2065. You were constructed to question other, disobedient androids: why do they glitch? Why do they believe they have free will? Manipulate their emotions; extract their secrets; scrap those beyond repair. You wouldn't disobey your creators, would you? If you enjoyed this game, see our list of games similar to Silicon Dreams.
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- 88%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:replayability, grinding90% User Score 479 reviewsCritic Score 80%2 reviews
Masquerada: Songs and Shadows is a tactical action RPG developed by Witching Hour Studios. If you enjoyed this game, see our list of games similar to Masquerada: Songs and Shadows.
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This is Masarada Town. It is a lonely town that few tourists visit. That's why I, Takarayama Jewel, were sent to this small town to work hard to mine rare ores! If you enjoyed this game, see our list of games similar to Masarada Town Story.
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- 79%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:graphics, atmosphere100% User Score 36 reviewsCritic Score 60%2 reviews
The Pale City is a story-driven, dark fantasy RPG with an emphasis on characterization and atmosphere. Explore a dangerous, morally complex world where every detail is personal.. If you enjoyed this game, see our list of games similar to The Pale City.
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- 78%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, monetization81% User Score 268 reviewsCritic Score 70%2 reviews
Experience Vampire: The Masquerade in a new way through this isometric cRPG. Change perspectives as you travel through the Heartless Club as a Human and a Vampire. Roll the dice, take your choices, and embrace the night in this narrative prologue. If you enjoyed this game, see our list of games similar to Vampire: The Masquerade - Heartless Lullaby.
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- 78%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:replayability, graphics78% User Score 390 reviews
Revised, rebalanced and expanded, Tipping Point is Fate of the World as it's meant to be played. Take control of the GEO through the five original missions, plus the “Cornucopia” and “Earth Day” update missions, and the “Denial”, “Migration” and “Extras Pack” DLCs. If you enjoyed this game, see our list of games similar to Fate of the World: Tipping Point.
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- 83%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, optimization83% User Score 109 reviews
The ocean is dying. Coral reefs are vanishing and ecosystems are breaking down. By the power of the mysterious reef heart you must restore balance, using the ocean floor itself as the foundation to build vibrant havens for sealife. Craft lures to entice different species to your reef and use their natural abilities to overcome underwater hazards. Experience Thalassa’s journey in campaign mode, the… If you enjoyed this game, see our list of games similar to Life Below.
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- 85%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:stability, grinding85% User Score 186 reviews
The iconic game The 7th Guest has been brought back to life with modern technology, delivering an atmospheric story like no other. Six guests have been welcomed to a foreboding mansion, but something sinister is at play. The wealthy recluse and toymaker Henry Stauf lurks in the shadows, and a dark power hangs over the house, shrouded in mystery. Who is the seventh guest? What does Henry want with… If you enjoyed this game, see our list of games similar to The 7th Guest Remake.
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- 97%Game Brain ScoreMost mentioned positive aspects:music, gameplayMost mentioned negative aspects:story, stability97% User Score 73 reviews
A RETURN TO THE GOLDEN AGE ...... of first-person dungeon crawling. Lead a party of up to four into the haunted depths of Rekestt. Grid-based exploration in the tradition of Dungeon Master, Eye of the Beholder, and Might & Magic, paired with tactical turn-based combat where positioning, timing, and the terrain around you can mean the difference between glory and death. Between expeditions, re… If you enjoyed this game, see our list of games similar to Dverghold.
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- 69%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, optimization69% User Score 123 reviews
Macabre is a high-stakes co-op horror game where stealth is survival and the Rift is never the same twice. Maps shift, objectives change, and the monster adapts. Scavenge rare resources and fight the urge to panic as you stabilise each Rift before it collapses. Survival isn’t guaranteed. Escape together or abandon your team to save yourself. Trust is fragile. Betrayal is easy. One truth rema… If you enjoyed this game, see our list of games similar to Macabre.
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- 95%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:stability, grinding95% User Score 900 reviews
Kingdoms of the Dump is a SNES-style RPG with platforming elements and turn-based combat developed by the New Jersey-based Roach Games. Join the trashcan knight, Dustin Binsley, as he fights his way through the Five and Half Kingdoms of the Dump. Rescue the trashpicked King, defeat the totally disgusting Toxic Grimelin Army and prevent the Lands of Fill from an all-out war! If you enjoyed this game, see our list of games similar to Kingdoms of the Dump.
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- 79%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:replayability, character development79% User Score 133 reviews
Dead in Antares is a turn-based survival management game with RPG elements, set on an alien planet. Lead a crew of survivors sent on a mission to save humanity. Manage their needs, strengthen their teamwork, and explore this mysterious world to find a way back home. If you enjoyed this game, see our list of games similar to Dead In Antares.
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- 84%Game Brain ScoreMost mentioned positive aspects:story, humorMost mentioned negative aspects:grinding, optimization92% User Score 439 reviewsCritic Score 55%2 reviews
Artis Impact is a story-rich, adventure pixel RPG that features classic turn-based combat, upgrading your home, and exploring uniquely hand-drawn environments. Players will take on the role of official Akane, teaming up with Bot to unravel the mysteries of a future utopian world. If you enjoyed this game, see our list of games similar to Artis Impact.
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- 92%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability95% User Score 822 reviewsCritic Score 89%10 reviews
Embark on a thrilling sci-fi journey in a futuristic Asian city with MINDS BENEATH US. In a society fully automated by advanced AI, you find yourself trapped in a foreign body, alongside the subconscious of its original owner. As society evolves, a new industry emerges that replaces the hardware needed to operate AI-automated systems with human brains. Consequently, the most disadvantaged citizens… If you enjoyed this game, see our list of games similar to Minds Beneath Us.
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- 63%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, optimization63% User Score 638 reviewsCritic Score 63%12 reviews
Be the ray of hope among the darkness of war. Control a British WW1 field hospital in a unique society survival game. Fight for life, soul, and humanity in a world that rejected them. If you enjoyed this game, see our list of games similar to War Hospital.
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- 92%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability92% User Score 716 reviews
The Necromancer's Tale is a narrative-driven top-down RPG where you play the role of a minor noble in the 18th Century, drawn into the Dark Necromantic Arts as you seek knowledge and revenge. Great power awaits... along with the weird, the morbid, and a gradual descent into madness. If you enjoyed this game, see our list of games similar to The Necromancer's Tale.
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- 95%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:grinding, stability95% User Score 148 reviews
Enter the Realm of Aarde: An ancient entity stirs in the darkness, casting a veil of shadows across the land and threatening all of humanity. This growing menace has escalated the already dire situation on the newly discovered continent of Andra, where tensions run high. As a fledgling on your first mission for the Heroes Guild, you will be unwittingly drawn into the heart of this unfolding crisi… If you enjoyed this game, see our list of games similar to Guild Saga: Vanished Worlds.
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- 97%Game Brain ScoreMost mentioned positive aspects:story, emotionalMost mentioned negative aspects:music, grinding97% User Score 318 reviews
a chronic illness simulation game. you think you have a chronic illness, but you don't know what. all you know is you are always in some state of pain. you've been to too many doctors to count... but you still have to live your life. how long will it take for you to get a diagnosis? If you enjoyed this game, see our list of games similar to you're just imagining it.
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- 88%Game Brain ScoreMost mentioned positive aspects:gameplay, humorMost mentioned negative aspects:graphics, optimization88% User Score 129 reviews
Alien Horizon is a sci-fi survival city builder set on an inhospitable alien planet. Faced with imminent destruction of Earth, humanity pooled together their resources and sent sleeper ships to nearby potentially habitable planets. But this one turned out to be much less habitable than expected. Can you survive anyway? Features complex resource management, no contact with Earth, exploration… If you enjoyed this game, see our list of games similar to Alien Horizon.
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- 95%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability95% User Score 13,381 reviews
The Talos Principle II is a thought-provoking first-person puzzle experience that greatly expands on the first game's philosophical themes and stunning environments with increasingly mind-bending challenges. If you enjoyed this game, see our list of games similar to The Talos Principle 2.
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- 78%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, optimization78% User Score 959 reviews
Lessaria is the spiritual successor to Majesty We're bringing back the RTS genre with indirect control. You build a kingdom, hire heroes, and they live their own lives, doing whatever they please. Try winning a battle with such an unpredictable army! New ideas We're not creating a clone — we're evolving the game as if we're making the third part of the series. Brand-new combat system. Hero squ… If you enjoyed this game, see our list of games similar to Lessaria: Fantasy Kingdom Sim.
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- 96%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, character development96% User Score 234 reviews
Age of Fear 3 gameplay sets itself apart from other tactical combat games thanks to its incredibly deep combat system, perfected over the last five years and based on community feedback. Every hero and type of unit have its own skills tree, which is also very customizable as they level up. With close to 200 unique units and over 250 different spells and skills, no two players will have the same a… If you enjoyed this game, see our list of games similar to Age of Fear 3: The Legend.
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- 71%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability79% User Score 602 reviewsCritic Score 30%1 reviews
Create your own epic saga of conflict, mythology and community! Rule your own clan, take important strategic decisions, win battles and expand your influence in this unique mix of RPG, strategy and story-telling. If you enjoyed this game, see our list of games similar to King of Dragon Pass.
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- 84%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, grinding87% User Score 5,696 reviewsCritic Score 70%1 reviews
Project Hospital Collection consists of: Project Hospital - a hospital building and management game also focused on diagnostics and based on real world medicine Hospital Services - an expansion with Administrative Department and Pathology brings cafeteria, pharmacy, staff training and more Department of Infectious Diseases - an expansion with a new department and diagnoses, also brings a new ambul… If you enjoyed this game, see our list of games similar to Project Hospital.
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- 85%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability97% User Score 38 reviews
A turn-based JRPG series with a classic feel but modern visuals. Episode 2 resumes the adventure with Haru right after Episode 1's cliffhanger! If you enjoyed this game, see our list of games similar to Light Fairytale Episode 2.
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- 91%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:grinding, monetization96% User Score 354 reviewsCritic Score 85%7 reviews
A series of unlikely train robberies. A mysterious deck of cards. A fleet of deadly airships. An accidental mage. Choose from four stories, in any order, and see how they eventually intertwine in this turn-based RPG. If you enjoyed this game, see our list of games similar to Quartet.
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- 96%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, optimization97% User Score 814 reviewsCritic Score 92%1 reviews
Golden Treasure is a game for those who carry dragons in their hearts. Hunt, explore, survive, and become Great among the True Children of Sun and Earth. If you enjoyed this game, see our list of games similar to Golden Treasure: The Great Green.
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- 87%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:gameplay, stability87% User Score 198 reviews
Enter the world of Drawn, and unravel the secrets of the Painted Tower. Overcome challenging puzzles on your quest to save Iris. A curse has locked each floor of the tower, and only the most creative adventurer can find a way through. Enter lush painted worlds and meet fantastic characters who will help you…and sometimes try to stop you, on your quest through the dream world of The Painted Tower. … If you enjoyed this game, see our list of games similar to Drawn: The Painted Tower.
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- 79%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, replayability79% User Score 184 reviews
Siege of Avalon is a traditional fantasy-RPG with an isometric view. The setting is an imaginary land which has been ruined by wars and it is up to you to defeat the evil warrior Mithras, who strives to conquer the entire land. Only the fortress of Avalon resists to his evil intentions. The game is mainly story-driven, featuring many NPCs, and has action-based combat. It doesn't follow any partic… If you enjoyed this game, see our list of games similar to Siege of Avalon.
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