Skip to main content
Games like ECU: Eldritch Care Unit

Games like ECU: Eldritch Care Unit

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 Fate of the World: Tipping Point.

Change display type

Skip Platform filter

Skip Play Mode filter

Skip Price filter
  1. View Game
    46%Game Brain Score
    Most mentioned positive aspects:humor, graphics
    Most mentioned negative aspects:story, stability
    41% User Score Based on 360 reviews
    Critic Score 70%Based on 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.

    View Game
  2. 84%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, story
    85% User Score Based on 6,798 reviews
    Critic Score 83%Based on 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.

    View Game
  3. 78%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:replayability, graphics
    78% User Score Based on 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.

    View Game
  4. View Game
    93%Game Brain Score
    Most mentioned positive aspects:music, gameplay
    Most mentioned negative aspects:graphics, story
    93% User Score Based on 96 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.

    View Game
  5. View Game
    79%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:optimization, grinding
    79% User Score Based on 472 reviews

    An ecosystem City Builder in a unique world. Build your settlement, manage your workers and optimize your resources. Analyzing your environment, spreading new plants, and harvesting them are key to prosperity. If you enjoyed this game, see our list of games similar to Synergy.

    View Game
  6. 77%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:music, optimization
    79% User Score Based on 678 reviews
    Critic Score 71%Based on 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.

    View Game
  7. 83%Game Brain Score
    Most mentioned positive aspects:story, graphics
    Most mentioned negative aspects:grinding, monetization
    85% User Score Based on 1,026 reviews
    Critic Score 75%Based on 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.

    View Game
  8. Story“ILL FLOS” is a full-length RPG set in a fantasy world featuring the World Tree and magic. It follows the journey of Shaar, a young hunter whose job is to defeat monsters and protect people. Alongside his companions, he sets out to unravel the mystery of Insania, a flower that causes monsters to become violent. Eventually, he uncovers the truth hidden within the world. OverviewDeveloped usin… If you enjoyed this game, see our list of games similar to ILL FLOS.

    View Game
  9. 87%Game Brain Score
    Most mentioned positive aspects:gameplay, humor
    Most mentioned negative aspects:stability, grinding
    87% User Score Based on 842 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.

    View Game
  10. View Game
    84%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, music
    84% User Score Based on 69 reviews

    Build a village in a world of magic and care for the people who live there, with the help of hidden spirits you discover along the way. Watch your town grow and flourish as you expand, create, and decorate. If you enjoyed this game, see our list of games similar to Spiritstead.

    View Game
  11. View Game
    94%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:grinding, stability
    94% User Score Based on 263 reviews

    Entropy is a tactical turn-based RPG inspired by classic JRPGs. Assemble your party of mercenaries and forge your own path towards an expedition into hell to stop the demonic incursion. Choices you make along the way will determine the fate of your world. If you enjoyed this game, see our list of games similar to Entropy.

    View Game
  12. 86%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, grinding
    90% User Score Based on 4,754 reviews
    Critic Score 74%Based on 3 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.

    View Game
  13. View Game
    86%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:grinding, replayability
    86% User Score Based on 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.

    View Game
  14. 95%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:character development, grinding
    95% User Score Based on 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.

    View Game
  15. 96%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:optimization, stability
    100% User Score Based on 586 reviews
    Critic Score 86%Based on 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 II VR.

    View Game
  16. View Game
    79%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, replayability
    79% User Score Based on 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.

    View Game
  17. View Game
    95%Game Brain Score
    Most mentioned positive aspects:story, music
    Most mentioned negative aspects:grinding, stability
    95% User Score Based on 5,758 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.

    View Game
  18. 90%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    90% User Score Based on 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.

    View Game
  19. View Game
  20. View Game
    View Game
  21. View Game
    71%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:graphics, stability
    71% User Score Based on 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.

    View Game
  22. 85%Game Brain Score
    Most mentioned positive aspects:story, music
    Most mentioned negative aspects:stability, grinding
    85% User Score Based on 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.

    View Game
  23. 83%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:stability, grinding
    83% User Score Based on 2,062 reviews

    With a mysterious, ever-changing world, unique factions, and epic storytelling, the much-awaited sequel to the strategy game classic ENDLESS Legend is here, opening a new chapter of the award-winning ENDLESS universe. Write your legend and unveil the secrets of a dreamlike ocean-planet on the verge of extinction. If you enjoyed this game, see our list of games similar to Endless Legend 2.

    View Game
  24. 84%Game Brain Score
    Most mentioned positive aspects:story, humor
    Most mentioned negative aspects:grinding, optimization
    92% User Score Based on 495 reviews
    Critic Score 55%Based on 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.

    View Game
  25. 88%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, replayability
    88% User Score Based on 184 reviews

    THYSIASTERY is a turn-based, dungeon crawling roguelike role-playing game rendered in a retro-inspired art style. Play as a group of bearers of the Brand that have been drawn into the vast and enigmatic Labyrinth. Save, ally with, rely on and learn from characters you encounter whilst exploring in hopes of finding a way out. Discover buried forests, underwater cities and other ancient secrets as y… If you enjoyed this game, see our list of games similar to THYSIASTERY.

    View Game
  26. View Game
    95%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, replayability
    95% User Score Based on 561 reviews

    Sumerian Six follows the Enigma Squad, a team of commandos composed of the world’s greatest scientists who combine their skills to conduct secret missions in their fight against the Third Reich. Together, you seek to thwart ex-member Hans Kammler's nefarious plans involving a powerful, mystical substance named Geiststoff.Embark on a thrilling journey across multiple continents alongside allies suc… If you enjoyed this game, see our list of games similar to Sumerian Six.

    View Game
  27. 92%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    95% User Score Based on 822 reviews
    Critic Score 89%Based on 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.

    View Game
  28. 84%Game Brain Score
    Most mentioned positive aspects:story, music
    Most mentioned negative aspects:replayability, monetization
    84% User Score Based on 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.

    View Game
  29. 63%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:stability, optimization
    63% User Score Based on 638 reviews
    Critic Score 63%Based on 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.

    View Game
  30. 92%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    92% User Score Based on 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.

    View Game
  31. 97%Game Brain Score
    Most mentioned positive aspects:story, emotional
    Most mentioned negative aspects:music, grinding
    97% User Score Based on 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.

    View Game
  32. 95%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    95% User Score Based on 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.

    View Game
  33. 78%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, optimization
    78% User Score Based on 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.

    View Game
  34. 84%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, grinding
    87% User Score Based on 5,696 reviews
    Critic Score 70%Based on 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.

    View Game
  35. 85%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    97% User Score Based on 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.

    View Game
  36. 93%Game Brain Score
    Most mentioned positive aspects:story, music
    Most mentioned negative aspects:grinding, monetization
    96% User Score Based on 354 reviews
    Critic Score 85%Based on 3 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.

    View Game
  37. 96%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, optimization
    97% User Score Based on 814 reviews
    Critic Score 92%Based on 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.

    View Game
  38. 89%Game Brain Score
    Most mentioned positive aspects:humor, gameplay
    Most mentioned negative aspects:grinding, stability
    92% User Score Based on 16,405 reviews
    Critic Score 80%Based on 2 reviews

    Includes: Two Point Hospital base game Two Point Hospital: Bigfoot DLC Two Point Hospital: Pebberley Island DLC Two Point Hospital: Close Encounters DLC Two Point Hospital: Off the Grid DLC Build up a hospital from nothing to a masterpiece as you design the most beautiful – or functional – healthcare operation in the whole of Two Point County. Optimise your hospital design to increase patient (and… If you enjoyed this game, see our list of games similar to Two Point Hospital.

    View Game
  39. View Game
    73%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, stability
    74% User Score Based on 9,336 reviews
    Critic Score 68%Based on 1 reviews

    Have you ever wanted to be president? or prime-minister? Convinced you could do a better job of running the country? Let's face it, you could hardly do a worse job than our current political leaders. If you enjoyed this game, see our list of games similar to Democracy 3.

    View Game
  40. View Game
    90%Game Brain Score
    Most mentioned positive aspects:graphics, story
    Most mentioned negative aspects:grinding, optimization
    90% User Score Based on 431 reviews

    Robin is a short slice of life game that was made to give some visibility to an invisible illness - Chronic Fatigue Syndrome. If you enjoyed this game, see our list of games similar to Robin.

    View Game
  41. 86%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, optimization
    94% User Score Based on 478 reviews
    Critic Score 50%Based on 1 reviews

    Terraform, strategize, and construct a Martian colony in this retro-inspired turn-based city builder. Create a comfortable living for your citizens, research alien artifacts, and uncover the secrets of the Red Planet. If you enjoyed this game, see our list of games similar to Farlanders.

    View Game
  42. 89%Game Brain Score
    Most mentioned positive aspects:story, graphics
    Most mentioned negative aspects:grinding, stability
    95% User Score Based on 7,848 reviews
    Critic Score 77%Based on 4 reviews

    Buy Pentiment on PlayStation Store. A historical narrative-driven game inspired by illuminated manuscripts and printed woodcuts. If you enjoyed this game, see our list of games similar to Pentiment.

    View Game
  43. View Game
    90%Game Brain Score
    Most mentioned positive aspects:story, graphics
    Most mentioned negative aspects:replayability, grinding
    93% User Score Based on 1,407 reviews
    Critic Score 82%Based on 4 reviews

    Eliza is a visual novel about an AI counseling program, the people who develop it, and the people who use it. Follow Evelyn Ishino-Aubrey as she reconnects with people from her past, gets to know the people of Seattle who use Eliza for counseling, and decides the course of her future. If you enjoyed this game, see our list of games similar to Eliza.

    View Game
  44. 90%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:replayability, grinding
    90% User Score Based on 201 reviews

    Road to Legend is a companion app for the Descent: Journeys in the Dark 2nd edition board game. When you play with Road to Legend, the app assumes the role of the overlord player, controlling monsters and inviting you to explore the dungeon in entirely new and unexpected ways. If you enjoyed this game, see our list of games similar to Descent: Road to Legend.

    View Game
  45. 80%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:graphics, stability
    80% User Score Based on 161 reviews

    After The Collapse is a 2D base building game set in a post-apocalyptic world featuring urban environments. Your task is to manage a band of survivors and protect them against raiders, mutants and other environmental threats while keeping them fed. If you enjoyed this game, see our list of games similar to After the Collapse.

    View Game
  46. 82%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, monetization
    84% User Score Based on 922 reviews
    Critic Score 79%Based on 5 reviews

    Mind Scanners is a retro-futuristic management game in which you diagnose the citizens of a dystopian metropolis. Locate a host of other-worldly characters and use arcade-style treatment devices to help them. Manage your time and resources to keep The Structure in balance. Remember, you take full responsibility for your patients. If you enjoyed this game, see our list of games similar to Mind Scanners.

    View Game
  47. 76%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:optimization, grinding
    76% User Score Based on 479 reviews

    Welcome aboard the Swiss Alps undergrounds! Inspired by base-building & management games Dungeon Keeper, Evil Genius and Rimworld with a touch of sci-fi show Stargate SG-1, the Xeno Bits team wants to dive you into a new futuristic experience: Exogate Initiative. About the game Exogate Initiative is a management/base-building game that puts you in charge of mankind's first worlds exploration pro… If you enjoyed this game, see our list of games similar to Exogate Initiative.

    View Game
  48. View Game
    93%Game Brain Score
    Most mentioned positive aspects:story, emotional
    Most mentioned negative aspects:optimization, grinding
    94% User Score Based on 226 reviews
    Critic Score 89%Based on 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.

    View Game
  49. View Game
    75%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, stability
    75% User Score Based on 671 reviews

    A city building game that let you create a micro-nation from scratch and experiment with your own political ideals. If you enjoyed this game, see our list of games similar to Citystate.

    View Game
  50. The Reflection is a ritual-based co-op horror game where players attempt to exorcise a demonic entity while being relentlessly hunted. Investigate cursed locations, perform the correct rituals, stay silent, and work together under pressure — one mistake can mean certain death. If you enjoyed this game, see our list of games similar to The Reflection.

    View Game