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.
- 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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- 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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- 93%Game Brain ScoreMost mentioned positive aspects:music, gameplayMost mentioned negative aspects:graphics, story93% User Score 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.
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- 79%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:optimization, grinding79% User Score 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.
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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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- 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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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.
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- 87%Game Brain ScoreMost mentioned positive aspects:gameplay, humorMost mentioned negative aspects:stability, grinding87% User Score 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.
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- 84%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, music84% User Score 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.
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- 94%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, stability94% User Score 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.
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- 86%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, grinding90% User Score 4,754 reviewsCritic Score 74%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.
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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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- 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 II VR.
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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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- 95%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:grinding, stability95% User Score 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.
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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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- 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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- 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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- 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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- 83%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, grinding83% User Score 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.
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- 84%Game Brain ScoreMost mentioned positive aspects:story, humorMost mentioned negative aspects:grinding, optimization92% User Score 495 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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- 88%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, replayability88% User Score 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.
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- 95%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, replayability95% User Score 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.
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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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- 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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- 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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- 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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- 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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- 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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- 93%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:grinding, monetization96% User Score 354 reviewsCritic Score 85%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.
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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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- 89%Game Brain ScoreMost mentioned positive aspects:humor, gameplayMost mentioned negative aspects:grinding, stability92% User Score 16,405 reviewsCritic Score 80%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.
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- 73%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, stability74% User Score 9,336 reviewsCritic Score 68%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.
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- 90%Game Brain ScoreMost mentioned positive aspects:graphics, storyMost mentioned negative aspects:grinding, optimization90% User Score 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.
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- 86%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, optimization94% User Score 478 reviewsCritic Score 50%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.
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- 89%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:grinding, stability95% User Score 7,848 reviewsCritic Score 77%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.
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- 90%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:replayability, grinding93% User Score 1,407 reviewsCritic Score 82%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.
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- 90%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:replayability, grinding90% User Score 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.
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- 80%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:graphics, stability80% User Score 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.
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- 82%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, monetization84% User Score 922 reviewsCritic Score 79%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.
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- 76%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:optimization, grinding76% User Score 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.
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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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- 75%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:optimization, stability75% User Score 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.
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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.
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