Games like Emergency Room Simulator
Looking for games like Emergency Room Simulator? Here are top open world simulation recommendations, selected from player-similarity data — start with Ambulance Life: A Paramedic Simulator, Project Hospital or Hospitalize.
- 50%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:optimization, stability49% User Score 562 reviewsCritic Score 52%4 reviews
Developed by the creators of the groundbreaking Police Simulator: Patrol Officers, Ambulance Life: A Paramedic Simulator is the first simulation game in which you experience every aspect of a paramedic’s life. Your objective? Quickly reach the accident site at the wheel of your ambulance. Your mission? Take care of the injured and apply first aid. Each accident is different. It's up to you to adap… If you enjoyed this game, see our list of games similar to Ambulance Life: A Paramedic Simulator.
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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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- 39%Game Brain ScoreMost mentioned positive aspects:gameplay, humorMost mentioned negative aspects:stability, graphics39% User Score 240 reviews
Find the most effective way to construct and manage a hospital. Build your hospital smart and avoid excess time and resources consumed by examining your patients unnecessary. You can choose to micromanage your patients or hope that your doctors are able to identify the cause of their symptoms. Aim to avoid malpractice, and become the best hospital administrator in the world. If you enjoyed this game, see our list of games similar to Hospitalize.
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- 79%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, grinding82% User Score 5,587 reviewsCritic Score 69%2 reviews
"Papers, Please" meets zombie apocalypse. Command the last blockade, inspect survivors, and decide their fate: trust, quarantine, or liquidate. Expand your base, upgrade defenses, and fend off hordes. Every step shapes humanity’s survival. Your choice matters and every mistake costs a life... If you enjoyed this game, see our list of games similar to Quarantine Zone: The Last Check.
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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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- 82%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:stability, replayability82% User Score 4,268 reviews
Experience firsthand the daily challenges of an American first responder in Firefighting Simulator. Play out the gripping rescue missions of an US-American fire department unit - either alone as a single-player or together with others in the multiplayer mode. If you enjoyed this game, see our list of games similar to Firefighting Simulator.
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- 70%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:replayability, grinding68% User Score 550 reviewsCritic Score 75%5 reviews
Return home to Port Wake and rebuild your family business. Docked is a realistic simulator where you operate heavy machinery, restore and develop the port's infrastructure, and manage day-to-day operations to help your port expand and thrive. If you enjoyed this game, see our list of games similar to Docked.
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- 79%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:stability, grinding79% User Score 13,221 reviews
inZOI is a life simulation game where players step into the role of creators, shaping the world as they envision and witnessing the various stories that unfold. Through this immersive experience, we aim to inspire players to appreciate life as the profound gift it is—a journey that is filled with meaning at every turn. Step into diverse lives, brought to life with realistic graphics! inZOI fea… If you enjoyed this game, see our list of games similar to inZOI.
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- 56%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:gameplay, stability56% User Score 1,766 reviews
This is your first night shift as a zookeeper. You find out that some animals are infected and turning into mutants. Save them and save yourself. Unravel the mystery of the zoo. Choose wisely. Your choices will determine your ending. YOU ARE A ZOOKEEPER: Interact with the animals, take care of them, choose and prepare a meal for them, restock and clean up after them in the enclosure. SAVE THE A… If you enjoyed this game, see our list of games similar to Zoochosis.
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- 73%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, grinding73% User Score 1,004 reviews
AirportSim is an Advanced Airport Ground Handling Simulator with true-to-life visuals and operations, licensed planes and vehicles, real airports and live weather conditions. Enjoy the many tasks alone or with friends, making this experience unforgettable. If you enjoyed this game, see our list of games similar to AirportSim.
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- 70%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, music75% User Score 1,229 reviewsCritic Score 59%3 reviews
Take over the family business from your Dad and become an electrician. Learn the basics and test your skills in the Electrician Simulator. Repair and assemble sockets, panels, strips, plugs, chandeliers and even change light bulbs. Oh... and don't mix up the wires! Results might be shocking. If you enjoyed this game, see our list of games similar to Electrician Simulator.
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- 79%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:grinding, stability80% User Score 5,122 reviewsCritic Score 70%1 reviews
GET TO WORK. If you enjoyed this game, see our list of games similar to Construction Simulator.
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- 66%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:replayability, stability70% User Score 902 reviewsCritic Score 50%2 reviews
In Accident you play the role of a car crash witness. Evaluate the condition of survivors and take action. In case of failure, rewind time! Will you be able to save everyone? If you enjoyed this game, see our list of games similar to Accident.
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- 77%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, story77% User Score 998 reviews
They say a man must do three things in his life: plant a tree, beget a son and build a house. We can’t help you out with the tree neither with the son, but you can build as many houses as you like while playing House Builder. If you enjoyed this game, see our list of games similar to House Builder.
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- 63%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, optimization63% User Score 1,092 reviews
In Junkyard Simulator you play as owner of scrap yard, which with his own hands is trying to create the largest junkyard in the area. The way you do it depends on your decision! Do you want to manually search and collect the best scrap? If you enjoyed this game, see our list of games similar to Junkyard Simulator.
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- 70%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, grinding69% User Score 2,816 reviewsCritic Score 72%8 reviews
To The Rescue! is a dog shelter sim where you are responsible for taking care of cute dogs in need of homes. It's not all cuddles: running a shelter is a lot of work. You have to manage all of the dogs' needs in order to maximize their chances of finding the right forever homes. Each day brings new challenges and rewards. Dogs have specific preferences, can get infectious diseases, and can have n… If you enjoyed this game, see our list of games similar to To The Rescue.
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Our four-legged friends need your help! Animal Shelter Simulator 2 comes with more animals that need your help. You will need to provide them with a clean, safe environment, as well as food and water and, most importantly, lots of love. Thankfully, you won’t be alone this time! Grow your shelter with new employees! Managing a whole shelter by yourself is a tough job! Good thing you’ve got the help… If you enjoyed this game, see our list of games similar to Animal Shelter 2.
- View Game77%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:optimization, stability77% User Score 1,163 reviews
UNITED AGAINST FIRE. Face unpredictable dangers head-on, fight perilous fires with your crew, and save lives in Firefighting Simulator: Ignite. Step into the boots of a U.S. firefighter in a sprawling city in the American Midwest, where every mission pushes your skills to the limit. Experience the rush of firefighting in stunning visual quality in an intuitive and cooperative multiplayer mode with… If you enjoyed this game, see our list of games similar to Firefighting Simulator: Ignite.
- 76%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, music81% User Score 770 reviewsCritic Score 57%2 reviews
Prison Simulator is an opportunity to play the role of a prison guard! Will you survive your promotion, balancing on a thin line between the satisfaction of the prison management and aggressive and dangerous convicts? If you enjoyed this game, see our list of games similar to Prison Simulator.
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- 77%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:music, stability77% User Score 14,084 reviews
Create your own videos from your parents’ house and start getting your first subscribers, views, and likes. Meet well-known YouTubers, go to the wildest parties, share your life through social media, and deal with your haters. Monetize your content, sign with exclusive networks, and customize your place with the coolest stuff. Grow until you can afford a mansion in outer space! Record gameplays,… If you enjoyed this game, see our list of games similar to Youtubers Life.
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- 77%Game Brain ScoreMost mentioned positive aspects:gameplay, humorMost mentioned negative aspects:optimization, stability77% User Score 1,492 reviews
Build Your Team, Manage Your Garage, and Transform Vehicles from Scratch!Car Service Together is a detailed simulation game with co-op support for up to 4 players, where you manage your garage, repair and modify cars, and maximize customer satisfaction. Realistic Repair and MaintenanceWork on everything from engine failures to brake systems with a detailed repair system. Replace broken parts, dis… If you enjoyed this game, see our list of games similar to Car Service Together.
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- 60%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:optimization, stability64% User Score 1,741 reviewsCritic Score 54%8 reviews
Take control of both your car and your business, transporting passengers across Barcelona while building up your transport empire! After arriving in Barcelona with nothing but a car and a dream, tackle this iconic city’s bustling streets, taking your customers wherever they need to go while offering an impeccable service. You will need to follow the rules of the road, deal with impatient tourist… If you enjoyed this game, see our list of games similar to Taxi Life: A City Driving Simulator.
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- 72%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:stability, optimization72% User Score 1,940 reviewsCritic Score 70%1 reviews
Enhance your bus driving experience by creating your own buses, maps, decals, exterior skins, interior designs, and more with the official Bus Simulator 21 modding kit. Share your mods with your friends and the community via mod.io. We can't wait to see all of your creations. If you enjoyed this game, see our list of games similar to Bus Simulator 21 Next Stop.
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- 60%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization62% User Score 2,438 reviewsCritic Score 54%2 reviews
The Guild 3 is a fascinating trade and life simulation that takes place during the late Middle Ages. Step into the shoes of a citiizen, acquire businesses and mansions, produce goods and trade them, start intrigues in politics and society, love, hate, bribe, fight and live through good and bad times! If you enjoyed this game, see our list of games similar to The Guild 3.
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- 80%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization80% User Score 719 reviews
Update NotesMajor Updates: Enhanced Core and Safety Systems (V 2.2.21.172) New Core Design: Operate a reactor with nine fuel blocks and 72 control rods for increased power output and complexity. Advanced Safety Features: Three-tier resistance banks, improved circulation pumps, and real-time monitoring panels for control rods and fuel blocks. Operational Tasks App: Manage reactor functions remo… If you enjoyed this game, see our list of games similar to Nucleares.
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- 87%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, story87% User Score 1,916 reviews
Become a gunsmith and work in your own workshop! Craft parts and make popular weapons with them. Repair and upgrade weapons in a state of damage. If you enjoyed this game, see our list of games similar to Gunsmith Simulator.
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- 75%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, optimization75% User Score 724 reviews
Model Builder is a game about building and customizing model vehicles. Assemble, customize and display your creations - fill virtual shelves with amazing machines! Whether you’re a veteran or a novice, you are bound to have fun! If you enjoyed this game, see our list of games similar to Model Builder.
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- 75%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:stability, grinding77% User Score 1,790 reviewsCritic Score 71%5 reviews
Build the hotel of your dreams! You’ll welcome guests from all over the world. Use your starting cash to rebuild and furnish as many rooms as possible. Create a place that smacks the golden age, a new exclusive hotel. Get that 5-star review! If you enjoyed this game, see our list of games similar to Hotel Renovator.
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- 67%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, graphics70% User Score 319 reviewsCritic Score 50%1 reviews
Pool Cleaning Simulator will give you the chance to become a one-person pool cleanup company that removes pool contamination, replaces filters, the disinfection and sanitizing of the pool environment in an unusual way! If you enjoyed this game, see our list of games similar to Pool Cleaning Simulator.
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- 83%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, grinding83% User Score 1,716 reviews
Includes Base Game Starter Pack Welome to Amber Isle. Our Deluxe Edition offers you the best pack of items to get your Paleo adventure on the right track! If you enjoyed this game, see our list of games similar to Amber Isle.
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- 48%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, music48% User Score 727 reviews
Autopsy Simulator is a first-person horror-sim hybrid where players take on the role of a practice pathologist and study case files, created in collaboration with real-world forensic doctors, to help guide their dissection of anatomically accurate bodies to determine each subject’s cause of death. If you enjoyed this game, see our list of games similar to Autopsy Simulator.
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- 45%Game Brain ScoreMost mentioned positive aspects:gameplay, optimizationMost mentioned negative aspects:graphics, stability45% User Score 419 reviews
Hairdresser Simulator game has high minimum and recommended system requirements, please read them before purchasing the title.Unleash your creativity with staples of the hairdressing trade – see how much a simple haircut can change a person! Experiment with colors and layering. Don’t forget about haircare – wash hair, shampoo using the best products, dry them and go through the whole hairstyling p… If you enjoyed this game, see our list of games similar to Hairdresser Simulator.
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- 52%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization52% User Score 296 reviews
What is Responding? Responding is an upcoming open-world Emergency Services simulator sandbox that offers a realistic and in-depth Police, Fire, and EMS experience that is set in a fictional version of New York State. In the world of Responding, you, as the player, have complete freedom to engage in pursuits, traffic stops, shootouts, 4th alarm box fires, and much more. Work together with frien… If you enjoyed this game, see our list of games similar to Responding.
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- 44%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:graphics, stability44% User Score 1,452 reviews
Wild West Dynasty: Cowboys, Settlers & Gunslingers! Build your own ranch, provide food and wealth and soon more settlers will join you in your quest for happiness. Will you manage to build a "Wild West Dynasty" or will you end up on the gallows? If you enjoyed this game, see our list of games similar to Wild West Legacy.
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- 64%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:stability, optimization64% User Score 621 reviews
Live the Life is the first person life simulation game focused on the deep player's interaction with the environment. Design your apartment using advanced building features, visit stores to buy furniture, food and clothing you like, and more completely free content coming soon If you enjoyed this game, see our list of games similar to Live the Life.
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- 71%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, grinding71% User Score 1,840 reviews
Survive and colonize Mars in a highly technical, open-world sandbox game. Build and upgrade your base, discover new regions, conduct mining operations, retrieve water, generate oxygen, grow crops, and fix broken parts. If you enjoyed this game, see our list of games similar to Occupy Mars: The Game.
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- 82%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, optimization84% User Score 1,770 reviewsCritic Score 70%1 reviews
Become the ultimate chef in VR! Take control of a highly polished, realistic kitchen equipped with all kinds of utensils and stands. Unlock and master over 80 recipes or use dozens of lifelike ingredients to cook everything you like. A simulator spiced up with a dash of real-life physics! If you enjoyed this game, see our list of games similar to Cooking Simulator VR.
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- 77%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, stability86% User Score 1,071 reviewsCritic Score 56%4 reviews
Bio Inc.: Redemption is a biomedical simulator in which you make life or death decisions. Create the ultimate illness to torment your victim or play as the head of a medical team and hopefully find a cure to save your patient. If you enjoyed this game, see our list of games similar to Bio Inc Redemption.
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- 60%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, stability60% User Score 309 reviews
Have you ever wanted to design and manage your own hotel, motel, resort, or tent? With a ridiculous amount of customisation tools to wield, a host of facilities to build, and a wide variety of guests to impress, Hotel Magnate has it all. Let your inner hotel manager shine! If you enjoyed this game, see our list of games similar to Hotel Magnate.
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- 62%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:optimization, stability62% User Score 274 reviewsCritic Score 60%3 reviews
Dive into the ultimate winter survival experience and see if you can survive long enough for rescue to arrive. If you enjoyed this game, see our list of games similar to Winter Survival.
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- 80%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:optimization, stability80% User Score 536 reviews
KEY FEATURES A blend of supermarket simulator and horror. Strange customers and situations add variety to each playthrough. Three different endings that depend on your choices. Your actions matter: the fates of your customers depend on the decisions you make throughout the game. DAYTIME — ALMOST A NORMAL STORE- Hit your daily sales quota - Restock shelves - Keep the store and surround… If you enjoyed this game, see our list of games similar to HELLMART.
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- 62%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:optimization, stability62% User Score 935 reviews
Embark on the ultimate maritime experience with Seafarer: The Ship Sim. Choose between careers, take the helm of a variety of ships, and expand your fleet. Navigate a vast open world and become immersed in the beautiful expanses and rolling waves. If you enjoyed this game, see our list of games similar to Seafarer: The Ship Sim.
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- 89%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability89% User Score 2,010 reviews
You are a young chef who has been given the task of reviving Le Sequoia, a once famous restaurant in White Ash harbor. Begin your new life in this beautiful seaside town, which was once a thriving tourist destination. Hunt, harvest, and shop for ingredients. Along the way, befriend fascinating locals and help revive the town as a tourist hotspot. Craft your culinary adventure in this opened-ended … If you enjoyed this game, see our list of games similar to Chef RPG.
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- 89%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:optimization, stability90% User Score 15,154 reviewsCritic Score 80%1 reviews
Shadows of Doubt is a detective stealth game set in a fully-simulated neo-noir metropolis. There’s a serial killer on the loose, and it’s up to you to catch them by any means necessary, with... If you enjoyed this game, see our list of games similar to Shadows of Doubt.
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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 null.
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- 91%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization91% User Score 13,427 reviews
Hop on, we’re leaving, and your new life awaits! Paralives is a sandbox life simulation game with a great cast of Townies to meet, as well as a vibrant open-world town to explore and make your own. You will feel right at home, should you choose to embark. What kind of life will you build? Whether you focus on your career, finding love, building a family, or becoming the richest person in town, the… If you enjoyed this game, see our list of games similar to Paralives.
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- 60%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, optimization58% User Score 476 reviewsCritic Score 70%1 reviews
Quit your day job, open a bar! Brew lagers, stouts and IPAs, and serve patrons at your own brewpub. Decorate the place, create your own brands of beer, and expand into the best joint in town. All of this in a relaxing simulator that values creativity and passion for crafting. If you enjoyed this game, see our list of games similar to Brewpub Simulator.
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- 87%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, story87% User Score 3,630 reviews
Save our four-legged friends!Your main goal in Animal Shelter will be to look after, treat, and give shelter to those under your care. You will have plenty of work to do with the shelter, which will become a refuge for any creature in need and will certainly help in finding suitable future owners. Keep in mind that the future owner-pet duo must complement each other. Your main goal? Finding a suit… If you enjoyed this game, see our list of games similar to Animal Shelter.
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- 67%Game Brain ScoreMost mentioned positive aspects:graphics, gameplayMost mentioned negative aspects:optimization, stability67% User Score 722 reviews
Build better, together Hometopia is a seriously satisfying co-op building simulation game that turns players into designers and developers of the best-looking homes in the virtual world. If you enjoyed this game, see our list of games similar to Hometopia.
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- 80%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, grinding84% User Score 920 reviewsCritic Score 76%13 reviews
Create and manage your dream restaurant If you enjoyed this game, see our list of games similar to Chef Life: A Restaurant Simulator.
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