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Games like Paramedics! - EMS Simulator

Games like Paramedics! - EMS Simulator

Games like Paramedics! - EMS Simulator

Looking for games like Paramedics! - EMS Simulator? Here are top open world management recommendations, selected from player-similarity data — start with Railroader, Into The Flames or The Boss Gangster: Criminal Empire.

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  1. View Game
    98%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:grinding, stability
    98% User Score Based on 3,388 reviews

    Experience the romance of the transition era as you take the reins of vintage locomotives, master intricate operations, and witness the beauty of a bygone era brought to life. Railroader is an operations-focused railroad simulator set in transition era Appalachia. Manage and run your railroad to your desire while using period steam and diesel locomotives and rolling stock.Trains with Purpose in a… If you enjoyed this game, see our list of games similar to Railroader.

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  3. 83%Game Brain Score
    Most mentioned positive aspects:gameplay, atmosphere
    Most mentioned negative aspects:story, graphics
    83% User Score Based on 195 reviews

    Run your nightclub. Lead your gang. Rule the city. In The Boss Gangsters: Nightlife, you’ll balance a glamorous nightlife business with brutal street power. Manage VIPs, fight rival mafias, and outsmart the corrupt police in a city where every decision matters. Welcome to The Boss Gangsters Nightlife! This unique game offers you the perfect opportunity to delve into the depths of both the business… If you enjoyed this game, see our list of games similar to The Boss Gangster: Criminal Empire.

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  4. 64%Game Brain Score
    Most mentioned positive aspects:graphics
    Most mentioned negative aspects:gameplay, optimization
    64% User Score Based on 77 reviews

    Run a General Store in the Wild West. Customize and expand your shop. Make sure that your customers’ constantly changing needs are satisfied. Work every job yourself or let your employees stack the shelves and work the till. Find out what it feels like to own a Wild West Supermarket. If you enjoyed this game, see our list of games similar to Wild West Supermarket Simulator.

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  5. 86%Game Brain Score
    Most mentioned positive aspects:gameplay, optimization
    Most mentioned negative aspects:story, stability
    86% User Score Based on 808 reviews

    Build your own base and take command of firefighting, police, EMS, and SWAT operations. Thanks to real map data, you can play right in your hometown - or anywhere in the world! Manage your fleet, hire staff, and take on a variety of authentic operations. In which city are you taking command? If you enjoyed this game, see our list of games similar to Global Rescue.

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  6. 75%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:monetization, music
    89% User Score Based on 2,775 reviews
    Critic Score 6%Based on 1 reviews

    Manage the emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, terrain and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day! If you enjoyed this game, see our list of games similar to 112 Operator.

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  7. 82%Game Brain Score
    Most mentioned positive aspects:story, graphics
    Most mentioned negative aspects:stability, replayability
    82% User Score Based on 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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  8. 86%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, music
    86% User Score Based on 171 reviews

    Step into the critical role of a baggage security operative in Airport X-Ray Simulator. As part of the backbone of airport security, you are the last line of defense against prohibited or illegal items making their way onto an aircraft or into the airport. If you enjoyed this game, see our list of games similar to Airport X-Ray Simulator.

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  9. View Game
    81%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:stability, music
    81% User Score Based on 524 reviews

    Make a living for yourself in a city full of opportunity while you meet a variety of locals, explore unique locations, and work your way to the top in this open-world life simulator. Features EARN A LIVINGApply for a job at one of the local businesses to make a steady income, pick up a side hustle to get paid on the go, or help out the locals for some extra cash. TAKE A BREAKPick out a new ride at… If you enjoyed this game, see our list of games similar to Denizen.

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  10. 75%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    75% User Score Based on 216 reviews

    Northern Lights is a first-person survival experience in which you step into the shoes of a ranger, sent on a Siberian island to investigate the disappearance of the crew in charge with a secret facility, whose contact with homeland was lost due to abnormal weather conditions. If you enjoyed this game, see our list of games similar to Northern Lights.

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  11. 76%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:grinding, optimization
    75% User Score Based on 459 reviews
    Critic Score 80%Based on 1 reviews

    Dinosaur Fossil Hunter is a storytelling simulator where you live a real paleontologist's life. Explore different lands, search, uncover and study uncovered fossils, and prepare the skeletons to build your own museum. You will learn many interesting facts about these extinct creatures that walked the Earth millions of years ago. Features: Drive off-road vehicles in locations inspired by U.S. lands… If you enjoyed this game, see our list of games similar to Dinosaur Fossil Hunter.

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  12. 83%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:story, stability
    83% User Score Based on 10,706 reviews

    Flashing Lights is a multiplayer emergency services simulator focusing on firefighters, police and emergency medical services. If you enjoyed this game, see our list of games similar to Flashing Lights - Police Fire EMS.

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  13. View Game
    73%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, grinding
    73% User Score Based on 426 reviews

    Build, cable, and automate. Assemble racks, servers, and switches, connect enough capacity for each app, earn money from processed data, and unlock gear and bigger customers with XP and reputation. Follow colored data packets as your center comes to life. If you enjoyed this game, see our list of games similar to Data Center.

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  14. 30%Game Brain Score
    Most mentioned positive aspects:gameplay
    Most mentioned negative aspects:story, stability
    33% User Score Based on 42 reviews

    In the world of Web Host Simulator, you'll establish a web hosting company from your small apartment, aiming to become the leading hosting service provider. But success requires more than attracting customers; you must also handle challenges like cyberattacks, outages and others events! Key Features Different types of product for sale: VPS, Dedicated server and more coming soon; Different t… If you enjoyed this game, see our list of games similar to Web Host Simulator.

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  15. View Game
    97%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, optimization
    97% User Score Based on 1,068 reviews

    The Songs have fallen silent and the world lies in ruin, lost to madness and despair. But within the high walls of Eren Keep, life persists – held together by unbreakable will and the iron fist of the Masked King, ruler and tyrant, savior and messiah. As the swordsmith of Eren Keep, you turn steel into something more precious than gold. Customers come with coin in their hands and demands on their … If you enjoyed this game, see our list of games similar to Bladesong.

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  16. 50%Game Brain Score
    Most mentioned positive aspects:optimization
    Most mentioned negative aspects:gameplay, graphics
    71% User Score Based on 21 reviews

    From a Small Shop to a Tech Retail GiantStart with a modest store and transform it into a true temple of electronics. Expand your assortment, unlock new gadgets, and make sure customers always find what they’re looking for – from smartphones and laptops to the best hardware available on the market. Full Shelves, Happy CustomersKeep track of stock, order goods, set prices, and follow the latest tr… If you enjoyed this game, see our list of games similar to Electronics Store Simulator.

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  17. View Game
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  18. View Game
    90%Game Brain Score
    Most mentioned positive aspects:graphics, optimization
    Most mentioned negative aspects:gameplay, music
    90% User Score Based on 196 reviews

    Archean is an immersive Engineering Sandbox and Space Sim. The only tech tree is the one in your head. Archean simulates aerodynamics, orbital mechanics, fluids and electricity from the actual shape and wiring of your builds, then hands you an in-game programming language and gets out of your way. No unlocks, no invisible stats doing the work. If your plane flies, it's because you built a plane … If you enjoyed this game, see our list of games similar to Archean.

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  19. 91%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:optimization, music
    91% User Score Based on 418 reviews

    Get behind the wheels of classic Russian locomotives and check if the wild animals, bad people, severe frosts and constantly changing weather are able to stop you. Try to survive in the longest railway line in the world! If you enjoyed this game, see our list of games similar to Trans-Siberian Railway Simulator.

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  20. 88%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:grinding, stability
    96% User Score Based on 43,956 reviews
    Critic Score 78%Based on 7 reviews

    You are sent on an hostile planet with one mission: Make it habitable for Humans. You'll have to survive, collect ressources, build your base and machines in order to heat the planet, create an atmosphere with oxygen and eventually geo-engineer an entire planet. If you enjoyed this game, see our list of games similar to Planet Crafter.

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  21. View Game
    66%Game Brain Score
    Most mentioned positive aspects:story, graphics
    Most mentioned negative aspects:stability, optimization
    66% User Score Based on 1,593 reviews

    Experience the thrill of navigating a wide range of ships. In single- and multiplayer modes, immerse yourself in tasks such as service, cargo transport, and commercial fishing as you explore the breathtaking open world of Norway´s Islands and its stunning scenery. The ocean is within your reach! Features Cargo: Take charge as a cargo transporter, loading and unloading goods and navigating across d… If you enjoyed this game, see our list of games similar to Ships At Sea.

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  22. 91%Game Brain Score
    Most mentioned positive aspects:story, atmosphere
    Most mentioned negative aspects:monetization, gameplay
    91% User Score Based on 190 reviews

    Choose one of three game modes: develop a legitimate career as a train driver, fight for survival at all costs, or take a job for the Soviet mafia and discover the dark story of the railway underworld. Immerse yourself in the grim realities of the late '80s, where a powerful locomotive is your home, means of transport, and tool for earning money. Key Game Features: Simulation of the iconic VL1… If you enjoyed this game, see our list of games similar to Trans-Siberian Railway Simulator: Prologue.

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  23. View Game
    52%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, optimization
    52% User Score Based on 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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  24. 97%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    97% User Score Based on 2,415 reviews

    A unique artist sim game with realistic paint mixing, physics and numerous painting tools. Upgrade and customize your studio, complete tasks, sell and expose art, buy instruments and get famous! If you enjoyed this game, see our list of games similar to SuchArt: Genius Artist Simulator.

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  25. 81%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, grinding
    81% User Score Based on 1,285 reviews

    Your quintessential construction simulator is here. Take a dodgy loan, restore a property, move in the locals, attend to their grievances, then celebrate with a pint in this fully-simulated, open-world 1980's Britain. If you enjoyed this game, see our list of games similar to Landlord's Super.

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  26. 76%Game Brain Score
    Most mentioned positive aspects:gameplay, humor
    Most mentioned negative aspects:story, replayability
    76% User Score Based on 198 reviews

    Delivery INC is a fast-paced time management game where you’ll be challenged with quick decision making and planning. Build a fleet of vehicles and drivers. Pick up deliveries and drop them off as quickly as possible. Put your logic and delivery skills to the test in any real-world city. If you enjoyed this game, see our list of games similar to Delivery INC.

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  27. View Game
  28. 90%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, grinding
    96% User Score Based on 24,458 reviews
    Critic Score 60%Based on 1 reviews

    Work your way to service empire. Get your hands dirty in highly realistic simulation game with great attention to details. Pay a visit to a new Auction house and buy cars in various condition. Expand your range of services by investing in new work space and equipment. If you enjoyed this game, see our list of games similar to Car Mechanic Simulator 2021.

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  29. 70%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, music
    75% User Score Based on 1,229 reviews
    Critic Score 59%Based on 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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  30. 96%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, grinding
    96% User Score Based on 6,007 reviews

    Next-gen train simulation made for VR. Drive a train with your own hands. Plan your route and reposition rolling stock on time - unless, of course, you derail off a cliff! If you enjoyed this game, see our list of games similar to Derail Valley.

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  31. 94%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:grinding, optimization
    94% User Score Based on 5,607 reviews

    Enjoy realistic driving in the open world. Relaxing cargo deliveries or driving buses and taxes will give you enough money to buy new cars and parts. You can test your driving skills at the race track. It's all about pure driving pleasure! If you enjoyed this game, see our list of games similar to Motor Town: Behind The Wheel.

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  32. 78%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, replayability
    82% User Score Based on 1,629 reviews
    Critic Score 71%Based on 5 reviews

    In Mars Horizon the player is tasked with leading a major space agency from the dawn of the space age though to humanity's journey to Mars. Players run a government space agency from when the first rockets launched into the atmosphere, right through to the first crewed mission to Mars. Research new tech, expand your agency base, build rockets, send satellites into orbit, and launch a variety of mi… If you enjoyed this game, see our list of games similar to Mars Horizon.

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  33. 73%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, graphics
    73% User Score Based on 338 reviews

    Car Trader Simulator lets you live the life of a car dealer – wheeling and dealing in used automobiles. Build a car trading business from scratch and expand into a fledging empire. Find the best deals, win auctions, advertise and sell your cars. But most importantly - take care of your reputation! If you enjoyed this game, see our list of games similar to Car Trader Simulator.

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  34. 95%Game Brain Score
    Most mentioned positive aspects:gameplay, music
    Most mentioned negative aspects:grinding, replayability
    95% User Score Based on 1,622 reviews

    Built from the ground up, Rock Life is the next generation of immersion and simulations. Live, do, and experience what it is like to truly become one with nature... as a rock! If you enjoyed this game, see our list of games similar to Rock Life: The Rock Simulator.

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  35. 80%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    84% User Score Based on 890 reviews
    Critic Score 60%Based on 1 reviews

    Life of a farmer is filled with stench, filth and hard work. Kashmir is an old bachelor, farmer and an alcoholic.... Help him survive as long as possible in the middle of east-european nowhere. Your life rhythm will be determined by seasons, wildlife will threaten your life and the land will be hard to work with. If you enjoyed this game, see our list of games similar to Farmer's Life.

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  36. 93%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:grinding, stability
    93% User Score Based on 7,690 reviews

    Big Ambitions is a revolutionary role-playing business sim. Go from nothing to the biggest entrepreneur in New York by opening small businesses or slowly building huge corporations any way you like. If you enjoyed this game, see our list of games similar to Big Ambitions.

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  37. 77%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, stability
    86% User Score Based on 1,071 reviews
    Critic Score 56%Based on 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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  38. View Game
    64%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:story, grinding
    64% User Score Based on 322 reviews

    Take the role of a god who guides humanity by issuing commandments. The game is centered on surviving and expressing yourself by creating a religion you find compelling. Start writing and lead your people into the future! If you enjoyed this game, see our list of games similar to Crest.

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  39. 84%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:grinding, stability
    88% User Score Based on 10,378 reviews
    Critic Score 65%Based on 1 reviews

    911 Operator is a game about the difficult work of people that manage emergency lines and services. Main task is to answer incoming calls and to react properly - give first aid instructions, advise, dispatch correct number of firemen / police / ambulances, or sometimes just ignore the call. If you enjoyed this game, see our list of games similar to 911 Operator.

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  40. Investigate the World's Most Famous MysteryLegend of Loch Ness is a first-person open-world mystery exploration and investigation game set on the legendary waters of Loch Ness and the Scottish Highlands. Explore a vast recreation of Loch Ness as you track sightings, gather evidence, photograph unexplained phenomena, deploy scientific equipment, and uncover secrets hidden beneath the loch's dark w… If you enjoyed this game, see our list of games similar to The Legend of Loch Ness.

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  41.  The GameYou’re not a firefighter, but you’ve always wanted to experience the intensity of a real emergency medical response? Pompiers Simulator puts you in the shoes of a first responder, right in the heart of rescue missions, in a simulation created by actual firefighters. No random gestures or unrealistic mechanics here: every action is based on the real-life protocols used by French firefight… If you enjoyed this game, see our list of games similar to Pompiers Simulator.

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  42. This is a simulation game where you will be able to build computers and design the interior of your home or office. At the moment, many core mechanics are not yet implemented, but we will continue to improve and expand the game over time. If you enjoyed this game, see our list of games similar to + PC Maker.

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  43. 98%Game Brain Score
    Most mentioned positive aspects:graphics, optimization
    Most mentioned negative aspects:story, replayability
    98% User Score Based on 795 reviews

    HOP ON OPERATOR'S CABIN!Start your journey along Coastal Hayamori Railway and Rural Kofuku Railway. both routes have distinct operational pattern and characteristic. Make sure that your passengers get from station to station safely! EASY TO LEARN / HARD TO MASTER!Love the challenge? turn on HARD-MODE, or NO-UI, or even NO-SPEEDOMETER mode for extra score! FREE MODE!Tired of driving and got punis… If you enjoyed this game, see our list of games similar to RUNNING TRAIN | 走ル列車!.

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  44. 92%Game Brain Score
    Most mentioned positive aspects:gameplay, humor
    Most mentioned negative aspects:story, grinding
    92% User Score Based on 170 reviews

    Weed Supermarket Simulator is a chill first-person simulation game where you run your own weed store. Open and manage your shop as you sell weed, bongs, and other smoking gear. Set up shelves, display cases, and counters to make shopping easy and fun for all kinds of customers. Grow your own weed from seed to harvest. Build a grow room, plant seeds, and take care of your plants. Upgrade and im… If you enjoyed this game, see our list of games similar to Weed Supermarket Simulator.

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  45. 72%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, stability
    72% User Score Based on 253 reviews

    Welcome to Winston Springs, Officer! The local police station is in urgent need of a Chief of Police, and you’ve been chosen for the job! Handle incoming reports, renovate and expand the station, solve cases, and fight crime! If you enjoyed this game, see our list of games similar to Police Chief Simulator.

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  46. 86%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:music, stability
    86% User Score Based on 183 reviews

    Roadmap About the Game Rest Area Simulator can be enjoyed solo or with up to 4 friends. Share tasks, manage different businesses, and tackle crises together. Good coordination will take your operations to the next level! Operate your facility in various weather conditions such as clear skies, fog, and storms. ️ Your facility opens in the morning, visitors arrive throughout the day, … If you enjoyed this game, see our list of games similar to Rest Area Simulator.

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  47. 96%Game Brain Score
    Most mentioned positive aspects:story, music
    Most mentioned negative aspects:gameplay, stability
    100% User Score Based on 47 reviews

    Save the city from chaos! In the game, the player takes on the role of a helicopter pilot fulfilling objectives transmitted by the operations center. If you enjoyed this game, see our list of games similar to SKYSAVIOR Helicopter Services.

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  48. 36%Game Brain Score
    Most mentioned negative aspects:gameplay, story
    39% User Score Based on 44 reviews

    Step into the role of a doctor in a chaotic emergency room, where every second can mean the difference between life and death. Explore a richly detailed hospital environment with authentic medical equipment, from first response in the trauma bay to bedside patient care. From Symptom to Diagnosis: Visual exams, CT scans, X-rays, ultrasounds, ECGs, blood tests - run the right tests to confirm your … If you enjoyed this game, see our list of games similar to Emergency Room Simulator.

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  49. View Game
    90%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, optimization
    90% User Score Based on 8,667 reviews

    VEIN is a post-apocalyptic survival multiplayer sandbox game. Gather supplies to survive, explore abandoned buildings, defend your home, and rebuild society, whether alone or with friends. Game is currently in around the clock development and will include bugs and potential room for improvement If you enjoyed this game, see our list of games similar to VEIN.

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  50. 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.

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