Games like Plague Doctor: Life in Pestilence
Looking for games like Plague Doctor: Life in Pestilence? Here are top open world management recommendations with a economy, medieval and historical focus, selected from player-similarity data — start with Veyora, Nested Lands or The Last Plague: Blight.
- 50%Game Brain Score50% User Score 27 reviews
Veyora is a medieval open-world RPG with survival and farming elements, created by a solo developer. Choose your place, build a farm, home or base, explore the world, and play alone or together with friends. If you enjoyed this game, see our list of games similar to Veyora.
View Game


- 71%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, grinding71% User Score 224 reviews
Nested Lands is a ruthless medieval RPG game featuring in-depth village building, large-scale social management and combats. Gather survivors, build a settlement, craft, master your skills, survive, and endure alone or in online co-op. If you enjoyed this game, see our list of games similar to Nested Lands.
View Game


- 88%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:grinding, stability88% User Score 700 reviews
Endure an authentic survival experience unlike any other in The Last Plague: Blight. Carefully tend to your well-being, brave countless threats, and overcome daunting challenges within a disease-ridden procedurally generated open world. Delve into the heart of the Blight and bring it to an end. An obscure disease known as the Blight has descended upon the land. Barely escaping its devastating effe… If you enjoyed this game, see our list of games similar to The Last Plague: Blight.
View Game


Peasant Simulator is an open-ended medieval sandbox. How will you survive and thrive? As serf or leige, smith, trade, farm, build, or conquer your way to fortune, glory, and a prospering medieval kingdom. Venture forth from forest or town, collecting or earning resources and securing for yourself a lodging to call home. From there, improve your constructions, equipment, and weaponry - graduall… If you enjoyed this game, see our list of games similar to Peasant Simulator.
View Game


- 89%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:grinding, stability89% User Score 9,205 reviews
You are an innkeeper, on a journey to transform a run-down inn into a bustling social space. Brew your own beer, run a farm, explore the world, and build relationships with your customers to create your own fantasy tavern! If you enjoyed this game, see our list of games similar to Travellers Rest.
View Game


Build your own empire in the world of the mafia! In Mafia Life Simulator, take control of everything from marijuana farms to weapon factories, money laundering centers to drug networks. Become the undisputed leader of the region with your gang and make your name known in the world of crime. If you enjoyed this game, see our list of games similar to Mafia Life Simulator.
View Game


Choose from professions like Smith, Preacher or Alchemist to gain riches in this medieval economic simulation. Climb the social ladder, dominate politics, and lead your dynasty to power over multiple generations to ensure your legacy. If you enjoyed this game, see our list of games similar to The Guild - Europa 1410.
View Game


Blacksmith Simulator Co-Op is a unique survival simulation game that takes you to the harsh world of the Middle Ages. Whether playing alone or with friends, you must keep your character alive and overcome challenges such as hunger and thirst. In this game, where you can only build on your base area, you can gather wood and ores from the environment to upgrade both your character and your base. … If you enjoyed this game, see our list of games similar to Blacksmith Simulator.
View Game


- 68%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding68% User Score 93 reviews
You and your crew have been shipwrecked on a tropical island in the late 1600s. At the beginning of the adventure, you find yourself with only a few basic supplies, including ropes, sticks, and stones. Set Up Your Camp and Expand: Gather resources on islands and seas. Build new Buildings. Grow your pirate camp by building buildings like Carpenter, Blacksmith etc. Survive with your crew: As the c… If you enjoyed this game, see our list of games similar to Pirates Journey.
View Game


Embark on a heart-pounding journey in this survival open-world game, where a relentless creature, Humanoids prowls the landscape. Explore, craft, build, and fight for your life as you navigate the dangerous world. Explore Unknown World Join on an enchanting adventure through a captivating, open-world with stunning land and underwater creatures. Unearth hidden secrets, discover new plants, and col… If you enjoyed this game, see our list of games similar to Humanoid.
View Game


- 7%Game Brain ScoreMost mentioned negative aspects:gameplay, optimization10% User Score 20 reviews
Brewmastery is an innkeper & beer brewery simulator. Build your own brewery and revive the old Tavern. Develop your territory, grow ingredients and try different recipes in a realistic brewing process. Tavern guests can tell you stories & give tasks. And don't forget to pull apart drunk Orcs! If you enjoyed this game, see our list of games similar to Brewmastery: Tavern Simulator.
View Game


- 76%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization76% User Score 471 reviews
After returning from war you claim your inheritance: Greenwood—a neglected realm on the brink of collapse. As its new Lord, you must guide your kingdom to greatness, not from a distant throne, but by walking its cobbled streets and verdant fields. In this third-person kingdom builder, you must raise your realm from rubble with a builder’s touch—every hall, heath, and castle wall crafted to your de… If you enjoyed this game, see our list of games similar to Noble Legacy.
View Game


- 76%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:optimization, grinding76% User Score 2,999 reviews
Experience Sengoku Dynasty in legendary style and build your dynasty to its fullest. The Sakura Edition includes the main game and the Sakura DLC If you enjoyed this game, see our list of games similar to Sengoku Dynasty.
View Game


- 70%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:grinding, gameplay70% User Score 227 reviews
Magisterium: Fantasy Craft is a third-person single and co-op medieval fantasy life simulator with survival and RPG elements. In Fantasy Craft you take a part of the main character who lost his father and had to move to his uncle to the village of Lovelydale to start a new adult life. Learn all the crafts and become a master in alchemy, potion-making, blacksmithing, carpentry, hunting, fishing, … If you enjoyed this game, see our list of games similar to Magisterium: Fantasy Craft.
View Game


- 81%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability89% User Score 21,371 reviewsCritic Score 74%10 reviews
Experience the blood and dirt of the Middle Ages in a realistic 3D Open World in "MEDIEVAL DYNASTY". If you enjoyed this game, see our list of games similar to Medieval Dynasty.
View Game


- 63%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, replayability62% User Score 676 reviewsCritic Score 65%6 reviews
Norse adventure in open world Vikings action survival RPG. Your path to Asgard! If you enjoyed this game, see our list of games similar to Niffelheim.
View Game


- 57%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, story57% User Score 115 reviews
Vantage is a Primitive Survival Game. Your main objective is simple... to stay alive! You explore the massive world searching for food, creating primitive tools and weapons to create, hunt, and craft other items to make your life easier. If you enjoyed this game, see our list of games similar to Vantage: Primitive Survival Game.
View Game


Omnivael: Chronicles of the RealmA note on our journey: Free to play. Omnivael: Chronicles of the Realm is free on Steam so as many players as possible can live in the world while we harden core systems — economy, NPC life, property, dynasty, and combat — that power this game and future Elder World titles. Optional in-game purchases and merch at The Omnivael Store support development; nothing so… If you enjoyed this game, see our list of games similar to Omnivael: Chronicles of the realm.
View Game


- 24%Game Brain Score24% User Score 605 reviews
Explore a dangerous open world, loot abandoned places, build your shelter, produce food, and manage your resources. Survive alone or in co-op against zombies, hostile humans, and the growing dangers that come with the fog. If you enjoyed this game, see our list of games similar to THE DEAD WE KNEW: Open World Survival.
View Game


Deep in the mountains lies a remote village long abandoned and left to decay. You arrive alone in the ruins of a once-inhabited settlement, determined to bring it back to life. Cut trees, mine ore, till the soil, cook meals, build facilities— slowly restoring the essential functions of a living village. This game is a crafting × farming × life-sim × defense experience where you rebuild a collapse… If you enjoyed this game, see our list of games similar to GENKAI SHURAKU.
View Game


Alpine Rush is an open-world survival racing RPG set across the mountain roads and backstreets of late 1990's Japan - where JDM culture is a way of life and every car tells a story of the driver who built it. Explore a living alpine world by day and night: touge switchbacks, rain-soaked city streets, forestry trails and remote mountain passes. Every drive matters - tires wear and overheat, engines… If you enjoyed this game, see our list of games similar to Alpine Rush.
View Game


The Golden Horde: Survival takes you to the brutal and mysterious 13th century, where the mighty Golden Horde rises to power. Break free from slavery, survive, build your own settlement and lead a rebellion in a world where real history intertwines with elements of fantasy. If you enjoyed this game, see our list of games similar to The Golden Horde: Survival.
View Game


Survive and build your base on floating islands in a world transformed by chaos magic. Explore, gather resources, and construct your own flying ship to travel between islands. If you enjoyed this game, see our list of games similar to Antiria.
View Game


A Viking first-person and strategy game. Claim territory, expand settlements, raise warriors, and grow your economy in turn-based KINGDOM mode before leading brutal raids into enemy lands to CONQUER. If you enjoyed this game, see our list of games similar to Kingdom Conquer.
View Game


Sandbox Apocalypse is a 3rd person view, open world post-apocalyptic survial game where you are responsible for your own fate. Survive in a world inhabited by zombies, gather loot, build your base and explore the world. This is a game developed by me (Ben). The game is currently under development and available in an early access version in order to gather feedback from the community. You can cle… If you enjoyed this game, see our list of games similar to Sandbox Apocalypse.
View Game


In Antidotera, you step into the shoes of researcher enlisted by the government to tackle a global health crisis. A deadly epidemic is haunting the population, and finding a cure is up to you. Sent to a mysterious, resource-rich island, you must explore its untamed wilderness to discover and harness the natural ingredients needed to develop powerful potions and medicines. The island, long abandon… If you enjoyed this game, see our list of games similar to Antidotera.
View Game


- 0%Game Brain ScoreMost mentioned negative aspects:stability0% User Score 3 reviews
Welcome to E-TECH Simulator, the ULTIMATE simulation game where your entrepreneurial skills will be put to the test! Step into the shoes of a savvy shop owner determined to build the most successful tech retail business in town. In this exciting journey, you'll need to upgrade your shop, sell cutting-edge E-TECH products, and add stylish decorations to create the perfect shopping environment for … If you enjoyed this game, see our list of games similar to E-TECH SIMULATOR.
View Game


Embark on an epic journey in "Echo In The Wild Online, " a multiplayer survival game that immerses players in a rich and dynamic world teeming with challenges and discoveries. Set in untamed realms, the game invites you to explore, conquer, and shape the destiny of diverse frontiers.Uncharted Realms: Explore vast and diverse landscapes, from wild forests to desolate mines, each presenting unique c… If you enjoyed this game, see our list of games similar to Echo Of The Wild Online.
View Game


- 56%Game Brain Score56% User Score 7 reviews
beta decay is a dark, dystopian RPG where you can build spaceships, join factions, and fight for territory in a newly discovered star system. Become an engineer repairing starships, a mech pilot commanding war machines, to a syndicate leader, executing raids deep within a labyrinthic neon city. If you enjoyed this game, see our list of games similar to beta decay.
View Game


- 44%Game Brain ScoreMost mentioned negative aspects:stability73% User Score 11 reviews
Primage – a unique blend of survival, RPG, and strategic managementExplore a procedurally generated world set in the Stone Age. Develop your settlement, craft tools, fight for survival, and shape your character in a world full of challenges.Game World– Infinite, procedurally generated terrain with diverse biomes: forests, swamps, deserts, mountains, caves, and water areas – Dynamic day and night… If you enjoyed this game, see our list of games similar to Primage.
View Game


Welcome to the uncertain world of The Lost, an immersive survival game where your instincts will be your greatest asset. Stranded in a vast, lost world of wilderness, you must navigate through diverse landscapes, endure harsh weather conditions, and outsmart the relentless challenges nature throws your way. You are stranded, lost on an island. After surviving an aerial bombing on board the ISS … If you enjoyed this game, see our list of games similar to The Lost.
View Game


"Unsheltered" is a realistic survival simulation game set in a secluded, forested area. As a player, you take on the role of a survivalist, using your wits and resources to endure and thrive. The game emphasizes resource management, crafting, trading, and skill-building, as you navigate the challenges of an unsheltered wilderness. You'll need to gather materials for food, shelter, a… If you enjoyed this game, see our list of games similar to Unsheltered.
View Game


- 93%Game Brain ScoreMost mentioned positive aspects:story, graphicsMost mentioned negative aspects:stability, grinding93% User Score 72,685 reviews
Dive into uncharted waters in Subnautica 2, the hotly-anticipated sequel to Subnautica and Subnautica: Below Zero. Adventure alone or with friends as you try to survive on an all-new mysterious alien planet. If you enjoyed this game, see our list of games similar to Subnautica 2.
View Game


Legends of Aria Eternal is a living sandbox MMORPG where every player’s actions shape the world. Built on the powerful Shards Engine, every creature, object, and city is part of a persistent simulation that responds to your choices. The danger is real, the loot is full, and the story is yours to write. Forge alliances, wage wars, build thriving towns, or carve out a solitary life on the fringes. … If you enjoyed this game, see our list of games similar to Legends of Aria Eternal.
View Game


- 90%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:stability, optimization90% User Score 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.
View Game


- 55%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, optimization55% User Score 6,754 reviews
PLAY PAX DEI NOW! Begin your adventure into the world of Pax Dei. Use the public crafting stations to build your first tools and gear. Explore the wilds, battle enemies for Gold and loot, and trade, or fight, with other players. Accumulate Grace to perform Miracles and claim your own Plot of land inside the game. Welcome to our world. Includes: - Game access - 2x Character Slots - 1 Plot Token* … If you enjoyed this game, see our list of games similar to Pax Dei.
View Game


- 58%Game Brain ScoreMost mentioned positive aspects:graphics, storyMost mentioned negative aspects:gameplay, optimization61% User Score 46 reviews
Welcome to Biztopia! A unique trade city full of business and opportunities awaits you! Start with a small order, build your own world of commerce, and either go solo or team up with your friends to discover the next big entrepreneurial ventures! If you enjoyed this game, see our list of games similar to Biztopia.
View Game


- 56%Game Brain ScoreMost mentioned positive aspects:humor, atmosphereMost mentioned negative aspects:story, stability56% User Score 162 reviews
You are the king of the neighborhood, but one day you come home and catch your wife cheating with Dennis - the local thug. You want to do something about it but he is too strong and knocks you out. You wake up in the hospital with divorce papers, and after 6 months spent on the street, you are addicted to alcohol and drugs, left with nothing. Get into the gloomy and neglected atmosphere of an urb… If you enjoyed this game, see our list of games similar to Bum: Revenge.
View Game


- 73%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:optimization, stability73% User Score 46,927 reviews
Unreal Drone Racing is an arcade style racing game with drones... and lasers! If you enjoyed this game, see our list of games similar to SCUM.
View Game


- 83%Game Brain ScoreMost mentioned positive aspects:humor, optimizationMost mentioned negative aspects:story, gameplay83% User Score 60 reviews
Transform an abandoned island into a thriving business. Install fun activities, open your restaurant, maintain your equipment, manage your staff. It's time to open the beach, you're ready to welcome your first customers! If you enjoyed this game, see our list of games similar to Tropical Resort Simulator.
View Game


- 63%Game Brain ScoreMost mentioned positive aspects:gameplay, storyMost mentioned negative aspects:stability, optimization63% User Score 262 reviews
Thrive: Heavy Lies the Crown is a complex city builder, where the fate of your kingdom hinges on your every decision. Explore this medieval land alone or with friends, make tough moral choices and conquer your foes in RTS combat. Will you struggle to survive, or find the strength to Thrive? If you enjoyed this game, see our list of games similar to Thrive: Heavy Lies The Crown.
View Game


- 88%Game Brain ScoreMost mentioned positive aspects:gameplay, musicMost mentioned negative aspects:optimization, story88% User Score 304 reviews
Cozy Italian Vacation Cafe ️ No timers, No stress cook traditional dishes upgrade and customize just drink Prosecco relax and grow your dream cafe ✨ If you enjoyed this game, see our list of games similar to Vacation Cafe Simulator.
View Game


- 86%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:stability, optimization87% User Score 176,320 reviewsCritic Score 83%6 reviews
Sent to find a missing billionaire on a remote island, you find yourself in a cannibal-infested hellscape. Craft, build, and struggle to survive, alone or with friends, in this terrifying new open-world survival horror simulator. If you enjoyed this game, see our list of games similar to Sons Of The Forest.
View Game


- 95%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, stability95% User Score 1,731 reviews
This is the free version of the game "Ale & Tale Tavern". Get ready for a thrilling mix of genres: a cooperative, first-person, open-world fantasy tavern simulator, action, fishing, hunting, exploration, and completing fun and diverse quests. And, of course, COOKING! If you enjoyed this game, see our list of games similar to Ale & Tale Tavern: First Pints.
View Game


- 69%Game Brain ScoreMost mentioned positive aspects:story, musicMost mentioned negative aspects:graphics, gameplay69% User Score 104 reviews
Carth is a survival rpg that brings an enormous open world map to explore. The open world on Carth is filled with dozens of unique enemies, legendary items, scores of towns, and truly beautiful scenery. Carth is meant for long time game play with heavy focus on survival, building, crafting, and the freedom to do what you want. Players shall be able to host their own public or private servers or go… If you enjoyed this game, see our list of games similar to Carth.
View Game


- 81%Game Brain ScoreMost mentioned positive aspects:story, gameplayMost mentioned negative aspects:grinding, stability81% User Score 403 reviews
Move to Little London, a cosy 2D life sim where you fall for the locals, design your dream home, and build a life your way. Play solo or with up to 4 friends in online co-op. Chase your dreams and turn a little city into a place you can call home. If you enjoyed this game, see our list of games similar to Little Sim World.
View Game


- 89%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, optimization89% User Score 264 reviews
Pathless Woods is a sandbox-style game that features exploration, construction, and farming. Travel freely across this land and venture into its mystery. Build a homeland that only existed in your imagination while enjoying productive activities such as farming, logging, hunting and brewing. If you enjoyed this game, see our list of games similar to Pathless Woods.
View Game


- 78%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:grinding, stability80% User Score 6,376 reviewsCritic Score 70%1 reviews
Lay claim to unspoiled lands and pave the way for a fierce Viking tribe. Craft the ultimate settlement solo or together with up to x3 friends. Trust in the Gods and the power of the Eye of Odin and summon intelligent NPC villagers to provide camaraderie and relief from the toils of survival. In ASKA, strive to build a self-sustaining Viking tribe, working, crafting, hunting and fighting together.… If you enjoyed this game, see our list of games similar to Aska.
View Game


- 87%Game Brain ScoreMost mentioned positive aspects:gameplay, musicMost mentioned negative aspects:grinding, story87% User Score 888 reviews
Old Market Simulator is a 1-4 player co-op game where you manage your market by ordering goods, growing produce, raising animals, fishing, and crafting items in your workshop, while hiring employees and expanding your business. If you enjoyed this game, see our list of games similar to Old Market Simulator.
View Game


- 86%Game Brain ScoreMost mentioned positive aspects:gameplay, graphicsMost mentioned negative aspects:story, music86% User Score 57 reviews
Master the art of alchemy in Potion Shop Simulator, a unique blend of simulation and strategy. Brew potions, manage your shop, and cater to a magical clientele in a single-player or co-op experience of the medieval fantasy world. If you enjoyed this game, see our list of games similar to Potion Shop Simulator.
View Game




















































