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Games like Plague Doctor: Life in Pestilence

Games like Plague Doctor: Life in Pestilence

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 Eclipse Hollow, The Economic West or Car For Sale Together.

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  1. Survive among a goblin tribe that rescued you but now demands repayment. Craft goods, fulfill requests, and rebuild your place in a harsh world. An adult dark fantasy RPG focused on vulnerability, progression, and earning trust through work and persistence. If you enjoyed this game, see our list of games similar to Eclipse Hollow.

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  2. The Economic West is a vast and immersive western survival open-world game set in the rugged landscape of the 1890s frontier. Players take on the role of settlers, traders, and entrepreneurs, navigating the harsh realities of the Wild West while striving to build their fortunes. Whether you choose to play alone in single-player mode or brave the West with others in a multiplayer world, every decis… If you enjoyed this game, see our list of games similar to The Economic West.

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  3. Car For Sale Together is a co-op car trading simulation where you and your friends build a dealership from scratch. Explore the town, find cars, negotiate deals, complete side activities, uncover mysteries, and grow your shared business together. If you enjoyed this game, see our list of games similar to Car For Sale Together.

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  4. Welcome to Into the Wild – your wild adventure begins here. Leave behind the noise of the city and step into the heart of the savannah, where the grass stretches endlessly and every animal has a story. In "Into the Wild", you’ll build a wildlife sanctuary from the ground up, explore the vast bushveld, and form unforgettable connections with the creatures that call it home. Build a San… If you enjoyed this game, see our list of games similar to Into The Wild.

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  5. Gameplay Features– Single-player 2D pixel-art farming and life-sim RPG – Grow crops, raise animals, and expand your medieval farmstead – Gather materials, craft tools, and upgrade workstations – Explore procedurally generated caves, mines, and strongholds for rare resources – Help your town heal and grow through quests and relationships – Experience day–night cycles, weather, and seasonal eve… If you enjoyed this game, see our list of games similar to Kingdom of Hope.

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  6. Twilight Tavern is a cozy first-person shopkeeping sim where you stock your shelves, haggle with curious customers, and explore a magical town. NegotiationsEvery customer can be bargained with. Make the best deal possible and watch for scammers trying to pay with fake coins. Sell to the wrong customer and the payment turns worthless. Store Management Create a store layout that works. Build c… If you enjoyed this game, see our list of games similar to Twilight Tavern.

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  7. 62%Game Brain Score
    Most mentioned positive aspects:graphics, music
    Most mentioned negative aspects:gameplay, stability
    62% User Score Based on 89 reviews

    CrossWorlds: Escape is a hardcore game in which you will have to deploy all your skills to survive in a huge open world that is susceptible to changes in weather, seasons and various natural phenomena. If you enjoyed this game, see our list of games similar to CrossWorlds: Escape.

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  8. Tiny Heroes Embark On A Big Adventure In 'Hela: of Mice and Magic' See the world through the eyes of a brave little mouse in this enchanting 3D co-op adventure. Explore breathtaking landscapes inspired by Northern Sweden, solve puzzles, and be a force for good in a land where heartwarming storytelling and the beauty of nature intertwine. When the world begins to fall out of tune and the kind… If you enjoyed this game, see our list of games similar to Hela: of Mice & Magic.

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  9. Villagers Who Actually Remember YouYou arrive in a village where no one knows your name. By the time you leave, they'll either call you friend or warn their children about you. Wanderfolk is a farming RPG where the villagers actually listen, remember, and judge. Every conversation matters. Every choice echoes through the community. Actually Talk to the VillagersThis isn't scripted dialogue. Ever… If you enjoyed this game, see our list of games similar to Wanderfolk.

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  10. From a single tree to an entire industry! Manage and automate your lumber business in this relaxing, yet challenging Sawmill Simulator. Start small, grow rich, dominate the market. If you enjoyed this game, see our list of games similar to Timberflow: Sawmill Simulator.

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  11. 81%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    89% User Score Based on 21,371 reviews
    Critic Score 74%Based on 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.

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  12. 85%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, optimization
    85% User Score Based on 2,252 reviews

    Discover Survival: Fountain of Youth - Captain's Edition on the official PlayStation website. Check out the unique gameplay features for this open-world survival game for PS5, as well as trailers, screenshots and more. If you enjoyed this game, see our list of games similar to Survival: Fountain of Youth.

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  13. Build, design, and decorate your dream château in a cozy vineyard valley. Live among your creations, harvest grapes from sunlit vineyards, and craft artisanal wine blends in a relaxing sandbox builder where every home helps restore beauty and balance to the countryside. If you enjoyed this game, see our list of games similar to Cozy Builder.

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  14. The Golden Horde: Survival is a first and third-person medieval survival RPG. The game 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. Join one of the factions to find allies in the unforgiving… If you enjoyed this game, see our list of games similar to The Golden Horde: Survival.

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  15. 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.

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  16. The Lost Nomad is role-playing game (RPG) and (survival system) that made by one solo developer. with an engaging building system and resource management mechanics, chose your own path in the shattered lands. If you enjoyed this game, see our list of games similar to The Lost Nomad.

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  17. Shinzen Hollow is an open-ended and open-world, farm-sim RPG! Dive into the enchanting highlands of Japan with Shinzen Hollow, a 3D open-world farm-sim RPG that offers more than just farming. Embrace a new life in a land brimming with secrets, where every day is an adventure. Grow crops on terrace farms, forge friendships with unique NPCs, and uncover the mysteries lurking in the hollow. Whether … If you enjoyed this game, see our list of games similar to Shinzen Hollow.

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  18. 71%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:stability, grinding
    71% User Score Based on 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.

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  19. 76%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, optimization
    76% User Score Based on 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.

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  20. 88%Game Brain Score
    Most mentioned positive aspects:gameplay, story
    Most mentioned negative aspects:grinding, stability
    88% User Score Based on 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.

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  21. 88%Game Brain Score
    Most mentioned positive aspects:graphics, story
    Most mentioned negative aspects:grinding, optimization
    95% User Score Based on 43 reviews

    Heard of the Story? is a cosy medieval city-building simulation game with intelligent and quirky villagers who think, reason, and tell their own unique tales. The game is about forging your own medieval town, community, and relationships with procedural characters that really feel alive, self-aware, and grounded in your world. Embark on an adventure with them to transform a few sticks and pebble… If you enjoyed this game, see our list of games similar to Heard of the Story?.

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  22. 78%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:grinding, stability
    85% User Score Based on 33,418 reviews
    Critic Score 66%Based on 6 reviews

    Green Hell is a sweltering struggle for survival in the Amazonian rainforest. Clinging to life, the player is set on a journey of durability as the effects of solitude wear heavy not only on the body but also the mind. How long can you survive against the dangers of the unknown? If you enjoyed this game, see our list of games similar to Green Hell.

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  23. About This GameSurvive. Explore. Craft. Build. Thrive. Stranded after a massive storm, you wash ashore on Paloma Island, an uncharted wilderness brimming with danger and opportunity. To survive, you must adapt, craft, build, and explore while uncovering the secrets hidden across this lush yet treacherous open world. Key FeaturesImmersive Survival Mechanics Manage hunger, thirst, stamina, and hea… If you enjoyed this game, see our list of games similar to Paloma Island.

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  24. Nimoyd is a science-fiction and fantasy sandbox adventure set on Earth, in the year 2702, or any randomly generated planet you like. A massive, open-world full of wonder, dungeons, and cities awaits you! Survive a Vast World Your only way to survive is to dig, craft, and fight through this strange world. Manage your energy supply as you explore forests, grass plains, deserts, dark caves and dung… If you enjoyed this game, see our list of games similar to Nimoyd - Survival Sandbox.

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  25. 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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  26. A Cozy Survival Adventure Hidden Behind the FogWelcome to Quiet Grove, a peaceful yet mysterious forest where every path hides a secret. After a plane crash, you wake up alone in the middle of an endless woodland shrouded in fog. There are no signs of civilization, no obvious way home, and only a strange glowing firefly to guide your steps. Explore the forest at your own pace, gather resources, … If you enjoyed this game, see our list of games similar to Quiet Grove: Lost in the Fog.

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  27. Build your own medieval hospital and become the kingdom's most renowned physician. Examine patients, diagnose diseases, craft herbal remedies, and save lives through the treatments you provide. Start with a small clinic and expand it into a respected center of healing. Explore the Map:⭐ Venture through forests, rivers, mountains, and villages in a handcrafted medieval kingdom. Search for rare … If you enjoyed this game, see our list of games similar to The Medieval Doctor.

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  28. Return: UnknownAn abandoned metropolis. Endless possibilities. And you right in the middle of it. Dive into a survival adventure set in a post-apocalyptic Manhattan, inspired by the freedom of great open-world games and the dark atmosphere of a fallen city. After a global virus wiped out civilization, a living and dangerous world remains, offering you complete freedom. By day, explore streets, b… If you enjoyed this game, see our list of games similar to Return: Unknown.

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  29. Ignisia This is a magical world where majestic dragons live in harmony, protecting their lands from the forces of darkness. Each creature possesses unique abilities and a special purpose, and only together can they maintain the balance in these ancient lands. However, not all the secrets of this world are revealed at once — some of its inhabitants remain hidden in the shadows, waiting for their t… If you enjoyed this game, see our list of games similar to Ignisia.

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  30. Welcome to Build & Survive – a vast, dynamic sandbox survival game where every action matters. In the heart of an uncharted land, you are dropped with nothing but your will to survive. No tutorials, no handholding — only raw nature, relentless enemies, and your ability to adapt. Build & Survive offers a deep and rewarding sandbox experience where your choices shape your destiny. Whe… If you enjoyed this game, see our list of games similar to Build & Survive.

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    78%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:grinding, stability
    80% User Score Based on 6,376 reviews
    Critic Score 70%Based on 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.

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  32. 94%Game Brain Score
    Most mentioned positive aspects:graphics, gameplay
    Most mentioned negative aspects:grinding, stability
    94% User Score Based on 1,806 reviews

    UnReal World is a unique combination of roguelike roleplaying game and survival simulation set in the Far North long, long ago. Throughout the years, UnReal World has been praised for its depth, realism, atmosphere and immersion. The game is completely open-ended and you decide whether you wish to lead a life of a fisherman, a hermit searching for the peace, a brave adventurer, a rough hunter, a t… If you enjoyed this game, see our list of games similar to UnReal World.

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  33. 77%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:optimization, grinding
    83% User Score Based on 150 reviews
    Critic Score 50%Based on 1 reviews

    A beautiful open world where your actions matter. Give, take, save, kill, inform, hide, befriend, betray. And deal with the consequences. If you enjoyed this game, see our list of games similar to Thousand Threads.

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  35. Camino Ghosts is an open‑world survival crafting game that blends a vast environment with supernatural threats. The world feels familiar — shaped by near‑future technology yet permeated by a strange, unseen force. Ghosts leave traces everywhere, distort their surroundings, and pose a constant danger to anyone who ventures outside. Origin of the Ghosts No one truly knows what triggered th… If you enjoyed this game, see our list of games similar to Camino Ghosts.

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  36. 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.

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  37.                                                                                                     Explore forests, castles, forgotten ruins, underground chambers, and dangerous wilderness filled with secrets waiting to be discovered. • Vast open world to explore • Hidden dungeons and ancient ruins • Dynamic weather and day-night cycles • Solo and cooperative exploration • Sec… If you enjoyed this game, see our list of games similar to Danu: Rise of the Templars.

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  38. Welcome to Medovox — a sandbox life simulator where nature and agriculture intertwine into a single ecosystem. The protagonist, Max, relied on hired workers for a long time to handle all the routine, but now financial resources are limited. It's time to take everything under personal control! Feel the rush of new motivation, roll up your sleeves, and start managing your thriving homestead on your … If you enjoyed this game, see our list of games similar to Medovox.

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  39. After dying in a surprisingly embarrassing way, you find yourself standing before a goddess. Because your final act was one of selflessness, she offers you a second chance: reincarnation into a fantasy world threatened by monsters spilling from a mysterious dungeon opened by the Demon King. As a parting gift, she allows you to take anything you desire into your new life. Out of pure spite, you … If you enjoyed this game, see our list of games similar to Tasty In Another World.

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  40. Survive. Build. Ride. Trade. Defend. Ash Survival is an open-world survival game set on a remote island covered in dense forests, abandoned buildings, and scattered resources. Scavenge for supplies, build a secure base, grow your own food, and defend what’s yours. Explore the island to discover lootable houses, usable vehicles, and valuable natural resources. Use bikes and cars to travel faster—… If you enjoyed this game, see our list of games similar to Ash Survival.

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  41. Welcome to The King Feasts First - a cozy, whimsical arcade tavern game set in a fairy-tale medieval world. Run your own bustling inn, serve curious guests, and keep your reputation sparkling… all while juggling unexpected twists that turn every day into a new story. Each day begins with preparation: tidy your tavern, heat up the stove and check who’s likely to walk through the door. Once the do… If you enjoyed this game, see our list of games similar to The King Feasts First.

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  42.   Heal, investigate, and endure in Late Antiquity.Rod of Asclepius is a historical RPG set in 4th-century Pannonia Secunda. You play a Roman medicus (doctor); diagnosing illnesses, gathering herbs, performing treatments, and making difficult calls as war and disease reshape everyday life. Your choices carry weight: patients remember, communities talk, and your reputation follows you. What to… If you enjoyed this game, see our list of games similar to Rod of Asclepius.

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  43. # Take care of residents Moonbury has around 30 unique inhabitants who will occasionally fall ill and call for your aid. Sick residents will have their schedules interrupted while they recuperate in bed. # Diagnose symptoms and find a cure! Hmm... a low heart rate and a bloated liver. Shoulder cramps, perhaps? No, these are sure signs of burning lungs. This patient has been consuming too much g… If you enjoyed this game, see our list of games similar to Potiojn Permit.

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  44. The journey begins in Blackwood Forest, a place simmering with dark secrets. After humans transformed the once-pristine forest into a recreational area, destroying its habitat, dark forces are seeking revenge. As night falls, long-forgotten souls awaken from their slumber to expel the malevolent human presence from the forest once and for all. Are you the last glimmer of hope in a world shrouded … If you enjoyed this game, see our list of games similar to At Night.

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  45. Unite a divided world and restore harmony. In the world of Anilife, predator and prey once lived in harmony under an ancient pact. However, a mysterious corruption is spreading, causing the ancient Tree of Life, Echora, to wither and the animal societies to drift apart. Choose to remain as a cozy farmer, or pick up the mantle of adventurer and restore balance. Two Worlds, One Life  Your journ… If you enjoyed this game, see our list of games similar to Anilife - Echoes of Harmony.

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  46. The world where the story unfolds is the mysterious Heroes Valley - a land named after the adventurers who travel there to battle strange monsters that emerged from an unknown world. The appearance of these creatures sparked a massive frenzy around hunting them and collecting the valuable resources that can be extracted from their remains. Only the bravest dare to come to this valley - or those de… If you enjoyed this game, see our list of games similar to Heroes Valley.

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  47. 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.

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  48. You’ve inherited a bankrupt company and a cursed book. Now, you're the only one who can face the ghosts haunting the city. In Ecto Corporations, you play as an unlikely ghost hunter who turns a crumbling building into the country’s greatest supernatural empire. Start alone, armed with nothing but a metal rod, and build your reputation — for better or worse. Win over fans, challenge cultists, and… If you enjoyed this game, see our list of games similar to Ecto Corporations.

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  49. 63%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, stability
    63% User Score Based on 275 reviews

    Explore a new world every time you play In Prologue: Go Wayback! no two journeys are ever the same.  A brand new 64km2 world is generated on your PC every time you start the game. Our in-house machine-learning technology empowers our artists and designers to create a system that lets you generate billions of beautiful, natural worlds that are waiting to be explored. Chart your own course throug… If you enjoyed this game, see our list of games similar to Prologue: Go Wayback!.

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  50. 86%Game Brain Score
    Most mentioned positive aspects:story, gameplay
    Most mentioned negative aspects:stability, optimization
    87% User Score Based on 176,320 reviews
    Critic Score 83%Based on 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.

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