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Games like Vital Decisions

Games like Vital Decisions

Games like Vital Decisions

Looking for games like Vital Decisions? Here are top casual management recommendations with a business focus, selected from player-similarity data — start with Emergency Room Simulator, X-Ray Pet Hospital or CURE - A Hospital Simulator.

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  1. 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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  2. Welcome to X-Ray Pet Hospital, where every patient hides a story beneath the surface. From limping dogs to mysterious exotic animals, it’s your job to uncover what’s really wrong using your most powerful tool: the X-ray scanner. Bones are the easy part. It’s everything else that gets strange. SCAN & DISCOVERUse a hands-on X-ray system to inspect animals in real time. Move the scanner acros… If you enjoyed this game, see our list of games similar to X-Ray Pet Hospital.

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  3. 87%Game Brain Score
    Most mentioned positive aspects:gameplay, humor
    Most mentioned negative aspects:stability, grinding
    87% User Score Based on 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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  4. GATHER YOUR MEDICAL CREWGrab your friends and take over a hospital staffed by barely qualified doctors. Patients keep arriving, the equipment looks dangerous, and every procedure can turn into a team-wide disaster. TREAT CLAY PATIENTSDiagnose strange symptoms, move patients between treatment rooms, use medical tools, run procedures, and try to keep everyone alive long enough to finish the shift. … If you enjoyed this game, see our list of games similar to Clay Clinic.

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  5. 84%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:stability, grinding
    87% User Score Based on 5,696 reviews
    Critic Score 70%Based on 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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  6. You weren't sent to Earth to save humanity...You were sent to study it. In Very Human Doctor, you play as an alien infiltrator disguised as an ordinary hospital physician. Officially, you're here to diagnose patients, manage a busy hospital ward, and keep everyone healthy. Unofficially? You're collecting human DNA, testing experimental alien technology, and conducting increasingly suspiciou… If you enjoyed this game, see our list of games similar to Very Human Doctor.

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  7. Hospital Hustle is a chaotic co-op hospital sim for 1-4 players. Run the shift, save the patients (mostly), upgrade your hospital, and try not to lose your license - or your friends. SURVIVE THE SHIFTPatients flood in faster than you can say "triage." Sort the dying from the dramatic, run tests, grab the right meds, and pray the defibrillator is charged. Every shift is a beautiful dis… If you enjoyed this game, see our list of games similar to Hospital Hustle.

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  8. Join fellow members of the elite Supernatural Emergency Response Team (S.E.R.T) as you rescue victims of paranormal entities! S.E.R.T is a mix of a tactical FPS and a medical simulation game. Paranormal entities like living shadows, fire spirits, and even the undead have been reported inside several locations. Your job, as a S.E.R.T operator, is to stop the threat, find and treat the survivors, a… If you enjoyed this game, see our list of games similar to S.E.R.T.

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  9. A patient is dying in the next room. You have a thermometer, a stethoscope, and a coworker who cannot see a single thing you can see. Rash Decision is a 1-2 player co-op game about describing a medical emergency out loud, badly, to someone who is holding chemicals. One of you finds the symptomsThe Nurse is in the exam room with the patient. Poke them with tools, read the chart, watch what th… If you enjoyed this game, see our list of games similar to Rash Decision.

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  10. Cooking Cat-astrophe is a cozy yet fast-paced cooking game starring an adorable cat chef struggling to stay in control of chaotic, ever-changing kitchens. Cook multiple burger patties at once, watch their timing carefully, and prevent them from burning. Chop ingredients, assemble burgers step by step, and serve completed orders quickly to keep up with the growing demand. Wash dishes to free up wor… If you enjoyed this game, see our list of games similar to Cooking Cat-astrophe.

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  11. Airport Inspector Airport Inspector is a security and management simulation where every decision matters. You work as an airport security inspector responsible for controlling who enters, what passes through, and what consequences follow your choices. Inspect luggage, interrogate passengers, analyze data, and respond to unpredictable events all while managing your reputation, income, and daily… If you enjoyed this game, see our list of games similar to Airport Inspector.

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  12. As a young doctor, save lives in emergencies, advance from a health center to a major hospital, and manage your own facility. Perform first aid, and diagnostics, take on ambulance and helicopter missions, and build your medical team. A realistic medical simulation where every decision matters! If you enjoyed this game, see our list of games similar to MediSim: Emergency Response.

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  13.  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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  14. When your grandmother passes away unexpectedly, you, a young witch, return home to inherit the family clinic; a humble cabin deep in the woods where wounds are mended, illnesses are cured, and lives are saved through the magic of cooking. Raised in the Culinary Clinic and trained to heal with food, you never fit in at the prestigious Medical Magic Academy. Your classmates mocked your methods. You… If you enjoyed this game, see our list of games similar to Kitch Witch.

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  15. 48%Game Brain Score
    Most mentioned positive aspects:humor
    Most mentioned negative aspects:graphics, gameplay
    48% User Score Based on 56 reviews

    Play an ER doctor in Vital Signs: Emergency Department and challenge your medical knowledge to help treat a wide array of cases who come into the ER. Unlike medical school anyone can enroll in Vital Signs! Reach a diagnosis by selecting from a wide range of tests and prescribe treatments to give your patients the best possible care. However, your decisions and how you handle the influx of cases… If you enjoyed this game, see our list of games similar to Vital Signs: Emergency Department.

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  16. Running the store is your job. Listening to the customers is your punishment. Rude Supermarket Simulator is a first-person supermarket management game for 1–4 players. Order products, carry boxes, stock shelves, set prices, run checkout, and clean up customer messes. Work alone or split the jobs with friends while customers fill the store with rude, strange, and completely unnecessary commentary.… If you enjoyed this game, see our list of games similar to Rude Supermarket Simulator.

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  17. A punctual train is never an accident. In this immersive management game, take control of a bustling railway station with your friends. Assign platforms, coordinate teams, expand your infrastructure from 2 to 30 tracks, and manage real-time crises to keep the traffic flowing smoothly! If you enjoyed this game, see our list of games similar to Train Station Tycoon.

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  18. Unstable Table is a high-octane, physics-based restaurant management simulator where the biggest obstacle isn't the cooking, it’s the customers. Step into the shoes of a solo server or team up with friends to survive a lunch rush populated by a unique cast of Karens and "Boss Karens" who are determined to ruin your day, your floor, and your sanity. In this world, everything is fragile. … If you enjoyed this game, see our list of games similar to Unstable Table.

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  19. View Game
    75%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, stability
    75% User Score Based on 57 reviews

    Chicken Fries is a first-person restaurant simulation where you take full control of a fast-food kitchen. Cook meals step by step, manage multiple stations, restock ingredients, and keep customers moving during intense rush hours. From smooth services to total kitchen chaos, every shift tests your speed, organization, and restaurant management skills. IMMERSIVE COOKING SIMULATION  Chicken Frie… If you enjoyed this game, see our list of games similar to Chicken Fries.

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  20. The idle game that takes medicine seriously.You start with one exam room and a patient on the table. Eight hospitals later, your medical empire spans the country and runs itself. Diagnose patients across actual medical scenarios. Hire specialists. Unlock departments. Fund research. Respond to crises that hit a working hospital: VIP arrivals at 2 AM, equipment failures, regulatory audits, ransom… If you enjoyed this game, see our list of games similar to Code Blue Idle.

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  21. Repair Systems Under PressureIn HotFix Protocol, each mission focuses on restoring critical systems inside a failing facility. Players enter environments where power, cooling, life support, and other infrastructure are already compromised. Objectives involve locating the problem, gathering the required equipment, and performing repairs while conditions continue to deteriorate. Many tasks require… If you enjoyed this game, see our list of games similar to HotFix Protocol.

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  22. Hold the Line. Together… or Not. The world is ending, and your checkpoint is the last barrier between humanity and total collapse. Quarantine Multiplayer is a multiplayer checkpoint survival game where 2–6 players work together to inspect survivors, manage resources, and defend a fragile quarantine zone all in real time. Every player has a role. Every role has power. And every mistake affects e… If you enjoyed this game, see our list of games similar to Quarantine.

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  23. Welcome to the place where the smell of coffee meets chaos! Play solo or with up to 4 players in this multiplayer cafe simulator where teamwork, speed, and coordination are the keys to success. Run your own cafe, prepare coffee orders, serve demanding customers, survive intense rush hours, and grow your business together. Work Together in Chaotic MultiplayerAssign roles, coordinate with your t… If you enjoyed this game, see our list of games similar to Coffee Masters! - Multiplayer Cafe Simulator.

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  24. Serve as a medical professional running an emergency clinic during a violent viral outbreak of mutant humans in 1-8 player co-op first-person medical sim and FPS gameplay. Provide care, quarantine the infected, and defend your patients from zombies, werewolves, mind control worms, and other infection types while you race to study the infection and help find a cure. Evaluate and treat victims caug… If you enjoyed this game, see our list of games similar to Mercy Station - Zombie Hospital Simulation.

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  25. View Game
    19%Game Brain Score
    Most mentioned positive aspects:graphics
    Most mentioned negative aspects:gameplay, grinding
    29% User Score Based on 17 reviews

    Storage Guys is a casual multiplayer co-op game where you and your friends take on the role of storage crew.STORAGEYour job is to receive items at the input ports, sort and organize them in your warehouse, and ship them out through the correct output ports. Every successful shipment makes you money! Each item is labeled with an output region, so you’ll need to sort and ship them to the matching o… If you enjoyed this game, see our list of games similar to Storage Guys.

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  26. SAVE US, DOCTOR FAUST! Become a medieval doctor in a city ravaged by disease, war, and desperation. In Save Us, Doctor Faust!, there are no quest markers telling you what to do, no glowing ingredients, and no magic button that instantly solves every medical problem. You must learn, observe, experiment, and make your own decisions. Study diseases in your medical textbook. Examine your patients. … If you enjoyed this game, see our list of games similar to Save Us, Doctor Faust!.

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  27. GATHER YOUR MEDICAL CREW Grab your friends and take charge of the chaotic night shift in a crazy hospital. If things go south, at least you'll have someone to throw a clipboard at! HANDLE THE RUSH The patients just keep pouring in! Assess their symptoms, put them into the right zones, and apply a specific treatment to each one. DON'T GET FIRED Your team has a strict limit of 10 mistakes. Ever… If you enjoyed this game, see our list of games similar to Night Shift Hospital.

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  28. Working at a hotel has never been this dangerous.Every night brings a new challenge. Check in guests, fulfill their requests, keep the hotel functioning smoothly - all while murderous monsters lurk in the corridors, ready to eliminate any staff member who crosses their path. But you cannot afford to let the chaos take over - the hotel must keep running. Dissatisfied guests, unmet standards, and an… If you enjoyed this game, see our list of games similar to Midnight Hotel.

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  29. Zoo Protocol is a co-op sci-fi horror game where you and your team are assigned to an abandoned alien industrial complex run by a malfunctioning corporate system. Care for dangerous anomalous creatures, prepare nutritional mixtures, process waste into energy, repair failing machinery, and meet ever-growing production quotas. Explore the facility, uncover the fate of the previous shift, and fight t… If you enjoyed this game, see our list of games similar to Zoo Protocol.

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  30. About This GameThis is a co-op roguelike centered on expansion, connection, and loss of control. In a future where humanity has vanished, artificial intelligence maintains a simulated version of human life. You are not human, but slime-mold–derived lifeforms inhabiting abandoned toys and household objects, moving through enclosed, familiar, yet deeply unsettling indoor spaces. Your goal is not t… If you enjoyed this game, see our list of games similar to Sticky Sticky: Surplus Protocol.

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  31. SteelBlade Shop Simulator is a game that combines shop management and arena combat, set in the vibrant and colorful streets of Japan. Build your own SteelBlade shop, open SteelBlade boxes, manually combine parts to create powerful SteelBlades, and choose your own path: sell your SteelBlades to customers for profit or take them into the arena and fight. Manage Your Own SteelBlade ShopPurchase she… If you enjoyed this game, see our list of games similar to SteelBlade Shop Simulator.

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  32. People have hobbies, and you turn them into inventory. In Scar City, the moment you show up, shelves empty faster and the fun gets pricier. In Scalpers’ Spoils you are the scalper. Sprint through crowds, snatch products by the dozen, beat the fans on online drops, hoard hype, and flip the haul for profit. Play solo or with up to three friends and prove that people’s passion is your margin. … If you enjoyed this game, see our list of games similar to Scalpers' Spoils.

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  33. Descend into a shifting labyrinth in Stoneseeker, a first-person dungeon crawler built around immersive sim principles and procedural design. Each floor presents problems rather than scripted solutions. There are no quest markers and no fixed outcomes, only situations you must read, exploit, or survive. Encounters can be approached however you choose. Weapons double as tools. Vents can be crawl… If you enjoyed this game, see our list of games similar to Stoneseeker.

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  34. Test run Core Simulation and Patient Management Manages patient cases with pathologies, interventions, and recovery parameters. Simulates and displays a real-time ECG waveform with dynamic vital sign data. Calculates heart rate from ECG data and provides synchronized audio/visual feedback. Analyses vital signs to automatically calculate a National Early Warning Score (NEWS). Applies a range … If you enjoyed this game, see our list of games similar to Medsim.

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  35. Nightclub Simulator: Manage the Party, Become the King of Fun! Are you ready to step into the heart of nightlife with your friends? With Nightclub Simulator, create, manage, and elevate your very own nightclub together. From DJs to security and drink service, control every detail and create the most popular spot in town! Dance Floor In Nightclub Simulator, the dance floor is the heart… If you enjoyed this game, see our list of games similar to Night Club Simulator: Party King.

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  36. About Dead On ArrivalDead On Arrival is an immersive crime scene investigation game where you step into the shoes of a CSI. Your job? Analyse crime scenes, Collect critical evidence and use real life scientific methods to solve a variety of cases. With each case, You'll use forensic tools used by real life crime scene investigators to uncover clues and evidence left at the scene. Examine every det… If you enjoyed this game, see our list of games similar to Dead On Arrival.

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  37. 50%Game Brain Score
    Most mentioned positive aspects:gameplay, graphics
    Most mentioned negative aspects:optimization, stability
    49% User Score Based on 562 reviews
    Critic Score 52%Based on 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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  38. Run your own smoke shop in this quirky life simulation game. Decorate, manage customers, level up, and become the neighborhood’s go-to dealer (of legal stuff, of course). If you enjoyed this game, see our list of games similar to Smoke Shop Simulator.

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  39. Tik Tok Instagram YouTube The Maze Demo Available Description The Maze is a game where the main objective is to escape from a maze that is generated entirely procedurally (randomly). In this maze, you will find a large number of secrets and enemies. Each wall may or may not be decorated with a unique decoration, ranging from a sword, bow, or shield to a candelabra, torch, or armor. The arm… If you enjoyed this game, see our list of games similar to The Maze.

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  40. Roadmap From the Development TeamA small but dedicated development teamWe are only two developers working on Apescape, which means a controlled production pace and carefully chosen priorities. Every feature must be designed, tested, and validated before being added to the game. We progress step by step to ensure a stable gameplay foundation before introducing new systems. Co-op gameplay built… If you enjoyed this game, see our list of games similar to ApesCape.

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  41. Fruit Store Simulator is a hands-on first-person management game about building a neighborhood fruit store from the ground up. Order produce, carry and unpack delivery crates, arrange the shop, set your prices, weigh loose fruit, print PLU labels, work the register, and prepare cut-fruit or juice orders. As business grows, hire and train staff, expand into a larger store, keep the place clean, an… If you enjoyed this game, see our list of games similar to Fruit Store Simulator.

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  42. WORK TOGETHER (GOOD LUCK WITH THAT)All Hands on Deck? You'll need to rely on your crewmates if you want any hope of making it through space alive, not that they'll be much help. Repair damaged systems, respond to emergencies and work together to stop small problems from becoming full ship-wide disasters. EXPLORE SPACE (WHAT COULD POSSIBLY GO WRONG?)Chart your course through space, explore dang… If you enjoyed this game, see our list of games similar to STARSHIP BLOOPERS.

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  43. You finally got the food truck of your dreams, but the bank’s installments are about to suffocate you! In this co-op adventure where small mistakes quickly spiral into chaos, it’s time to pay the price of being your own boss. Scavenge for ingredients, stir up a storm in the kitchen, and pay off those heavy installments at the end of each day to keep your keys in your pocket. Whether solo or with f… If you enjoyed this game, see our list of games similar to Hot Meals Fast Wheels.

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  44. Shipping & Handling is a cooperative multiplayer sandbox delivery game about moving through hostile environments while keeping a shared payload from damage until delivered! You and your crew take on delivery runs across strange, dangerous spaces, dealing with terrain hazards, limited resources, and the chaos that comes from coordinating as a team. Stay alive and keep the delivery intact. Cor… If you enjoyed this game, see our list of games similar to Shipping and Handling.

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  45. Bodybuilder Simulator CO-OPBodybuilder Simulator is a third-person open-world game set on a forgotten Italian island, where sport is not a choice — it’s a necessity. ️ A Living Open World of Training and CompetitionThe game takes place on an isolated island where every inhabitant lives by a rhythm of training, work, and competition. This is a world where physical condition defines your opportunit… If you enjoyed this game, see our list of games similar to Bodybuilder Simulator CO-OP.

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  46. A Healer's Almanac is a cozy pixel-art life sim inspired by traditional Chinese medicine. Settle into a Chinese-inspired mountain valley, take up the work of a village healer, and build a life around observation, cultivation, and care. Days unfold at a gentle pace. Grow medicinal herbs, forage through the changing seasons, craft remedies, deepen friendships, and help a close-knit community flouri… If you enjoyed this game, see our list of games similar to A Healer's Almanac.

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  48. 33%Game Brain Score
    Most mentioned positive aspects:optimization
    Most mentioned negative aspects:gameplay, story
    55% User Score Based on 11 reviews

    Are you a first responder and want more?EmergiSim works with civilian and military organisations worldwide with the goal of zero preventable deaths at the point of injury. We provide education and scenario training in Mass Casualty Incidents, TECC, TCCC, Aeromedical Retrieval and Prolonged Field Care along with a suite of EMS-specific training. Join our Steam Community to learn more. About t… If you enjoyed this game, see our list of games similar to FirstResponderVR.

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  49. Them or Us is a hardcore open-world, first person tactical survival shooter game set in a post-apocalyptic world. The events of Them or Us take place on a fictional chain of islands in the Bering Sea where Soviet and Western civilizations collide!Key Features: A 256Km2 map with a variety of beautiful landscapes featuring multiple land masses and swimmable underwater biomes (Demo will feature a 16K… If you enjoyed this game, see our list of games similar to Them or Us.

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  50. Serve drinks, survive ridiculous guests, upgrade your bars, and buy out rival moguls — solo or in co-op — in a chill bar empire game where every shift ends in progress. Survive Ridiculous Guests Your customers are more than walking orders. Some leave generous tips. Some steal your coins. Some fall asleep on the counter and block your lane. Some jump onto the bar and dance until every incoming drin… If you enjoyed this game, see our list of games similar to Busy Bar - World Tour.

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