Games like Project Hospital on Steam
For those who prefer not to search, lists of the most played, top deals and best free games like Project Hospital are available at the bottom of the page.
Filters & Lists
Against the Storm
A dark fantasy city builder where you must rebuild civilization in the face of apocalyptic rains. As the Queen’s Viceroy, lead humans, beavers, lizards, foxes, and harpies to reclaim the wilderness and secure a future for civilization's last survivors.
Railway Empire 2
Don the coat of a clever entrepreneur, take over a small railway company in the early 1800s and turn your steam engines into the workhorses of the economy. Grow your company into the largest railway company of the continent and outsmart your competitors.
SimAirport
Build & Manage Your Airport. An International Hub or a Regional Masterpiece -- it's up to you. Buy more land to scale out, or escalators to scale up with MULTIPLE FLOORS. You're in full control in this modern business management tycoon!
Potion Tycoon
Potion Tycoon is a management simulator with a witchy twist! Build and develop your very own magic shop. Manage resources, set up production lines, mix potions and sell them smartly to stay ahead of the competition. Welcome to the potion business!
United Penguin Kingdom
A city-building game where you build a penguin settlement and satisfy the various needs of your penguins while dealing with seals and killer whales. Enjoy the growth of your settlement, become the king, and lead the United Penguin Kingdom.
Manor Lords
Manor Lords is a medieval strategy game featuring in-depth city building, large-scale tactical battles, and complex economic and social simulations. Rule your lands as a medieval lord – the seasons pass, the weather changes, and cities rise and fall.
Catizens
Inspired by RimWorld and The Sims, Catizens is a colony management simulation game where you watch over unique cats with quirky personalities, as you help them build and grow their settlement while exploring new lands, facing off against wildlife and overcoming the challenges of each environment.
TransOcean: The Shipping Company
TransOcean – The Shipping Company is your ticket to the world of gigantic ships and transnational transport empires. Build a mighty fleet of modern merchant ships and conquer the seven seas.
Little Big Workshop
Manage your workers, stations, machines and create awesome stuff as your little big workshop grows into your dream factory!
Clanfolk
Clanfolk is a colony sim set in the Scottish Highlands. Harness your environment to survive - fish, gather, hunt, and farm as you prepare for the winter. Build an inn, trade with other clans, have children and marry them off - live life and prosper across the generations.
Project Highrise
Project Highrise is a skyscraper construction and management sim...
News Tower
Develop your newspaper and become New York’s new media mogul! In this tycoon, build and manage your newspaper from printer to toilet. Create your editorial line and lead your journalists through unique 1930's stories and dig out the latest scoops!
Sweet Transit
Sweet Transit is a unique city builder where the railway is king. Build and automate the dream supply chain for your citizens, giving them all they need to expand quaint villages into bustling cities. Progress from steam power to diesel and beyond in this advanced train-driven experience.
Mad Games Tycoon
Form your own game studio set in the early 1980s in a small garage. Develop your own game ideas, create a team and develop megahit video games. Research new technologies, train your staff and upgrade your office space, going from a lowly garage to a huge building. Expand your business and dominate the world market for video games!
Worshippers of Cthulhu
LEAD the CULT OF CTHULHU. Decide the fate of your followers, perform eldritch rituals, and master the art of city-building in a world where the line between sanity and madness blurs. Can you endure the horrors you unleash?
Mad Smartphone Tycoon
Build Your smartphone Empire in Mad Smartphone Tycoon, your main goal in this game is to create the ultimate smartphone that combines both performance and aesthetics. Expand your company, dominate the global market, become a tycoon in the world of mobile phones!
Planet Coaster
Planet Coaster® - the future of coaster park simulation games has arrived! Surprise, delight and thrill incredible crowds as you build your coaster park empire - let your imagination run wild, and share your success with the world.
Prehistoric Kingdom
Take control of limitless power in Prehistoric Kingdom to build, manage and grow the ultimate zoo for extinct animals.
Settlement Survival
In this city-building game, you will lead a group of survivors in their search for a new home. Manipulate the landscape, manage limited supplies, plant crops, hunt wildlife, gather resources, and develop trade routes to build a bustling and unique town.
Rail Route
In Rail Route, you will design, construct, upgrade, and automate your railway network in one of the many maps based on real-life cities worldwide. Dispatch the trains to make the traffic flow and the network grow!
Planet Coaster 2
Build and customise thrilling roller coasters and incredible water slides, manage the ultimate theme park experience, and share your epic creations. Are you ready to ride the wave?
Good Company
Good Company is an in-depth management sim about building a trail-blazing tech corporation. Assemble complex production lines, manage employee logistics, and sell high-quality products on the market to become the best company in the whole county!
Lords and Villeins
Build a prosperous settlement in a unique simulation of a feudal economy - each family runs their shop, owns their goods, and trades with other villagers in a free market. You will manage the land, build houses, organise events, set taxes, and balance supply and demand while engaging in diplomacy!
Most played games like Project Hospital on Steam
Take a look at the top games like Project Hospital that are currently attracting the largest player bases on the Steam platform, as of June 16th 2025.
1. Football Manager 2024
Similarity 41% Build a world-class team ready to dominate your rivals in football’s most prestigious competitions. Progress never stops when you’re pursuing footballing greatness. Football Manager 2024 is a simulation, sports and management game developed by Sports Interactive and published by SEGA. Released on November 06th 2023 has received 23,048 reviews of which 20,927 were positive and 2,121 were negative resulting in a rating of 8.9 out of 10. The game has hit the top spot as the #1 most played game like Project Hospital, thanks to its 41,995 peak concurrent players over the last day.
8.9
20,927
2,121
41,995
players
2. RimWorld
Similarity 41% A sci-fi colony sim driven by an intelligent AI storyteller. Generates stories by simulating psychology, ecology, gunplay, melee combat, climate, biomes, diplomacy, interpersonal relationships, art, medicine, trade, and more. RimWorld is a colony sim, base-building and survival game developed and published by Ludeon Studios. Released on October 17th 2018 has received 210,517 reviews of which 206,216 were positive and 4,301 were negative resulting in an impressive rating of 9.7 out of 10. While seeing 26,435 players online at once in the last 24 hours, this game is currently ranked #2 among games like Project Hospital based on player count.
9.7
206,216
4,301
26,435
players
3. Cities: Skylines
Similarity 67% Cities: Skylines is a modern take on the classic city simulation. The game introduces new game play elements to realize the thrill and hardships of creating and maintaining a real city whilst expanding on some well-established tropes of the city building experience. Cities: Skylines is a city builder, simulation and building game developed by Colossal Order Ltd. and published by Paradox Interactive. Released on March 10th 2015 has received 275,770 reviews of which 256,362 were positive and 19,408 were negative resulting in an impressive rating of 9.2 out of 10. While seeing 6,314 players online at once in the last 24 hours, this game is currently ranked #3 among games like Project Hospital based on player count.
9.2
256,362
19,408
6,314
players
4. Captain of Industry
Similarity 40% Land your crew of survivors on an abandoned island and survive! Mine raw materials, grow food, build factories, manufacture products, research new tech, and trade with others. Become an industrial superpower! But this is no easy task, you will be put to the test to keep your settlement alive. Captain of Industry is a base-building, automation and resource management game developed and published by MaFi Games. Released on May 31st 2022 has received 7,154 reviews of which 6,737 were positive and 417 were negative resulting in an impressive rating of 9.1 out of 10. With 3,916 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Project Hospital.
9.1
6,737
417
3,916
players
5. Anno 1800
Similarity 55% Anno 1800™ – Lead the Industrial Revolution! Welcome to the dawn of the Industrial Age. The path you choose will define your world. Are you an innovator or an exploiter? A conqueror or a liberator? How the world remembers your name is up to you. Anno 1800 is a city builder, strategy and simulation game developed by Ubisoft Mainz and published by Ubisoft. Released on April 16th 2019 has received 25,091 reviews of which 20,368 were positive and 4,723 were negative resulting in a rating of 8.0 out of 10. With 3,157 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Project Hospital.
8.0
20,368
4,723
3,157
players
6. Supermarket Simulator
Similarity 40% Run your own supermarket. Stock shelves, set prices as you'd like, take payments, hire staff, expand, deal with shoplifters, and design your store. Purchase goods from online or local markets around the town. Online orders & delivery are upcoming. Supermarket Simulator is a simulation, management and economy game developed and published by Nokta Games. Released on February 20th 2024 has received 68,341 reviews of which 64,104 were positive and 4,237 were negative resulting in an impressive rating of 9.2 out of 10. With 2,631 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Project Hospital.
9.2
64,104
4,237
2,631
players
7. Transport Fever 2
Similarity 59% The classic transport simulation genre has a new gold standard with Transport Fever 2. Discover a whole new world by navigating transport routes through land, water and air. May progress and prosperity find their way! Transport Fever 2 is a simulation, strategy and management game developed by Urban Games and published by Good Shepherd Entertainment. Released on December 11th 2019 has received 27,627 reviews of which 24,960 were positive and 2,667 were negative resulting in a rating of 8.9 out of 10. With 2,477 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Project Hospital.
8.9
24,960
2,667
2,477
players
8. Planet Zoo
Similarity 58% Build a world for wildlife in Planet Zoo. From the developers of Planet Coaster and Zoo Tycoon comes the ultimate zoo sim. Construct detailed habitats, manage your zoo, and meet authentic living animals who think, feel and explore the world you create around them. Planet Zoo is a management, simulation and building game developed and published by Frontier Developments. Released on November 05th 2019 has received 87,849 reviews of which 80,029 were positive and 7,820 were negative resulting in a rating of 9.0 out of 10. With 2,449 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Project Hospital.
9.0
80,029
7,820
2,449
players
9. Jurassic World Evolution 2
Similarity 57% Jurassic World Evolution 2 is the much-anticipated sequel to Frontier’s highly successful Jurassic World Evolution. This bold new era in the Jurassic World Evolution game franchise builds upon the ground-breaking and immersive 2018 management simulation. Jurassic World Evolution 2 is a dinosaurs, building and simulation game developed and published by Frontier Developments. Released on November 09th 2021 has received 36,638 reviews of which 32,817 were positive and 3,821 were negative resulting in a rating of 8.8 out of 10. With 2,251 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Project Hospital.
8.8
32,817
3,821
2,251
players
10. Workers & Resources: Soviet Republic
Similarity 59% Build a soviet republic from an impoverished country into a rich industrial superpower in a city builder with intricate production chains and a fully simulated global economy. Manage the lives of your citizens from education to work and party loyalty to criminal activity. Workers & Resources: Soviet Republic is a strategy, simulation and city builder game developed by 3Division and published by Hooded Horse. Released on June 20th 2024 has received 22,175 reviews of which 20,192 were positive and 1,983 were negative resulting in a rating of 8.9 out of 10. With 2,210 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Project Hospital.
8.9
20,192
1,983
2,210
players
Best deals on games like Project Hospital on Steam
Discover fantastic savings with the best discounts on a variety of games like Project Hospital available on Steam right now, updated on June 16th 2025. Looking for even more deals? Use the search filters to explore a wider range of discounted games like Project Hospital.
1. Founders' Fortune
Similarity 51% A fantasy village builder focusing on creative building, colonist psychology and base defense. Handle resources, farming, production, tools, diplomacy, families, trading, defense, and research, as well as the wishes, expectations, thoughts, and equipment of every villager. Founders' Fortune is a colony sim, base-building and city builder game developed and published by Dionic Software. Released on December 18th 2020 has received 2,114 reviews of which 1,699 were positive and 415 were negative resulting in a rating of 7.7 out of 10. Featuring a massive 99% discount, this game currently holds the #1 spot in the best deals for games like Project Hospital.
7.7
1,699
415
-99%
18.99€
0.29€
2. InfraSpace
Similarity 41% Create an extrasolar efficiency utopia from scratch! In this sci-fi city builder you need to start mining operations, plan production, and lay down transportation routes to ensure a smooth supply chain. InfraSpace is a city builder, automation and transportation game developed and published by Dionic Software. Released on September 22nd 2023 has received 1,667 reviews of which 1,333 were positive and 334 were negative resulting in a rating of 7.7 out of 10. Thanks to its incredible 99% discount, this game is now the #2 best deal in games like Project Hospital.
7.7
1,333
334
-99%
19.99€
0.39€
3. Railroad Corporation
Similarity 47% Relive the pioneering spirit of the Golden Age of Steam by establishing your own railroad empire across 19th century North America. Bring settlements together, produce and trade goods and develop new technologies to stay ahead of the competition. Want more? RAILROAD CORPORATION 2 Out Now! Railroad Corporation is a strategy, trains and management game developed by Corbie Games and published by Iceberg Interactive. Released on November 18th 2019 has received 1,387 reviews of which 1,028 were positive and 359 were negative resulting in a rating of 7.1 out of 10. Thanks to its incredible 99% discount, this game is now the #3 best deal in games like Project Hospital.
7.1
1,028
359
-99%
35.10€
0.44€
4. Honey, I Joined a Cult
Similarity 41% It's time to start working towards that ultimate goal of enlightenment, faith and money…lots and lots of money! Become the ultimate tycoon - create, customise, and manage your own cult whilst listening to funky music. Welcome to Honey, I Joined a Cult! Honey, I Joined a Cult is a simulation, base-building and resource management game developed by Sole Survivor Games and published by Team17. Released on November 03rd 2022 has received 1,732 reviews of which 1,279 were positive and 453 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 99% discount, this title has earned the #4 position in the best deals for games like Project Hospital.
7.1
1,279
453
-99%
21.99€
0.40€
5. Lords and Villeins
Similarity 51% Build a prosperous settlement in a unique simulation of a feudal economy - each family runs their shop, owns their goods, and trades with other villagers in a free market. You will manage the land, build houses, organise events, set taxes, and balance supply and demand while engaging in diplomacy! Lords and Villeins is a colony sim, strategy and city builder game developed by Honestly Games and published by Fulqrum Publishing. Released on November 10th 2022 has received 872 reviews of which 633 were positive and 239 were negative resulting in a rating of 7.0 out of 10. Currently offered at a significant 99% discount, this title has earned the #5 position in the best deals for games like Project Hospital.
7.0
633
239
-99%
24.99€
0.38€
6. Naheulbeuk's Dungeon Master
Similarity 45% A dungeon in danger ! Build, manage, and defend your tower in the satirical heroic fantasy universe of Dungeon of Naheulbeuk. From a shaky establishment to an infamous lair! Naheulbeuk's Dungeon Master is a management, simulation and funny game developed by Artefacts Studio and published by Dear Villagers. Released on November 15th 2023 has received 1,408 reviews of which 1,006 were positive and 402 were negative resulting in a rating of 6.9 out of 10. Currently offered at a significant 99% discount, this title has earned the #6 position in the best deals for games like Project Hospital.
6.9
1,006
402
-99%
24.99€
0.44€
7. Transport Fever
Similarity 48% Transport Fever is a railroad-focused tycoon game. Players start in 1850 and build up a thriving transport company. As an emerging transport tycoon, the player constructs stations, airports, harbors and makes money by connecting areas requiring transport services. Build up your own Empire! Transport Fever is a flight, city builder and sandbox game developed by Urban Games and published by Good Shepherd Entertainment. Released on November 08th 2016 has received 10,722 reviews of which 8,934 were positive and 1,788 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 98% discount, this title has earned the #7 position in the best deals for games like Project Hospital.
8.1
8,934
1,788
-98%
29.99€
0.67€
8. Havendock
Similarity 42% Breathe easy and thrive in this cozy colony sim. Build a haven for castaways, manage resources, live your best life on the ocean. Lead your humble settlement into a high-tech society. Havendock is a singleplayer, strategy and city builder game developed by YYZ Studio and published by IndieArk and Pretty Soon. Released on April 22nd 2025 has received 1,399 reviews of which 1,191 were positive and 208 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 98% discount, this title has earned the #8 position in the best deals for games like Project Hospital.
8.1
1,191
208
-98%
19.50€
0.42€
9. Nebuchadnezzar
Similarity 56% Create and customize cities in Nebuchadnezzar, a classic isometric city-builder where careful planning and define your rise as a ruler in ancient Mesopotamia. Nebuchadnezzar is a city builder, sandbox and building game developed by Nepos Games and published by Astra Logical. Released on February 17th 2021 has received 1,706 reviews of which 1,354 were positive and 352 were negative resulting in a rating of 7.6 out of 10. Currently offered at a significant 98% discount, this title has earned the #9 position in the best deals for games like Project Hospital.
7.6
1,354
352
-98%
19.99€
0.43€
10. Railroad Tycoon 3
Similarity 47% Railroad Tycoon 3 features 25 scenarios challenging players to recreate magnificent feats of railroading history from around the world. Players can lay track (including tunnels and overpasses), pick from over 40 locomotives from early steams to modern bullets, choose to haul over 35 types of cargo in a dynamic economy, and participate in... Railroad Tycoon 3 is a management, strategy and trains game developed by PopTop and published by 2K. Released on May 04th 2007 has received 1,169 reviews of which 900 were positive and 269 were negative resulting in a rating of 7.4 out of 10. Currently offered at a significant 98% discount, this title has earned the #10 position in the best deals for games like Project Hospital.
7.4
900
269
-98%
9.99€
0.25€
Free games like Project Hospital on Steam
Check out this fantastic list of free-to-play games like Project Hospital you can enjoy on Steam right now, updated on June 16th 2025. Looking for even more free titles? Use the search filters to explore a wider range of free to play games like Project Hospital.
1. OpenTTD
Similarity 47% OpenTTD is a business simulation game in which players earn money by transporting passengers and cargo via road, rail, water, and air. It is an open-source remake and expansion of the 1995 Chris Sawyer video game Transport Tycoon Deluxe. OpenTTD is a simulation, building and free to play game developed and published by OpenTTD. Released on April 01st 2021 has received 14,394 reviews of which 13,845 were positive and 549 were negative resulting in an impressive rating of 9.4 out of 10. With 472 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Project Hospital.
9.4
13,845
549
472
players
2. Global City
Similarity 44% Become the mayor and build the city of your dreams! In this game, anything is possible. Whatever you can imagine in a city-building and development simulator, you can do. Start from the very beginning and unlock new possibilities for developing your city in Global City! Global City is a city builder, strategy and building game developed by Red Brix Wall and published by MY.GAMES. Released on November 30th 2021 has received 1,200 reviews of which 841 were positive and 359 were negative resulting in a rating of 6.8 out of 10. Thanks to its free to play tag and a daily player base of 168, this game has secured the #2 spot in the ranking of free games like Project Hospital.
6.8
841
359
168
players
3. Sim Companies
Similarity 45% Become a Business Tycoon. Build your own company from the ground up. Do business in a virtual economy with players all around the world! Gain valuable business skills for free. An advanced, proprietary, Economy simulation model is used to deliver the best gaming experience. Sim Companies is a economy, capitalism and simulation game developed and published by Sim Companies s.r.o.. Released on August 31st 2023 has received 866 reviews of which 689 were positive and 177 were negative resulting in a rating of 7.6 out of 10. Thanks to its free to play tag and a daily player base of 126, this game has secured the #3 spot in the ranking of free games like Project Hospital.
7.6
689
177
126
players
4. Zoo 2: Animal Park
Similarity 47% Zoo 2: Animal Park – Take care of wild and tame zoo animals in this animal game! Zoo 2: Animal Park is a casual, building and city builder game developed by KING Art and published by upjers. Released on August 24th 2020 has received 1,470 reviews of which 1,158 were positive and 312 were negative resulting in a rating of 7.6 out of 10. Attracting a solid base of 122 players due to its free access, this strategy game has achieved the #4 position in the best free games like Project Hospital.
7.6
1,158
312
122
players
5. My Free Zoo
Similarity 41% A small zoo needs your help! As the new manager, it's your job to boost business. Design the zoo of your dreams. From wolves and polar bears all the way to prehistoric beasts – the further you progress in the game, the more exotic the animals you'll be able to keep in your zoo. Play now and save the zoo! My Free Zoo is a free to play, casual and simulation game developed and published by upjers. Released on November 28th 2017 has received 662 reviews of which 415 were positive and 247 were negative resulting in a rating of 6.1 out of 10. The game currently holds the #5 spot among the most played free games like Project Hospital.
6.1
415
247
40
players
6. Simutrans
Similarity 52% Simutrans is a freeware and open-source transportation simulator. Your goal is to establish a successful transport company. Transport passengers, mail and goods by rail, road, ship, and even air. Interconnect districts, cities, public buildings, industries and tourist attractions. Simutrans is a simulation, free to play and trains game developed and published by The Simutrans Team. Released on May 24th 2016 has received 622 reviews of which 468 were positive and 154 were negative resulting in a rating of 7.2 out of 10. The game currently holds the #6 spot among the most played free games like Project Hospital.
7.2
468
154
16
players
7. Crypto Miner Tycoon Simulator Starter Edition
Similarity 45% Start in your bedroom in year 2010. Build rigs to mine Bitcoin, Ethereum and other crypto coins. Trade on the market to grow wealth. Expand your business into new offices. Hire skilled employees and assign tasks. Use cash from your mega farms to research new technologies. Crypto Miner Tycoon Simulator Starter Edition is a simulation, free to play and management game developed by Bigosaur and published by CreativeForge Games and G-DEVS.com. Released on April 24th 2023 has received 1,290 reviews of which 1,145 were positive and 145 were negative resulting in a rating of 8.4 out of 10. The game currently holds the #7 spot among the most played free games like Project Hospital.
8.4
1,145
145
10
players
8. Oxygen: First Breath
Similarity 51% This is a free version of Oxygen, featuring the first 50 game-days. Build your city around the Oxygen Center and ensure your people's survival in a post-apocalyptic future, threatened by crack explosions, deadly winds, droughts and frosts. Lead your people and keep the Oxygen Center running! Oxygen: First Breath is a strategy, base-building and city builder game developed by Turquoise Revival Games and published by GrabTheGames and UpgradePoint. Released on October 07th 2022 has received 1,594 reviews of which 1,432 were positive and 162 were negative resulting in a rating of 8.6 out of 10. The game currently holds the #8 spot among the most played free games like Project Hospital.
8.6
1,432
162
4
players
9. Smart Factory Tycoon: Beginnings
Similarity 54% This is a free version of Smart Factory Tycoon, a game inspired by Little Big Workshop introducing the first productions. Smart Factory Tycoon is a tycoon management game where you design your dream factory with robots, plan all steps of production, research new technologies and become a tycoon! Smart Factory Tycoon: Beginnings is a simulation, strategy and resource management game developed by Turquoise Revival Games and published by GrabTheGames. Released on January 05th 2022 has received 496 reviews of which 385 were positive and 111 were negative resulting in a rating of 7.3 out of 10. The game currently holds the #9 spot among the most played free games like Project Hospital.
7.3
385
111
1
players
10. Over the Counter
Similarity 43% A pharmaceutical business management game. Over the Counter is a simulation, strategy and medical sim game developed and published by Brody Rampono. Released on February 12th 2022 has received 386 reviews of which 355 were positive and 31 were negative resulting in a rating of 8.5 out of 10. The game currently holds the #10 spot among the most played free games like Project Hospital.
8.5
355
31