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
The Tenants
Become a landlord and deal with problematic tenants as you build your rental property empire. Decide how to react to annoyed neighbors or police interventions. Will you design your apartment for a group of gamer friends or an aspiring musician looking for a new home?
Founders' Fortune
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.
Battle Royale Tycoon
Design and build arenas for your guests to fight in, keep them happy, your workers paid and make a profit!
Espresso Tycoon
Espresso Tycoon - a coffee shop simulator. Create your brand, decorate the coffee shop, manage your employees, and take care of your customers. Use the 3D coffee editor to create coffee recipes, order supplies, and collect rating points. Build the whole coffee business and complete all the missions!
Prison Architect
Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.
Aquarist
A relaxing sandbox casual simulation game where you perform various, even strange, aquarium-related tasks on very diverse levels. As an Aquarist you must create and manage a home to amazing fish🐟, sea turtles🐢, sharks🦈, octopuses🐙, and more🐬. Aquarium is their world and life. Make it worth...
Two Point Museum
Curate and manage incredible museums! Explore to discover amazing artifacts. Design and refine the layout, keep staff happy, guests entertained, donations plentiful… and children off the exhibits
Blood Bar Tycoon
Blood Bar Tycoon is a vampire bar management game. Build bars and blood factories, lure humans to harvest their blood, process it, and serve your customers: other vampires. Research quirky machines and deal with hunters! Expand through Crimson City to become a mighty Elder!
Land of the Vikings
Land of the Vikings is a survival colony sim game. Build and lead your village, and expand it into a thriving city. A wise Jarl must manage resources, survive harsh conditions, and guide their fellow Vikings to work together through social conflict. Skál!
House of Legacy
Step into the shoes of a fallen clan leader, starting with nothing but a crumbling estate and a handful of hopes, rising through careful planning, trade, and diplomacy to become one of the most powerful families in the land. Now it’s time to forge a legendary dynasty that leaves its mark on history.
Tavern Master
Tavern Master is all about managing your medieval tavern. You start with a very small room, couple of benches and tables and build your way up to a huge successful tavern with a kitchen, rooms for guests, group of loyal staff and much more!
Grand Ages: Rome
As Governor of a Roman Province in the time-honoured Roman Empire, its fortune very much lies in your hands. Choose one of five Roman noble families such as Caesar’s Julii with different abilities to accomplish the comprehensive missions.
Weedcraft Inc
Weedcraft Inc explores the business of producing, breeding and selling weed in America, delving deep into the financial, political and cultural aspects of the country's complex relationship with this troublesome and promising plant.
KAISERPUNK
Build a city to rule the world in Kaiserpunk, a grand city builder blending production-focused city building with world conquest in an alternate 20th century world. Manage your city, grow industries, build a military, and defeat rivals to become the greatest empire.
Lethis - Path of Progress
Lethis - Path of Progress is a city-builder in a victorian steampunk setting.
Exogate Initiative
Build and manage mankind’s first mission across the universe! Create a sprawling facility underground, recruit a diverse group of specialists from around the globe and explore mysterious new worlds through the Exogate.
Surviving the Aftermath
Survive and thrive in a post-apocalyptic future — resources are scarce, but opportunity calls! Build the ultimate disaster proof colony, protect your colonists, and restore civilization to a devastated world.
Transport Fever
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!
Goblins of Elderstone
This Goblin Tribe Simulator brings a challenging blend of chaos and creativity to the city-building genre. Build dwellings, manage your resources, defend your goblins, and grow your tribe to face other races and even the Gods! Do you have what it takes to control the chaos and rule the unruly?
GearCity
Do you find tycoon games too simplistic? GearCity is a complex and in-depth business simulator. It focuses on a realistic economic simulation of the global automobile industry. The game takes several hours to grasp and hundreds of hours to master. Can you succeed where many other CEOs have failed?
CivCity: Rome
CivCity: Rome, an innovative city builder inspired by the world of Sid Meiers Civilization, and created by a collaboration between Firefly Studios and Firaxis Games, invites players to shift focus from building a multi-city empire and zoom-in on the great cities of the Roman Empire, culminating in Rome itself!
Cataclismo
Design and build fortresses brick by brick to stand against endless hordes of Horrors in this real-time strategy game with resource management, siege defense, and exploration. Lead from the ramparts, push back the darkness, and hold fast against the creatures of the Mist.
Endzone - A World Apart
Endzone is a post-apocalyptic survival city builder, where you start a new civilization with a group of people after an ecological disaster. Build them a new home and ensure their survival in a shattered world, threatened by constant radiation, toxic rain, sandstorms and droughts.
Railway Empire
In Railway Empire, you will create an elaborate and wide-ranging rail network, purchase over 40 different trains modelled in extraordinary detail, and buy or build railway stations, maintenance buildings, factories and tourist attractions to keep your travel network ahead of the competition.
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