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Games like Project Hospital on Steam

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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!
Similarity 51%
Price -99% 0.44€
Rating 7.2
Release 10 Nov 2022
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
Similarity 51%
Price -54% 13.80€
Rating 9.1
Release 04 Mar 2025
Builders of Greece Immerse yourself in the beautifully recreated golden age of Hellenic city-states. Builders of Greece is a city management game that lets you display your strategic and economic mastery. Build your Polis from scratch, make meaningful decisions, trade, fight and expand to become the ultimate ruler.
Similarity 51%
Price 16.79€
Rating 6.1
Release 06 May 2025
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.
Similarity 51%
Price -69% 4.70€
Rating 7.7
Release 14 May 2025
Caesar 3 Prove your strength of mind and spirit and you just may be crowned Caesar!
Similarity 51%
Price 5.99€
Rating 8.8
Release 29 Aug 2016
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!
Similarity 51%
Price -86% 3.69€
Rating 7.3
Release 09 Oct 2023
Battle Royale Tycoon Design and build arenas for your guests to fight in, keep them happy, your workers paid and make a profit!
Similarity 50%
Price -88% 1.19€
Rating 6.5
Release 02 Sep 2019
The Universim Guide a civilization from the Stone Age to the Space Age in a city-building god game. Manage resources, research technology, survive natural disasters and alien threats, use godly powers to protect or punish your creations, and colonize distant planets.
Similarity 50%
Price -92% 2.31€
Rating 7.7
Release 22 Jan 2024
Industry Giant 2 Economic booms, stock market crashes, oil crises, upswings, triumphs... Now you can become the greatest power in industry!
Similarity 50%
Price -87% 1.39€
Rating 8.2
Release 14 Aug 2015
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!
Similarity 50%
Price -93% 1.10€
Rating 9.0
Release 16 Nov 2021
The Wandering Village The Wandering Village is a city-building simulation game on the back of a giant, wandering creature. Build your settlement and form a symbiotic relationship with the colossus. Will you survive together in this hostile, yet beautiful post-apocalyptic world, contaminated by poisonous plants?
Similarity 50%
Price 29.99€
Rating 8.8
Release 17 Jul 2025
Wild West Pioneers Wild West Pioneers is a city-builder adventure about leading settlers into the untamed frontier. Build and manage growing settlements, establish production chains, and explore the world. Follow a story of gold rush dreams, dangerous encounters, and the search for your family.
Similarity 50%
Price -36% 12.99€
Rating 7.1
Release 25 Sep 2026
Hearthlands Hearthlands is a medieval/fantasy city-building real time strategy game in which you take a role of a king in a procedurally generated world. You can not control your subjects directly; instead you focus on city-building, resource management, diplomacy, magic, etc.
Similarity 50%
Price -94% 1.02€
Rating 7.6
Release 28 Apr 2017
Lessaria: Fantasy Kingdom Sim Lessaria is an RTS inspired by Majesty 👑 where you guide heroes with indirect control. Play through the campaign or relax in sandbox mode as you build your magical kingdom.
Similarity 50%
Price -54% 11.74€
Rating 7.5
Release 20 Oct 2025
Oxygen: First Breath 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!
Similarity 50%
Price Free to play
Rating 8.6
Release 07 Oct 2022
Steel Artery: Train City Builder Hardcore city-building sim in a fantasy steampunk world. Manage multi-racial colonies with hundreds of autonomous citizens, balance their needs, grow the economy, build logistics, and travel a vast world carrying out the Emperor’s orders.
Similarity 50%
Price -41% 8.99€
Rating 6.7
Release 15 May 2026