Games like Project Hospital on Steam
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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!
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.
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.
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!
RollerCoaster Tycoon® 2: Triple Thrill Pack
This compilation includes the entire RollerCoaster Tycoon 2 series, with the original game as well as the Time Twister and Wacky Worlds expansions.
Casino Inc.
Classic strategy game from 2003. Run your own casino in the 1970s. It's classy. It's glitzy. It's all yours. Take a gamble. Start small with a slot machine or two. Employ some staff. People will be talking about your place from coast to coast. Includes The Management Expansion Pack.
Love Tavern
After your death due to a car accident, you have been summoned by the goddess to take care of a tavern in an Isekai world. Your job is to hire different girls from various tribes and races to help out the business there, as well as build up room by room of the tavern to expand the business.
Plutocracy
The business simulator Plutocracy gives you the chance to become wealthy and powerful to take control over the world. Where policy, laws, officials and people are only the chess pieces how do you play your game?