Games like Project Hospital on Steam
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Laysara: Summit Kingdom
Build and expand your very own settlements in high mountains! Carefully plan production chains and satisfy various needs of your three-caste society while dealing with mountain hazards such as weather breakdowns and avalanches. Are you skilled enough to make your town thrive?
Papa's Freezeria Deluxe
Return to Calypso Island to serve seasonal sundae treats in Papa's Freezeria Deluxe! Craft sundaes in the Freezeria for all your quirky customers while earning tips, points and Special Recipes. Switch gears and take a trip in the Food Truck to concoct your own chilly creations and see who shows up!
STATIONflow
STATIONflow is a game about controlling the flow of thousands of passengers by building and managing an efficient underground train station.
NIMBY Rails
Design and run your own railroads for the real world. Solve global transportation dilemmas. Unleash your inner railway engineer and transit policy manager.
Cultures - 8th Wonder of the World
Solve the mystery surrounding the 8th Wonder of the World with your heroes and banish evil from the Earth! Play this RTS-Classic.
Townsmen - A Kingdom Rebuilt
Townsmen – A Kingdom Rebuilt hands the crown to you: Guide your people from their first steps in a small village to a massive medieval metropolis with thousands of inhabitants.
Software Inc.
Construct and design buildings for optimal working conditions. Hire people to design and release software, so you can defeat the simulated competition and take over their businesses. Manage and educate your employees to make sure they are skilled and satisfied with their job.
Patrician III
Become a fellow of the famous medieval Hanse trading association in the 13th century. Manage the politics, prestige and economic success in your city and the known parts of Europe!
Stronghold Legends: Steam Edition
Catapult werewolves over castle walls, incinerate troops with dragon fire and command the Knights of the Round Table! This remaster of the mythical ‘castle sim’ features Steam multiplayer, Workshop support, new maps, achievements and DLC campaigns.
Dream Engines: Nomad Cities
A survival city-building game with flying cities. Build, automate, and defend a flying city that travels between procedurally generated maps to survive in a wacky, nightmare-infested, post-apocalyptic world full of strange science and dreams.
Stronghold: Warlords
Besiege Great Khans, Imperial warlords and Shōgun commanders in Stronghold: Warlords, the latest 'castle sim' from Firefly Studios. Command AI warlords across the battlefield as you build a castle economy and new gunpowder-fuelled siege engines!
Toilet Management Simulator
Improve your toilet and make money. You want to go on a holiday but the bus company tells that there is not enough passengers. So you have to stop by dance school and maybe you can make new friends there.
Stronghold 2: Steam Edition
Tax, torture or treat your peasants! Rehabilitate criminals or sentence them to death? Decide as you enjoy jousting over a lavish banquet, all while under siege from the warmongering Lord Barclay.
Over the Counter
A pharmaceutical business management game.
Conan Unconquered
From the Command & Conquer veterans at Petroglyph comes the first ever survival RTS set in the savage world of Conan the Barbarian. Play solo or team up in multiplayer in Conan Unconquered’s action-packed co-op Mode where you build a shared stronghold and fend off the hordes together.
SCP Strategy
Take control of the SCP Foundation. For the general good, find, contain, and protect SCP objects. Develop your foundation and protect it from hostile organizations, in the last resort destroy them and capture SCP objects held there.
Farm Manager World
Dive into the agricultural life with Farm Manager World! Manage your own farm across vibrant global locations, cultivate exotic crops, and build your agribusiness empire. Welcome to sustainable farming at its finest.
Primitive Society Simulator
A colony-building game combined with grand strategy elements. Play as a tribal leader, guiding your people from the Stone Age to the Bronze Age. Survive, multiply, and compete for territory among ancient nations.
Voxel Tycoon
Voxel Tycoon — a management sim set in the infinite voxel world. Mine resources and process them into goods on your custom factories. Set up supply chains and passenger routes with a huge fleet of trains, trucks, and buses, and turn small towns into prosperous megacities with a thriving economy!
Game Corp DX
Manage your Game Studio, earn big bucks, impress the critics, beat rival studios and clean up at the awards!
SimCity™ 3000 Unlimited
SimCity 3000 Unlimited brings you the classic strategy gaming of SimCity 3000 with all-new scenarios that open up a whole world of city planning and building possibilities! The thrills of the classic SimCity 3000 are here again!
Republic of Pirates
Establish and grow a pirate utopia during the Golden Age of Piracy. Create a resource-based economy, engage in real-time naval combat, and conduct diplomacy with rival powers. Explore the far reaches of the Caribbean in search of the ultimate fortune and glory.
Cardboard Town
Cardboard Town is a city-building card game. Manage your resources, obtain upgrades, draw your cards and thrive! Random events, quest cards, and game modes make each run different.
Sid Meier's Railroads!
Sid Meier's Railroads! marks the return of the watershed title in simulation/strategy gaming that launched the popular "tycoon" genre, and inspired a new generation of games. Sid Meier's Railroads!