Games like Two Point Hospital on Steam
For those who prefer not to search, lists of the most played, top deals and best free games like Two Point Hospital are available at the bottom of the page.
我的人生
This is a wild and unpredictable life simulator, filled with laughter, banter, and endless possibilities. A strategy game that blends deck-building roguelike mechanics with Luck Be a Landlord-style gameplay. Shape your own life story from 100+ unique events and a deck of 250+ cards!SuchArt: Creative Space
Paint on any surfaces with numerous tools in Creative Space — a free sandbox version of SuchArt: Genius Artist Simulator. Create masterpieces, complete commissions, and decorate your studio in the most advanced artist sim!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.Starmancer
From a small 2-man team comes a unique space station management sim. Take on the role of an A.I commanding a lost space ark. Try not to let your crew run amok and wreck the place.Cook, Serve, Delicious! 3?!
Cook, serve and manage your food truck as you dish out hundreds of different foods across war-torn America in this massive sequel to the million-selling series!Glittermitten Grove
Just like the faeries in your garden, we love collecting berries for our prickleberry loaves and finding treasure with our special fribblesham fireworks. Come join us in our faerieland, full of strange adventure!Cook, Serve, Delicious! 2!!
Deceptively easy to learn but incredibly difficult to master, Cook, Serve, Delicious! 2!! is your journey of being the best chef in the world with your small but humble restaurant on the 50th floor of the Teragon Supertower.The Spatials
It's the year 5781 -- and you have been chosen to build and lead a space station in a wild corner of the galaxy! Attract visitors and explore hundreds of planets to fund your station.Farm for your Life
Your community was taken down by a heavy storm which caused an apocalypse and unleashed the living dead. Together with the other survivors, it is your task to rebuild and to allow that sustainable life can still be assured. Cultivate your farm and manage your restaurant to provide food and deal with all the zombies.Turbo Dismount™
Turbo Dismount is a kinetic tragedy about Mr. Dismount and the cars who love him. It is the official sequel to the wildly popular and immensely successful personal impact simulator - Stair Dismount.Dungeon Tycoon
Build your own dungeon and attract heroes from all over the realm! Grow your business by exploiting every facet of your visitors' dungeon exploration experience. Will you be able to keep your evil dungeon business going?Pile Up!
"Pile Up!" is a strategic building game which you need to build houses, fulfill your people’s requests and manage your risky buildings in different ways on a small land. But don’t let your guard down in this chill environment, we only get you relaxed so you destroy everything you did.Word Factori
Word Factori is a word-building game where your only resource is the letter "i". Build a chain of factories to bend, rotate, reflect, and merge "i" into more complex letters. Discover secret letter recipes, unlock hidden word art, and optimize your factory chains for high scores.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!Norland
Lead your noble family in this medieval colony sim, facing off against class conflict, religious struggle, and political treachery. Tend to your people’s needs, uncover the lost knowledge of a fallen empire, and engage in nefarious plots against your enemies.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.Sunshine Heavy Industries
Welcome to Sunshine Heavy Industries! As the new spaceship engineer, solve increasingly tricky design puzzles with your own personal style. Manage customer demands, juggle budget and ship performance, and survive the questionable decision making skills of your business partner.Cafe Owner Simulator
Open your dream restaurant at FPP. Create a unique exterior and interior, hire the best workers and chefs, create a place where people will love to eat, spend time and spend their money. Simulation of the restaurant business.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.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.Barn Finders: The Pilot
Search for valuables stashed in abandoned barns. Take part in storage auctions, bid high and buy yourself a chance to find exclusive items hidden in the past.Fun with Ragdolls: The Game
Become a ragdoll and create your own environments in Sandbox Mode, explore worlds created by others, or just flop around your destructible sets! Fun with Ragdolls: The Game lets you enjoy everything you love about ragdolls!People Playground
Shoot, stab, burn, poison, tear, vaporise, or crush ragdolls in a large open space.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.Most played games like Two Point Hospital on Steam
Take a look at the top games like Two Point Hospital that are currently attracting the largest player bases on the Steam platform, as of May 01st 2025.
1. RimWorld
Similarity 60% 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 208,163 reviews of which 203,940 were positive and 4,223 were negative resulting in an impressive rating of 9.7 out of 10. The game has hit the top spot as the #1 most played game like Two Point Hospital, thanks to its 19,525 peak concurrent players over the last day.2. Garry's Mod
Similarity 57% Garry's Mod is a physics sandbox. There aren't any predefined aims or goals. We give you the tools and leave you to play. Garry's Mod is a sandbox, moddable and multiplayer game developed by Facepunch Studios and published by Valve. Released on November 29th 2006 has received 1,153,288 reviews of which 1,116,314 were positive and 36,974 were negative resulting in an impressive rating of 9.6 out of 10. While seeing 19,220 players online at once in the last 24 hours, this game is currently ranked #2 among games like Two Point Hospital based on player count.3. Factorio
Similarity 60% Factorio is a game about building and creating automated factories to produce items of increasing complexity, within an infinite 2D world. Use your imagination to design your factory, combine simple elements into ingenious structures, and finally protect it from the creatures who don't really like you. Factorio is a automation, base-building and resource management game developed and published by Wube Software LTD.. Released on August 14th 2020 has received 213,390 reviews of which 206,974 were positive and 6,416 were negative resulting in an impressive rating of 9.6 out of 10. While seeing 14,939 players online at once in the last 24 hours, this game is currently ranked #3 among games like Two Point Hospital based on player count.4. Cookie Clicker
Similarity 64% An idle game about making cookies! Originally released in 2013 on the web, and actively developed since then. This is the official version for Steam. Cookie Clicker is a clicker, idler and casual game developed by Orteil and DashNet and published by Playsaurus. Released on September 01st 2021 has received 78,685 reviews of which 76,069 were positive and 2,616 were negative resulting in an impressive rating of 9.5 out of 10. With 10,637 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.5. Cities: Skylines
Similarity 69% 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 274,208 reviews of which 254,907 were positive and 19,301 were negative resulting in an impressive rating of 9.2 out of 10. With 6,024 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.6. Supermarket Together
Similarity 53% The multiplayer supermarket has arrived to your neighbourhood for free! Stock your shop space, unlock perks and franchises, hire employees or chase those pesky shoplifters. The more players, the more action! Supermarket Together is a simulation, online co-op and multiplayer game developed and published by DeadDevsTellNoLies. Released on August 09th 2024 has received 64,362 reviews of which 61,131 were positive and 3,231 were negative resulting in an impressive rating of 9.3 out of 10. With 5,170 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.7. Oxygen Not Included
Similarity 55% Oxygen Not Included is a space-colony simulation game. Deep inside an alien space rock your industrious crew will need to master science, overcome strange new lifeforms, and harness incredible space tech to survive, and possibly, thrive. Oxygen Not Included is a colony sim, base-building and survival game developed and published by Klei Entertainment. Released on July 30th 2019 has received 127,555 reviews of which 123,406 were positive and 4,149 were negative resulting in an impressive rating of 9.5 out of 10. With 4,506 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Two Point Hospital.8. People Playground
Similarity 54% Shoot, stab, burn, poison, tear, vaporise, or crush ragdolls in a large open space. People Playground is a sandbox, gore and physics game developed by mestiez and published by Studio Minus. Released on July 23rd 2019 has received 279,084 reviews of which 275,133 were positive and 3,951 were negative resulting in an impressive rating of 9.8 out of 10. With 4,342 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.9. Kenshi
Similarity 57% A free-roaming squad based RPG. Focusing on open-ended sandbox gameplay features rather than a linear story. Be a trader, a thief, a rebel, a warlord, an adventurer, a farmer, a slave, or just food for the cannibals. Train your men up from puny victims to master warriors. Kenshi is a open world, sandbox and rpg game developed and published by Lo-Fi Games. Released on December 06th 2018 has received 95,926 reviews of which 91,605 were positive and 4,321 were negative resulting in an impressive rating of 9.4 out of 10. With 3,514 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Two Point Hospital.10. Supermarket Simulator
Similarity 53% Run your own supermarket. Stock shelves, set prices as you'd like, take payments, hire staff, expand and design your store. Online orders & delivery, shoplifters, security, local market are upcoming. Supermarket Simulator is a simulation, management and economy game developed and published by Nokta Games. Released on February 20th 2024 has received 67,137 reviews of which 63,025 were positive and 4,112 were negative resulting in an impressive rating of 9.2 out of 10. With 2,936 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.Best deals on games like Two Point Hospital on Steam
Discover fantastic savings with the best discounts on a variety of games like Two Point Hospital available on Steam right now, updated on May 01st 2025. Looking for even more deals? Use the search filters to explore a wider range of discounted games like Two Point Hospital.
1. Lords and Villeins
Similarity 68% 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 867 reviews of which 628 were positive and 239 were negative resulting in a rating of 7.0 out of 10. Featuring a massive 96% discount, this game currently holds the #1 spot in the best deals for games like Two Point Hospital.2. Naheulbeuk's Dungeon Master
Similarity 73% 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 1,391 reviews of which 998 were positive and 393 were negative resulting in a rating of 6.9 out of 10. Thanks to its incredible 96% discount, this game is now the #2 best deal in games like Two Point Hospital.3. Founders' Fortune
Similarity 62% 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 2,099 reviews of which 1,690 were positive and 409 were negative resulting in a rating of 7.8 out of 10. Thanks to its incredible 95% discount, this game is now the #3 best deal in games like Two Point Hospital.4. Honey, I Joined a Cult
Similarity 60% 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 1,720 reviews of which 1,272 were positive and 448 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 95% discount, this title has earned the #4 position in the best deals for games like Two Point Hospital.5. Rise of Industry
Similarity 59% Put your entrepreneurial skills to the test in the first title in the ROI series as you create & optimise intricate production lines. As an early 20th-Century industrialist, grow your empire & adapt to an ever-changing business landscape with unexpected events that could lead to boom…or bust. Rise of Industry is a management, strategy and economy game developed by Dapper Penguin Studios and published by Kasedo Games. Released on May 02nd 2019 has received 4,091 reviews of which 2,996 were positive and 1,095 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 95% discount, this title has earned the #5 position in the best deals for games like Two Point Hospital.6. Cook, Serve, Delicious! 3?!
Similarity 55% Cook, serve and manage your food truck as you dish out hundreds of different foods across war-torn America in this massive sequel to the million-selling series! Cook, Serve, Delicious! 3?! is a typing, management and difficult game developed and published by Vertigo Gaming Inc.. Released on October 14th 2020 has received 2,137 reviews of which 1,945 were positive and 192 were negative resulting in a rating of 8.7 out of 10. Currently offered at a significant 94% discount, this title has earned the #6 position in the best deals for games like Two Point Hospital.7. Snowtopia: Ski Resort Builder
Similarity 65% Build your ideal ski resort. Keep skiers smiling with fresh pistes and fine facilities. Ski, build and chill in the wintry world of Snowtopia where everyone is welcome! Snowtopia: Ski Resort Builder is a simulation, building and management game developed by TeaForTwo and published by Goblinz Publishing and Maple Whispering Limited. Released on December 14th 2022 has received 1,169 reviews of which 717 were positive and 452 were negative resulting in a rating of 6 out of 10. Currently offered at a significant 94% discount, this title has earned the #7 position in the best deals for games like Two Point Hospital.8. Railway Empire
Similarity 56% 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. Railway Empire is a strategy, simulation and management game developed by Gaming Minds Studios and published by Kalypso Media. Released on January 26th 2018 has received 9,386 reviews of which 7,770 were positive and 1,616 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 93% discount, this title has earned the #8 position in the best deals for games like Two Point Hospital.9. Life is Feudal: Forest Village
Similarity 60% LiF:Forest Village is a city builder with survival aspects in a realistic harsh medieval world. Shape, build and expand your settlement, grow various food to prevent your villagers from avitaminosis and starvation. Possess them for additional micromanagement or simply to wander around. Life is Feudal: Forest Village is a city builder, colony sim and strategy game developed by Mindillusion and published by Bitbox Ltd.. Released on May 26th 2017 has received 5,881 reviews of which 3,897 were positive and 1,984 were negative resulting in a rating of 6.5 out of 10. Currently offered at a significant 93% discount, this title has earned the #9 position in the best deals for games like Two Point Hospital.10. Bridge Constructor Portal
Similarity 63% Enter the Aperture Science Enrichment Center and experience Bridge Constructor Portal – the unique merging of the classic Portal™ and Bridge Constructor™ games. Bridge Constructor Portal is a puzzle, simulation and strategy game developed by ClockStone and published by Headup. Released on December 20th 2017 has received 6,536 reviews of which 5,989 were positive and 547 were negative resulting in a rating of 8.9 out of 10. Currently offered at a significant 92% discount, this title has earned the #10 position in the best deals for games like Two Point Hospital.Free games like Two Point Hospital on Steam
Check out this fantastic list of free-to-play games like Two Point Hospital you can enjoy on Steam right now, updated on May 01st 2025. Looking for even more free titles? Use the search filters to explore a wider range of free to play games like Two Point Hospital.