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.
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Workers & Resources: Soviet Republic
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.
Empires of the Undergrowth
Command swarms of warriors at an unprecedented scale of warfare in this blend of RTS and base-building. Lead ant colonies against the many fearsome threats of the insect world, while building intricate nests, developing pheromone-based tactics, and evolving to meet growing dangers.
Mini Metro
Mini Metro is a strategy simulation game about designing a subway map for a growing city. Draw lines between stations and start your trains running. As new stations open, redraw your lines to keep them efficient. Decide where to use your limited resources. How long can you keep the city moving?
TerraScape
Build gorgeous kingdoms on floating islands by strategically placing buildings in this cozy City-Puzzler. Discover secret combinations, take on weekly challenges and explore randomly generated maps in various single- and multiplayer game modes.
Recipe for Disaster
Recipe for Disaster is a management sim that captures the fast-paced, drama-filled environment of a professional kitchen and dining room. Build your dream restaurant, create recipes, design menus and manage your staff, all while contending with demanding customers and disastrous situations!
Techtonica
Techtonica is a first-person factory automation game with a gripping mystery about mining your way out from the depths of an alien planet. Explore bioluminescent caves, mold destructible terrain, construct a massive subterranean factory. Dig your way toward answers & discover the secrets of Calyx.
Desynced
Desynced is a sci-fi strategy game with fully customizable units and behaviors. Gather, build, research, and explore the unknown. Alone or with friends, unveil the mystery of an AI on the edge of self-awareness and uncover the hidden truth in this blend of strategy, automation, and exploration.
Spacelines from the Far Out
Run your own 60s-inspired space-age alien airlines in this randomly-generated chaotic 1-to-4-player local and online co-op game!
Streamer Life Simulator
Streamer Life Simulator is a very comprehensive streamer life simulation game. Be the most popular streamer in the world.
Anno 1800
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.
Train Station Renovation
Welcome to an old, ruined train station. A place that will give you a lot of fun! In Train Station Renovation you play as a renovation company specialized in restoring old and damaged railway stations.
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!
Anno 2205™
In Anno 2205™, you join humankind‘s next step into the future with the promise to build a better tomorrow. You conquer Earth, establishing rich, bustling cities and grand industrial complexes, but to secure the prosperity of your people, you must travel into space.
Gear Up
Feel the adrenaline as you control your unique tank in multiplayer arcade action! Build your ultimate war machine from over a million different combinations. Now, will you go for the rumbling caterpillar tracks or the crawling spider legs?
The Guild II Renaissance
For centuries Europe has been dominated by the church and nobility. On the shoulders of ordinary people the servants of god and the noble families justified their power and wealth. This was the incontrovertible, divine world order. A truly dark era… In the 14th Century the world order is beginning to transform itself.
Thrillville®: Off the Rails™
Thrillville™: Off the Rails lives up to its name with 20 death-defying rides! Players can build incredible coasters to leap from one track to another, launch through the air like cannonballs, blast through a burning rings of fire and more!
Supermarket Together
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 Simulator
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.
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!
Jigsaw Puzzles Infinite
Sit back, relax and build puzzles to your heart's content. Assemble one of the many included puzzles, or add your own images. Customize size and shape of the pieces for any puzzle. Enjoy Classic mode or try out Zen mode for a new type of puzzle experience.
Sweet Transit
Sweet Transit is a unique city builder where the railway is king. Build and automate the dream supply chain for your citizens, giving them all they need to expand quaint villages into bustling cities. Progress from steam power to diesel and beyond in this advanced train-driven experience.
Drill Deal: Borehole (Alpha)
Drill Deal is a unique simulator in a fun style that will draw you for hours. It's a building simulator like never before. Feel the thrill of a drill hitting underwater oil fields. Sell the precious substance and make your oil rig more efficient.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 April 30th 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 18,188 peak concurrent players over the last day.
9.7
203,940
4,223
18,188
players
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 15,709 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.
9.6
1,116,314
36,974
15,709
players
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 13,456 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.
9.6
206,974
6,416
13,456
players
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 10,734 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.
9.5
76,069
2,616
10,734
players
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 5,517 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.
9.2
254,907
19,301
5,517
players
6. 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 4,349 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.
9.5
123,406
4,149
4,349
players
7. 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 4,073 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Two Point Hospital.
9.3
61,131
3,231
4,073
players
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 3,904 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.
9.8
275,133
3,951
3,904
players
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 3,098 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Two Point Hospital.
9.4
91,605
4,321
3,098
players
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 2,994 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.
9.2
63,025
4,112
2,994
players
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 April 30th 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.
7.0
628
239
-96%
27.50€
1.10€
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.
6.9
998
393
-96%
25.00€
1.00€
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.
7.8
1,690
409
-95%
20.00€
1.00€
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.
7.1
1,272
448
-95%
24.00€
1.20€
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.
7.1
2,996
1,095
-95%
31.60€
1.58€
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.
8.7
1,945
192
-94%
16.67€
1.00€
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.
6
717
452
-94%
19.83€
1.19€
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.
8.1
7,770
1,616
-93%
31.14€
2.18€
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.
6.5
3,897
1,984
-93%
24.57€
1.72€
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.
8.9
5,989
547
-92%
9.99€
0.79€
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 April 30th 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.
1. 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 4,073 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Two Point Hospital.
9.3
61,131
3,231
4,073
players
2. Clicker Heroes
Similarity 55% Ever wondered what one quadrillion damage per second feels like? Wonder no more! Embark on your quest to attain it today! Clicker Heroes is a clicker, idler and casual game developed and published by Playsaurus. Released on May 13th 2015 has received 61,205 reviews of which 54,909 were positive and 6,296 were negative resulting in a rating of 8.8 out of 10. Thanks to its free to play tag and a daily player base of 2,021, this game has secured the #2 spot in the ranking of free games like Two Point Hospital.
8.8
54,909
6,296
2,021
players
3. Fallout Shelter
Similarity 62% Fallout Shelter puts you in control of a state-of-the-art underground Vault from Vault-Tec. Build the perfect Vault, keep your Dwellers happy, and protect them from the dangers of the Wasteland. Fallout Shelter is a free to play, base-building and survival game developed by Bethesda Game Studios and published by Bethesda Softworks. Released on March 29th 2017 has received 73,924 reviews of which 65,394 were positive and 8,530 were negative resulting in a rating of 8.7 out of 10. Thanks to its free to play tag and a daily player base of 949, this game has secured the #3 spot in the ranking of free games like Two Point Hospital.
8.7
65,394
8,530
949
players
4. Mr.Mine
Similarity 60% Explore the depths of the earth and uncover hidden treasures in this addictive idle mining game. Unlock the power of your drill with hundreds of upgrades, discover mysterious relics, and unearth priceless gems. Can you master the mines and reveal their deepest secrets? Dive in and dig deep! Mr.Mine is a idler, clicker and simulation game developed and published by Playsaurus. Released on September 30th 2020 has received 16,977 reviews of which 15,607 were positive and 1,370 were negative resulting in a rating of 9.0 out of 10. Attracting a solid base of 872 players due to its free access, this strategy game has achieved the #4 position in the best free games like Two Point Hospital.
9.0
15,607
1,370
872
players
5. Business Tour - Board Game with Online Multiplayer
Similarity 60% "Business Tour" is a free to play multiplayer tabletop game. Build your monopoly with friends. Complete daily tasks, compete against the other players and receive trade items rewards! Business Tour - Board Game with Online Multiplayer is a board game, free to play and multiplayer game developed by and published by 8floor. Released on July 27th 2017 has received 76,465 reviews of which 46,433 were positive and 30,032 were negative resulting in a rating of 6.0 out of 10. Attracting a solid base of 768 players due to its free access, this strategy game has achieved the #5 position in the best free games like Two Point Hospital.
6.0
46,433
30,032
768
players
6. OpenTTD
Similarity 67% 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 14,214 reviews of which 13,670 were positive and 544 were negative resulting in an impressive rating of 9.4 out of 10. Attracting a solid base of 377 players due to its free access, this strategy game has achieved the #6 position in the best free games like Two Point Hospital.
9.4
13,670
544
377
players
7. Global City
Similarity 57% 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 1,169 reviews of which 823 were positive and 346 were negative resulting in a rating of 6.8 out of 10. Attracting a solid base of 155 players due to its free access, this strategy game has achieved the #7 position in the best free games like Two Point Hospital.
6.8
823
346
155
players
8. California Escapades
Similarity 60% In this simulation and adventure game, explore 19th-century Gold Rush California. Join Jim and Emma to build and manage your farm and city. Plant crops, raise animals, construct buildings, complete missions, uncover secrets, and collect treasures. Start your adventure now! California Escapades is a casual, simulation and strategy game developed and published by NUTS POWER ONLINE ENTERTAINMENT LIMITED. Released on September 03rd 2024 has received 493 reviews of which 444 were positive and 49 were negative resulting in a rating of 8.4 out of 10. The game currently holds the #8 spot among the most played free games like Two Point Hospital.
8.4
444
49
78
players
9. Sarah's Adventure: Time Travel
Similarity 63% This game unearths the essence of adventure by combining elements of exploration and puzzle-solving. The game’s appeal lies in its interactive gameplay mechanics, where your choices dictate the progression of the story. Sarah's Adventure: Time Travel is a casual, simulation and free to play game developed and published by NUTS POWER ONLINE ENTERTAINMENT LIMITED. Released on June 25th 2024 has received 2,008 reviews of which 1,822 were positive and 186 were negative resulting in a rating of 8.7 out of 10. The game currently holds the #9 spot among the most played free games like Two Point Hospital.
8.7
1,822
186
54
players
10. Kingdom: Classic
Similarity 55% Kingdom is a 2D sidescrolling strategy/resource management hybrid with a minimalist feel wrapped in a beautiful, modern pixel art aesthetic. Kingdom: Classic is a free to play, singleplayer and strategy game developed by Noio and Licorice and published by Raw Fury. Released on October 21st 2015 has received 22,020 reviews of which 19,963 were positive and 2,057 were negative resulting in a rating of 8.9 out of 10. The game currently holds the #10 spot among the most played free games like Two Point Hospital.
8.9
19,963
2,057
48
players