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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shapez
shapez is an easy-going, minimalistic factory building game about the automation of shapes through extraction and satisfying production lines. Adapt to increasingly complex shapes and grow your factory across an infinitely expanding map. Your only limitation is your creativity!
Automachef
Welcome to Automachef, a resource management puzzler where you design kitchens, program machinery and watch your genius come to life! It’s time to engineer tomorrow’s kitchen, today!
Rise of Industry
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.
Lethis - Path of Progress
Lethis - Path of Progress is a city-builder in a victorian steampunk setting.
Winter Resort Simulator 2
Winter Resort Simulator 2 is the extensive simulation of a ski area with all its exciting technical facilities and vehicles.
Jurassic World Evolution 2
Jurassic World Evolution 2 is the much-anticipated sequel to Frontier’s highly successful Jurassic World Evolution. This bold new era in the Jurassic World Evolution game franchise builds upon the ground-breaking and immersive 2018 management simulation.
Jurassic World Evolution
Place yourself at the heart of the Jurassic franchise and build your own Jurassic World. Bioengineer dinosaurs that think, feel and react intelligently to the world around them and face threats posed by espionage, breakouts and devastating tropical storms in an uncertain world where life always finds a way.
House Flipper
House Flipper is a unique chance to become a one-man renovation crew. Buy, repair and remodel devastated houses. Give them a second life and sell them at a profit!
Sugar Shack
Grab some friends, fire up the boiler, and let the syrup flow! Build the world around your cabin as you fulfill orders of hungry villagers with endless sweet tooths. There's never a dull moment in this cozy forest inspired by Quebec lore and art!
Dream Town Island
A town sim where you raise generations of residents. Unlock new stores and facilities, help your residents find love, or cash in on the stock market!
Transport INC
Become the manager of the largest transport corporation ever! Create new planes, bus, trains and truck connections. Optimize them to ever-changing demands and adapt to unexpected events. Beat the competition. Connect cities all around the real world map!
Jumbo Airport Story
Just imagine: your own world-famous airport! A game with sky-high levels of fun!
Oxygen
Oxygen is a survival city builder. 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 more importantly keep the Oxygen Center running!
Primitive Society Simulator
In this game, you'll be the leader of an ancient tribe, guiding your people to explore the natural world, to hunt, and to farm. As culture and civilization prosper, you shall establish a tribal alliance, a community with a shared future of tribes.
Reus 2
Shape worlds with your godly titans. Make symbiotic ecosystems and inspire humanity with your creations. Their achievements unlock new possibilities. Make different planets for different human spirits, and fill the universe with life!
Game Dev Story
Work hard and you may reach the top of the video game industry!
Gas Station Simulator
Buy an abandoned gas station and restore it to its full glory. Renovate, upgrade and expand upon the offered services to keep up with your clients demands.
Space Haven
Embark on a space voyage with your ragtag crew of civilians in search of a new home. Build spaceships tile by tile, create optimal gas conditions, manage the needs and moods of their crew, encounter other space-faring groups, and explore the universe in this spaceship colony simulation.
Endzone - A World Apart
Endzone is a post-apocalyptic survival city builder, where you start a new civilization with a group of people after an ecological disaster. Build them a new home and ensure their survival in a shattered world, threatened by constant radiation, toxic rain, sandstorms and droughts.
Weedcraft Inc
Weedcraft Inc explores the business of producing, breeding and selling weed in America, delving deep into the financial, political and cultural aspects of the country's complex relationship with this troublesome and promising plant.
Planetbase
Guide a group of space settlers trying to establish a base on a remote planet. Grow food, collect energy, mine resources, survive disasters and build a self-sufficient colony in a harsh and unforgiving environment.
Tiny Bridge: Ratventure
This mind-bending game will challenge you to create complex structures to get your woodland creatures over vast chasms. In a bridge-builder first, you'll guide your creatures and construct your bridges in real time. Use the weight of various creatures to balance your structures as you build them.
Banished
In this city-building strategy game, you control a group of exiled travelers who decide to restart their lives in a new land. They have only the clothes on their backs and a cart filled with supplies from their homeland. The townspeople of Banished are your primary resource.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