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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PC Building Simulator
Build and grow your very own computer repair enterprise as you learn to diagnose, fix and build PCs. With real-world licensed components and comprehensive hardware and software simulation, you can plan and bring your ultimate PC to life.
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.
Railroad Corporation
Relive the pioneering spirit of the Golden Age of Steam by establishing your own railroad empire across 19th century North America. Bring settlements together, produce and trade goods and develop new technologies to stay ahead of the competition. Want more? RAILROAD CORPORATION 2 Out Now!
SimAirport
Build & Manage Your Airport. An International Hub or a Regional Masterpiece -- it's up to you. Buy more land to scale out, or escalators to scale up with MULTIPLE FLOORS. You're in full control in this modern business management tycoon!
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.
Construction Simulator 2015
In Construction Simulator 2015, you take the controls of 16 realistic construction machines made by LIEBHERR, STILL and MAN with high-quality 3D graphics.
Farm Manager 2021
Farm Manager 2021 is an indie game that lets you relax and immerse yourself in farm management. A casual but grounded builder game that combines management and farm maintenance in one package. Grow and expand your farm into a thriving estate or enjoy it as a delightful escape from everyday life.
Totally Accurate Battle Simulator
Be the leader of wobblers from ancient lands, spooky places, and fantasy worlds. Watch them fight in simulations made with the wobbliest physics system ever created, make your own wobblers in the unit creator and send your army off to fight your friends in multiplayer.
Inn Tycoon
Welcome to Inn Tycoon! Build, design, and manage your dream inn. Serve delightful meals, offer various services, and hire a stellar staff. Create a top-notch hospitality empire and become the ultimate Inn Tycoon!
Dune: Spice Wars
A 4X real-time strategy game from the developers of the critically acclaimed Northgard. Set in Frank Herbert’s groundbreaking Dune universe, you must lead your faction and battle for control and dominance over the harsh desert planet of Arrakis.
Surviving the Aftermath
Survive and thrive in a post-apocalyptic future — resources are scarce, but opportunity calls! Build the ultimate disaster proof colony, protect your colonists, and restore civilization to a devastated world.
Lethis - Path of Progress
Lethis - Path of Progress is a city-builder in a victorian steampunk setting.
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.
Chef: A Restaurant Tycoon Game
Chef is a Restaurant Management game in which you create your own character, acquire supreme cooking skills, customize restaurants, design unique menus, and devise innovative recipes with a realistic editor.
Definitely Not Fried Chicken
Definitely Not Fried Chicken is a business management sim with a Twist! Grow your drugs trade through legitimate fronts by managing both sides of the business. Acquire new "businesses", meet new clientele, Develop more potent narcotics, make lots of money and leave a city in ruin!
Motorsport Manager
Have you got what it takes to become the manager of a high-performance motorsport team? Motorsport Manager is a highly detailed, best-in-class management game for fans of motorsport. You’ll hire the drivers, build the cars and embed yourself in the dynamic world of racing.
Goat Simulator
Goat Simulator is the latest in high-tech Goat Simulation technology.
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.
Shop Tycoon: Prepare your wallet
Shop Tycoon is a store simulator. Create a supermarket, sex shop, games store or a store with good Polish vodka. Place your logo, hire employees, expand your car fleet, build offices and parking lots, create a chain of stores and more!
eSports Legend
Esports Legend is a Esports club simulator. You are here to make a unknown amateur team world-famous within several seasons!
Rail Route
In Rail Route, you will design, construct, upgrade, and automate your railway network in one of the many maps based on real-life cities worldwide. Dispatch the trains to make the traffic flow and the network grow!
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.
Marble Age
Turn-based historical simulation strategy. Develop the Greek civilization from the small village to the great city-state when it will dominate the world!
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 June 16th 2025.
1. Football Manager 2024
Similarity 48% Build a world-class team ready to dominate your rivals in football’s most prestigious competitions. Progress never stops when you’re pursuing footballing greatness. Football Manager 2024 is a simulation, sports and management game developed by Sports Interactive and published by SEGA. Released on November 06th 2023 has received 23,048 reviews of which 20,927 were positive and 2,121 were negative resulting in a rating of 8.9 out of 10. The game has hit the top spot as the #1 most played game like Two Point Hospital, thanks to its 41,995 peak concurrent players over the last day.
8.9
20,927
2,121
41,995
players
2. RimWorld
Similarity 48% 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 210,517 reviews of which 206,216 were positive and 4,301 were negative resulting in an impressive rating of 9.7 out of 10. While seeing 26,435 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.
9.7
206,216
4,301
26,435
players
3. Cities: Skylines
Similarity 72% 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 275,770 reviews of which 256,362 were positive and 19,408 were negative resulting in an impressive rating of 9.2 out of 10. While seeing 6,314 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.
9.2
256,362
19,408
6,314
players
4. Supermarket Simulator
Similarity 51% Run your own supermarket. Stock shelves, set prices as you'd like, take payments, hire staff, expand, deal with shoplifters, and design your store. Purchase goods from online or local markets around the town. Online orders & delivery are upcoming. Supermarket Simulator is a simulation, management and economy game developed and published by Nokta Games. Released on February 20th 2024 has received 68,341 reviews of which 64,104 were positive and 4,237 were negative resulting in an impressive rating of 9.2 out of 10. With 2,631 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.
9.2
64,104
4,237
2,631
players
5. Transport Fever 2
Similarity 62% The classic transport simulation genre has a new gold standard with Transport Fever 2. Discover a whole new world by navigating transport routes through land, water and air. May progress and prosperity find their way! Transport Fever 2 is a simulation, strategy and management game developed by Urban Games and published by Good Shepherd Entertainment. Released on December 11th 2019 has received 27,627 reviews of which 24,960 were positive and 2,667 were negative resulting in a rating of 8.9 out of 10. With 2,477 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.
8.9
24,960
2,667
2,477
players
6. Planet Zoo
Similarity 67% Build a world for wildlife in Planet Zoo. From the developers of Planet Coaster and Zoo Tycoon comes the ultimate zoo sim. Construct detailed habitats, manage your zoo, and meet authentic living animals who think, feel and explore the world you create around them. Planet Zoo is a management, simulation and building game developed and published by Frontier Developments. Released on November 05th 2019 has received 87,849 reviews of which 80,029 were positive and 7,820 were negative resulting in a rating of 9.0 out of 10. With 2,449 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.
9.0
80,029
7,820
2,449
players
7. Jurassic World Evolution 2
Similarity 69% 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 2 is a dinosaurs, building and simulation game developed and published by Frontier Developments. Released on November 09th 2021 has received 36,638 reviews of which 32,817 were positive and 3,821 were negative resulting in a rating of 8.8 out of 10. With 2,251 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Two Point Hospital.
8.8
32,817
3,821
2,251
players
8. Workers & Resources: Soviet Republic
Similarity 58% 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. Workers & Resources: Soviet Republic is a strategy, simulation and city builder game developed by 3Division and published by Hooded Horse. Released on June 20th 2024 has received 22,175 reviews of which 20,192 were positive and 1,983 were negative resulting in a rating of 8.9 out of 10. With 2,210 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.
8.9
20,192
1,983
2,210
players
9. Manor Lords
Similarity 51% 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. Manor Lords is a strategy, city builder and simulation game developed by Slavic Magic and published by Hooded Horse. Released on April 26th 2024 has received 72,120 reviews of which 62,224 were positive and 9,896 were negative resulting in a rating of 8.5 out of 10. With 2,155 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Two Point Hospital.
8.5
62,224
9,896
2,155
players
10. House Flipper
Similarity 57% 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! House Flipper is a simulation, design & illustration and building game developed by Empyrean and published by Frozen District and PlayWay S.A.. Released on May 17th 2018 has received 95,144 reviews of which 89,596 were positive and 5,548 were negative resulting in an impressive rating of 9.3 out of 10. With 1,812 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.
9.3
89,596
5,548
1,812
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 June 16th 2025. Looking for even more deals? Use the search filters to explore a wider range of discounted games like Two Point Hospital.
1. EarthX
Similarity 57% EarthX is a rocket company management game. Go from launching small rockets on Earth to eventually building a colony on Mars. Create your own Internet constellation, develop new technologies, supply the International Space Station and terraform Mars! EarthX is a simulation, indie and strategy game developed by Denis and Ry and published by Mesote Games. Released on July 12th 2023 has received 875 reviews of which 769 were positive and 106 were negative resulting in a rating of 8.3 out of 10. Featuring a massive 99% discount, this game currently holds the #1 spot in the best deals for games like Two Point Hospital.
8.3
769
106
-99%
19.99€
0.29€
2. Size Matters
Similarity 54% You play as a scientist who is shrinking every second in a race against time! Find all the ingredients and formulas scattered around the laboratory, which are necessary for producing the life-saving antidote. But beware, your time is very precious. Size Matters is a simulation, casual and science game developed by Mazen Games and published by GrabTheGames. Released on March 12th 2021 has received 473 reviews of which 412 were positive and 61 were negative resulting in a rating of 8.1 out of 10. Thanks to its incredible 99% discount, this game is now the #2 best deal in games like Two Point Hospital.
8.1
412
61
-99%
9.75€
0.19€
3. Founders' Fortune
Similarity 52% 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 2,114 reviews of which 1,699 were positive and 415 were negative resulting in a rating of 7.7 out of 10. Thanks to its incredible 99% discount, this game is now the #3 best deal in games like Two Point Hospital.
7.7
1,699
415
-99%
18.99€
0.26€
4. Railroad Corporation
Similarity 52% Relive the pioneering spirit of the Golden Age of Steam by establishing your own railroad empire across 19th century North America. Bring settlements together, produce and trade goods and develop new technologies to stay ahead of the competition. Want more? RAILROAD CORPORATION 2 Out Now! Railroad Corporation is a strategy, trains and management game developed by Corbie Games and published by Iceberg Interactive. Released on November 18th 2019 has received 1,387 reviews of which 1,028 were positive and 359 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 99% discount, this title has earned the #4 position in the best deals for games like Two Point Hospital.
7.1
1,028
359
-99%
35.10€
0.44€
5. Honey, I Joined a Cult
Similarity 58% 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 1,732 reviews of which 1,279 were positive and 453 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 99% discount, this title has earned the #5 position in the best deals for games like Two Point Hospital.
7.1
1,279
453
-99%
21.99€
0.40€
6. Lords and Villeins
Similarity 49% 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 872 reviews of which 633 were positive and 239 were negative resulting in a rating of 7.0 out of 10. Currently offered at a significant 99% discount, this title has earned the #6 position in the best deals for games like Two Point Hospital.
7.0
633
239
-99%
24.99€
0.38€
7. Naheulbeuk's Dungeon Master
Similarity 67% 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 1,408 reviews of which 1,006 were positive and 402 were negative resulting in a rating of 6.9 out of 10. Currently offered at a significant 99% discount, this title has earned the #7 position in the best deals for games like Two Point Hospital.
6.9
1,006
402
-99%
24.99€
0.46€
8. Autonauts vs Piratebots
Similarity 47% Create, automate and defend an impenetrable base. Assemble and command a Bot army to combat an entire Piratebot invasion. Build, program and battle your way through five different zones. Autonauts vs Piratebots is a simulation, strategy and automation game developed by Denki and published by Curve Games. Released on July 28th 2022 has received 485 reviews of which 382 were positive and 103 were negative resulting in a rating of 7.4 out of 10. Currently offered at a significant 98% discount, this title has earned the #8 position in the best deals for games like Two Point Hospital.
7.4
382
103
-98%
19.99€
0.43€
9. Railroad Tycoon 3
Similarity 55% Railroad Tycoon 3 features 25 scenarios challenging players to recreate magnificent feats of railroading history from around the world. Players can lay track (including tunnels and overpasses), pick from over 40 locomotives from early steams to modern bullets, choose to haul over 35 types of cargo in a dynamic economy, and participate in... Railroad Tycoon 3 is a management, strategy and trains game developed by PopTop and published by 2K. Released on May 04th 2007 has received 1,169 reviews of which 900 were positive and 269 were negative resulting in a rating of 7.4 out of 10. Currently offered at a significant 98% discount, this title has earned the #9 position in the best deals for games like Two Point Hospital.
7.4
900
269
-98%
9.99€
0.25€
10. Rover Mechanic Simulator
Similarity 56% As an Engineer - crew member of one of the first Mars colonies - you are responsible for repairing and maintaining Mars Rovers. In this advanced simulator you will learn the internal details of various Mars Rovers and their components. Rover Mechanic Simulator is a simulation, indie and building game developed by ▲ Pyramid Games and published by Pyramid Games S.A. and PlayWay S.A.. Released on November 12th 2020 has received 637 reviews of which 489 were positive and 148 were negative resulting in a rating of 7.3 out of 10. Currently offered at a significant 98% discount, this title has earned the #10 position in the best deals for games like Two Point Hospital.
7.3
489
148
-98%
11.79€
0.35€
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 June 16th 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. Idling to Rule the Gods
Similarity 49% Idling to Rule the Gods is a free to play Idle-Game with a lot of content and some Minigames. Depending on your play-style, you can play it fast or slow. Either way it can be fun for hundreds of hours! Idling to Rule the Gods is a free to play, indie and simulation game developed and published by Shugasu GmbH. Released on May 27th 2016 has received 1,916 reviews of which 1,638 were positive and 278 were negative resulting in a rating of 8.2 out of 10. With 1,065 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Two Point Hospital.
8.2
1,638
278
1,065
players
2. OpenTTD
Similarity 52% 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 14,394 reviews of which 13,845 were positive and 549 were negative resulting in an impressive rating of 9.4 out of 10. Thanks to its free to play tag and a daily player base of 472, this game has secured the #2 spot in the ranking of free games like Two Point Hospital.
9.4
13,845
549
472
players
3. Zoo 2: Animal Park
Similarity 54% Zoo 2: Animal Park – Take care of wild and tame zoo animals in this animal game! Zoo 2: Animal Park is a casual, building and city builder game developed by KING Art and published by upjers. Released on August 24th 2020 has received 1,470 reviews of which 1,158 were positive and 312 were negative resulting in a rating of 7.6 out of 10. Thanks to its free to play tag and a daily player base of 122, this game has secured the #3 spot in the ranking of free games like Two Point Hospital.
7.6
1,158
312
122
players
4. Learn to Fly 3
Similarity 49% Build your spaceship from scratch, earn funds and invest them into building a bigger, better spaceship as you try and fly your way up to space! Learn to Fly 3 is a free to play, casual and physics game developed and published by Light Bringer Games inc.. Released on May 12th 2017 has received 10,406 reviews of which 9,843 were positive and 563 were negative resulting in an impressive rating of 9.2 out of 10. Attracting a solid base of 105 players due to its free access, this strategy game has achieved the #4 position in the best free games like Two Point Hospital.
9.2
9,843
563
105
players
5. Fun Hospital
Similarity 49% Build your own theme hospital! Here, you might meet patients with a lot of hair, or no hair; strange aliens, evil guy, super hero… Fun Hospital is a casual, strategy and simulation game developed and published by OrangesGame Technology Limited. Released on June 21st 2018 has received 578 reviews of which 367 were positive and 211 were negative resulting in a rating of 6.2 out of 10. The game currently holds the #5 spot among the most played free games like Two Point Hospital.
6.2
367
211
54
players
6. Kingdom: Classic
Similarity 54% 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, strategy and singleplayer game developed by Noio and Licorice and published by Raw Fury. Released on October 21st 2015 has received 22,088 reviews of which 20,023 were positive and 2,065 were negative resulting in a rating of 8.9 out of 10. The game currently holds the #6 spot among the most played free games like Two Point Hospital.
8.9
20,023
2,065
48
players
7. My Free Zoo
Similarity 56% A small zoo needs your help! As the new manager, it's your job to boost business. Design the zoo of your dreams. From wolves and polar bears all the way to prehistoric beasts – the further you progress in the game, the more exotic the animals you'll be able to keep in your zoo. Play now and save the zoo! My Free Zoo is a free to play, casual and simulation game developed and published by upjers. Released on November 28th 2017 has received 662 reviews of which 415 were positive and 247 were negative resulting in a rating of 6.1 out of 10. The game currently holds the #7 spot among the most played free games like Two Point Hospital.
6.1
415
247
40
players
8. Simutrans
Similarity 57% Simutrans is a freeware and open-source transportation simulator. Your goal is to establish a successful transport company. Transport passengers, mail and goods by rail, road, ship, and even air. Interconnect districts, cities, public buildings, industries and tourist attractions. Simutrans is a simulation, free to play and trains game developed and published by The Simutrans Team. Released on May 24th 2016 has received 622 reviews of which 468 were positive and 154 were negative resulting in a rating of 7.2 out of 10. The game currently holds the #8 spot among the most played free games like Two Point Hospital.
7.2
468
154
16
players
9. Crypto Miner Tycoon Simulator Starter Edition
Similarity 56% Start in your bedroom in year 2010. Build rigs to mine Bitcoin, Ethereum and other crypto coins. Trade on the market to grow wealth. Expand your business into new offices. Hire skilled employees and assign tasks. Use cash from your mega farms to research new technologies. Crypto Miner Tycoon Simulator Starter Edition is a simulation, free to play and management game developed by Bigosaur and published by CreativeForge Games and G-DEVS.com. Released on April 24th 2023 has received 1,290 reviews of which 1,145 were positive and 145 were negative resulting in a rating of 8.4 out of 10. The game currently holds the #9 spot among the most played free games like Two Point Hospital.
8.4
1,145
145
10
players
10. Oxygen: First Breath
Similarity 52% 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! Oxygen: First Breath is a strategy, base-building and city builder game developed by Turquoise Revival Games and published by GrabTheGames and UpgradePoint. Released on October 07th 2022 has received 1,594 reviews of which 1,432 were positive and 162 were negative resulting in a rating of 8.6 out of 10. The game currently holds the #10 spot among the most played free games like Two Point Hospital.
8.6
1,432
162
4
players