Games like Two Point Hospital on Steam

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The Sims™ 2 Legacy Collection The game you know and love. For Windows 10/11. In The Sims 2, you direct your Sims over a lifetime. Give them a long existence, or leave their lives in shambles. Guide their characteristics from one generation to the next.

Similarity 52%
Price -40% 17.99€
Rating 6.2
Release 31 Jan 2025
Oxygen: First Breath 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!

Similarity 52%
Price Free to play
Rating 8.6
Release 07 Oct 2022
The Executive - Movie Industry Tycoon Shape the history of the Hollywood movie industry in this sandbox business simulation game. Create the movies you've always wanted to see, hire the best team, research cutting-edge technologies, and dominate the Box Office. Can you rise from a small studio to a Hollywood giant?

Similarity 52%
Price -59% 6.27€
Rating 7.7
Release 11 Feb 2025
Children of the Nile: Enhanced Edition Children of the Nile™ is a unique gem of a city-building game, unparalleled in both grandeur and attention to detail.As Pharaoh you will guide your people through thousands of years of history: from simple hunter-gatherers to the creation of an immortal civilization.

Similarity 52%
Price 6.99€
Rating 7.9
Release 08 Jul 2008
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.

Similarity 52%
Price -51% 9.94€
Rating 9.2
Release 29 Jan 2019
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.

Similarity 52%
Price -95% 1.17€
Rating 6.7
Release 26 Feb 2019
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!

Similarity 52%
Price -96% 1.48€
Rating 7.1
Release 18 Nov 2019
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!

Similarity 52%
Price -7% 22.83€
Rating 7.7
Release 28 Feb 2020
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.

Similarity 52%
Price -97% 0.56€
Rating 7.8
Release 14 Nov 2024
Academia : School Simulator Design, build, and manage a high school with terrific teachers and fantastic facilities or simply let your students poop in the bushes? Academia : School Simulator is a management/tycoon game where you get to decide!

Similarity 52%
Price 19.99€
Rating 8.2
Release 28 Jan 2021
Predynastic Egypt Do you know how did Ancient Egypt looked like before the Great Pyramids? Lead the future Egyptian citizens all the way through the historical hardships to the Unification of Lower and Upper Egypt, and you will find out!

Similarity 52%
Price -75% 2.43€
Rating 8.7
Release 10 Oct 2016
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.

Similarity 52%
Price -82% 2.72€
Rating 8.0
Release 18 Nov 2014
Gnomoria Gnomoria is a sandbox village management game where you help lead a small group of gnomes, who have set out on their own, to thrive into a bustling kingdom! Anything you see can be broken down and rebuilt elsewhere.

Similarity 51%
Price -11% 11.13€
Rating 7.3
Release 23 Feb 2016
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.

Similarity 51%
Price -86% 2.82€
Rating 7.7
Release 06 May 2021
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.

Similarity 51%
Price -87% 2.61€
Rating 9.7
Release 01 Apr 2021
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!

Similarity 51%
Price -68% 3.88€
Rating 7.6
Release 07 Nov 2025
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.

Similarity 51%
Price -64% 12.92€
Rating 7.8
Release 14 Sep 2023
Settlements Rising Settlements Rising is a medieval city building and colony management game. It offers a lively colony experience with simulated villagers, dozens of professions and resources, natural disasters, and raids, while providing full control over the colony through trade, production chains and datas.

Similarity 51%
Price 18.49€
Rating 7.8
Release 20 Jan 2025
Toilet Management Simulator Improve your toilet and make money. You want to go on a holiday but the bus company tells that there is not enough passengers. So you have to stop by dance school and maybe you can make new friends there.

Similarity 51%
Price 2.99€
Rating 7.0
Release 27 Jul 2020
Celestial Empire Forge an empire under the watchful eyes of the gods! Take care of your people, develop efficient production chains and trade with other landlords. Ensure their survival through harsh winters and disasters.

Similarity 51%
Price 19.99€
Rating 8.4
Release 23 Sep 2025
Surgeon Simulator Surgeon Simulator is an over-the-top operation sim, stitching together pitch-black humour with life-saving surgery. Become Dr. Burke, a would-be surgeon with a less than conventional toolkit, as he performs procedures on patients including the Heavy from TF2! ...is that a hammer?

Similarity 51%
Price 9.75€
Rating 8.1
Release 19 Apr 2013
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.

Similarity 51%
Price -93% 2.11€
Rating 6.9
Release 16 Nov 2021
Lethis - Path of Progress Lethis - Path of Progress is a city-builder in a victorian steampunk setting.

Similarity 51%
Price -97% 0.71€
Rating 6.6
Release 25 Jun 2015
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.

Similarity 51%
Price -65% 14.07€
Rating 8.5
Release 26 Apr 2024
Moose Miners Take control of a mining operation run by moose. They mine and sell the gems. You need to decide where to spend the profits. Hire more miners and upgrade their gear. Buy new rails and minecarts to get deeper into the mine. The deeper you get the more valuable gems you will find.

Similarity 51%
Price 9.75€
Rating 6.6
Release 10 May 2024
Supermarket Simulator Run your own supermarket! Stock shelves, set your prices, take payments, hire staff, expand your store, handle shoplifters, and design your layout. Purchase goods from online or local markets around town, and personally deliver online orders to your customers.

Similarity 51%
Price -45% 11.13€
Rating 9.2
Release 19 Jun 2025
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.

Similarity 51%
Price -98% 0.56€
Rating 7.1
Release 20 Aug 2020
The Last Starship The Last Starship is a 2D space construction game where you design and upgrade your starship. Choose your path: pirate hunter, miner, engineer, spacebus driver, and more, whilst exploring vibrant star systems. Enjoy a growing sandbox world, with regular free updates. Your cosmic adventure awaits!

Similarity 51%
Price 19.99€
Rating 7.6
Release 03 Feb 2026
SimCity™ 3000 Unlimited SimCity 3000 Unlimited brings you the classic strategy gaming of SimCity 3000 with all-new scenarios that open up a whole world of city planning and building possibilities! The thrills of the classic SimCity 3000 are here again!

Similarity 51%
Price -50% 2.49€
Rating 8.0
Release 07 Mar 2024
Heart's Medicine - Time to Heal An intense, but also funny, medical drama that deals with a lot of life-changing decisions. Become an aspiring surgeon at Little Creek Hospital!

Similarity 51%
Price 19.50€
Rating 8.8
Release 20 Sep 2016
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!

Similarity 51%
Price -96% 0.92€
Rating 7.2
Release 29 Sep 2023
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.

Similarity 51%
Price -47% 10.78€
Rating 8.9
Release 09 Nov 2016
Goat Simulator Goat Simulator is the latest in high-tech Goat Simulation technology.

Similarity 51%
Price -95% 0.55€
Rating 8.9
Release 01 Apr 2014
Tiny Town VR Create an original world and fill it with buildings, roads, vehicles and more. Give it life with posable characters. Tell a story with custom speech bubbles and in-game photo captures. Then, share with friends!

Similarity 50%
Price 14.99€
Rating 8.7
Release 02 Aug 2017
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.

Similarity 50%
Price -72% 8.56€
Rating 8.8
Release 14 Jul 2022
Ground of Aces Take command of a remote military air base during World War II. Build your own airfield, manage iconic aircraft and oversee your crew’s well-being. Prepare them against air raids and send your pilots on dangerous missions. Survive and help your nation win the war!

Similarity 50%
Price -13% 25.86€
Rating 8.2
Release 10 Jul 2025