Games like Two Point Hospital on Steam
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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.
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.
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.
Celestial Empire
The Emperor has chosen you as a new provincial governor. Design the city of your dreams, admiring its details from a bird's-eye view. Take care of your people, develop efficient production chains and trade with other landlords. Ensure their survival through harsh winters and disasters.
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?
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.
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.
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.
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.
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!
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!
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!
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.
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!
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.