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.
United Penguin Kingdom
A city-building game where you build a penguin settlement and satisfy the various needs of your penguins while dealing with seals and killer whales. Enjoy the growth of your settlement, become the king, and lead the United Penguin Kingdom.Two Point Campus
Build the university of your dreams with Two Point Campus, the sim with a twist from the makers of Two Point Hospital. Build, hire staff and run an academic institution packed with wild courses.Let's School
Dive into the exhilarating role of a headmaster entrusted to revive your alma mater! Beyond just bricks and mortar, train teachers, recruit students. Sculpt your school into a unique educational haven! Let's School!Two Point Museum
Curate and manage incredible museums! Explore to discover amazing artifacts. Design and refine the layout, keep staff happy, guests entertained, donations plentiful… and children off the exhibitsThe 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?Prison Architect
Only the world’s most ruthless Warden can contain the world’s most ruthless inmates. Design and develop your personalized penitentiary in Prison Architect.Naheulbeuk's Dungeon Master
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!Parkasaurus
Parkasaurus is a dinosaur tycoon management simulation where you take care of your dinosaurs by constructing well-designed exhibits, researching specialized technologies, and maximizing profits to expand into the ultimate dinosaur theme park. Do you favor development for guests or your dinosaurs?Big Pharma
What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?Cities: Skylines
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.Planet Zoo
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 Coaster
Planet Coaster® - the future of coaster park simulation games has arrived! Surprise, delight and thrill incredible crowds as you build your coaster park empire - let your imagination run wild, and share your success with the world.Lords and Villeins
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!Game Dev Tycoon
In Game Dev Tycoon you replay the history of the gaming industry by starting your own video game development company in the 80s. Create best selling games. Research new technologies and invent new game types. Become the leader of the market and gain worldwide fans.Hotel Magnate
Have you ever wanted to design and manage your own hotel, rundown motel, or elegant resort? With a ridiculous amount of customization tools to wield, a host of facilities to build, and a wide variety of guests to impress, Hotel Magnate has it all. Let your inner hotel manager shine!Evil Genius 2: World Domination
A satirical spy-fi lair builder where YOU are the criminal mastermind! Construct your base, train your minions, defend your operations from the Forces of Justice, and achieve global domination!Hell Architect
Hell Architect is a game about building and managing your own hell. You take on a role of a hell manager and are tasked with developing the underworld in a way that would make Lucifer himself fall off his chair.Townsmen VR
Townsmen VR uses the exciting possibilities of virtual reality to further enhance the classic city building game with entirely new gameplay experiences and interactive mechanics. It combines elements of a God-game simulation and a classic building game with the interactive possibilities of VR.Farm Manager 2018
Manage your own farm in the game Farm Manager 2018! To expand your farm business, produce cheap and sell your products in high prices. Control the process of land cultivation, employ the best staff, buy the most appropriate farm equipment, raise livestock and process the harvested crops.Snowtopia: Ski Resort Builder
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!The Tenants
Become a landlord and deal with problematic tenants as you build your rental property empire. Decide how to react to annoyed neighbors or police interventions. Will you design your apartment for a group of gamer friends or an aspiring musician looking for a new home?Parkitect
Parkitect is a business simulation game that charges you with the construction and management of theme parks! Bringing back the best of classic theme park games with many new features and content on top. Now supports online co-op with up to 8 players!Train Fever
It’s the year 1850, and there are great times ahead! Establish a transport company and be its manager. Build infrastructure such as railways and stations, purchase transportation vehicles and manage lines. Fulfill the people’s needs and watch cities evolve dynamically.Project Hospital
Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.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.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.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.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.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.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.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.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. 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.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.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.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.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.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.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.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.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.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.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.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.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.