Games like Project Hospital on Steam
For those who prefer not to search, lists of the most played, top deals and best free games like Project Hospital are available at the bottom of the page.
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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.
Production Line : Car factory simulation
Production line is the new car factory management/simulation/tycoon game that pushes your organisational and entrepreneurship skills to the limit. Can you build the ultimate optimised, free-flowing car production line whilst beating the competition and still turn a profit?
Rec Center Tycoon - Management Simulator
Design, build and manage a recreation center! Host fitness classes, build swimming pools, arcade & entertainment areas, build event rooms to host parties & much more. With endless customisation, Rec Center Tycoon goes much more in-depth than your average business management simulator.
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!
Nebuchadnezzar
Create and customize cities in Nebuchadnezzar, a classic isometric city-builder where careful planning and define your rise as a ruler in ancient Mesopotamia.
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!
Espresso Tycoon Prologue: Underwater
A completely FREE underwater mission from the Espresso Tycoon - a coffee shop simulator. Build your own cafe from scratch, hire staff, create the most delicious recipes in the whole Pacific Ocean and make customers happy! Decorate, manage, and build a successful coffee business in Sydney!
One Military Camp
Build your own military camp, manage the economy, recruit the best candidates and train them to become elite specialists. Send them on missions across the land to end the war once and for all!
City Game Studio: Your Game Dev Adventure Begins
Manage a game studio from the dawn of the gaming industry in 1976. Your journey starts with small indie titles and grows into a gaming empire. Develop, design, and conquer the industry. From humble beginnings to gaming legend – it’s your story, your studio, your legacy!
Sweet Transit
Sweet Transit is a unique city builder where the railway is king. Build and automate the dream supply chain for your citizens, giving them all they need to expand quaint villages into bustling cities. Progress from steam power to diesel and beyond in this advanced train-driven experience.
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.
Space Colony: Steam Edition
Space Colony: Steam Edition is a remaster of the real-time base builder and strategy game from Firefly Studios, creators of the Stronghold series. In Space Colony you colonize to survive, designing intergalactic bases that keep your crew productive, happy and defended against hostile alien threats.
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?
The Sushi Spinnery
Revolutionize the revolving sushi bar in this fresh new sim!
OpenTTD
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.
Simutrans
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.
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?
Airport CEO
Build and manage an international airport!
Two Point Hospital
Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.
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!
Espresso Tycoon
Espresso Tycoon - a coffee shop simulator. Create your brand, decorate the coffee shop, manage your employees, and take care of your customers. Use the 3D coffee editor to create coffee recipes, order supplies, and collect rating points. Build the whole coffee business and complete all the missions!
Another Brick in The Mall
Design, build and manage a giant shopping center. Open shops, supermarkets, restaurants, movie theaters, bowling alleys and more. Hire and manage the best staff for the job and milk your customers for all they're worth!
1849
1849 is a city management game set during the California Gold Rush. Your task is to build towns, populate them with workers, and make sure that they are housed, fed, and entertained. You’ll have to manage and coordinate extensive production and trade networks to make sure your towns thrive.Most played games like Project Hospital on Steam
Take a look at the top games like Project Hospital that are currently attracting the largest player bases on the Steam platform, as of April 26th 2025.
1. RimWorld
Similarity 51% 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 207,748 reviews of which 203,531 were positive and 4,217 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 Project Hospital, thanks to its 20,601 peak concurrent players over the last day.
9.7
203,531
4,217
20,601
players
2. Factorio
Similarity 52% 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 212,987 reviews of which 206,579 were positive and 6,408 were negative resulting in an impressive rating of 9.6 out of 10. While seeing 17,099 players online at once in the last 24 hours, this game is currently ranked #2 among games like Project Hospital based on player count.
9.6
206,579
6,408
17,099
players
3. Cities: Skylines
Similarity 56% 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 273,857 reviews of which 254,575 were positive and 19,282 were negative resulting in an impressive rating of 9.2 out of 10. While seeing 6,674 players online at once in the last 24 hours, this game is currently ranked #3 among games like Project Hospital based on player count.
9.2
254,575
19,282
6,674
players
4. Kenshi
Similarity 50% 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 95,672 reviews of which 91,353 were positive and 4,319 were negative resulting in an impressive rating of 9.4 out of 10. With 3,706 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Project Hospital.
9.4
91,353
4,319
3,706
players
5. Planet Zoo
Similarity 53% 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 86,771 reviews of which 79,042 were positive and 7,729 were negative resulting in a rating of 9.0 out of 10. With 3,277 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Project Hospital.
9.0
79,042
7,729
3,277
players
6. Anno 1800
Similarity 50% Anno 1800™ – Lead the Industrial Revolution! Welcome to the dawn of the Industrial Age. The path you choose will define your world. Are you an innovator or an exploiter? A conqueror or a liberator? How the world remembers your name is up to you. Anno 1800 is a city builder, strategy and simulation game developed by Ubisoft Mainz and published by Ubisoft. Released on April 16th 2019 has received 24,235 reviews of which 19,663 were positive and 4,572 were negative resulting in a rating of 8.0 out of 10. With 3,071 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Project Hospital.
8.0
19,663
4,572
3,071
players
7. Transport Fever 2
Similarity 57% 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 27,053 reviews of which 24,440 were positive and 2,613 were negative resulting in a rating of 8.9 out of 10. With 2,703 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Project Hospital.
8.9
24,440
2,613
2,703
players
8. Manor Lords
Similarity 53% 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 70,570 reviews of which 61,069 were positive and 9,501 were negative resulting in a rating of 8.5 out of 10. With 2,356 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Project Hospital.
8.5
61,069
9,501
2,356
players
9. Workers & Resources: Soviet Republic
Similarity 53% 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 21,602 reviews of which 19,724 were positive and 1,878 were negative resulting in a rating of 8.9 out of 10. With 1,790 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Project Hospital.
8.9
19,724
1,878
1,790
players
10. Jurassic World Evolution 2
Similarity 50% 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 35,716 reviews of which 31,919 were positive and 3,797 were negative resulting in a rating of 8.8 out of 10. With 1,613 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Project Hospital.
8.8
31,919
3,797
1,613
players
Best deals on games like Project Hospital on Steam
Discover fantastic savings with the best discounts on a variety of games like Project Hospital available on Steam right now, updated on April 26th 2025. Looking for even more deals? Use the search filters to explore a wider range of discounted games like Project Hospital.
1. Lords and Villeins
Similarity 56% 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 Project Hospital.
7.0
628
239
-96%
27.50€
1.10€
2. Founders' Fortune
Similarity 56% 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 2,097 reviews of which 1,688 were positive and 409 were negative resulting in a rating of 7.7 out of 10. Thanks to its incredible 95% discount, this game is now the #2 best deal in games like Project Hospital.
7.7
1,688
409
-95%
20.00€
1.00€
3. 112 Operator
Similarity 55% Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day! 112 Operator is a simulation, realistic and casual game developed by Jutsu Games and published by Games Operators. Released on April 23rd 2020 has received 6,492 reviews of which 5,810 were positive and 682 were negative resulting in a rating of 8.7 out of 10. Thanks to its incredible 93% discount, this game is now the #3 best deal in games like Project Hospital.
8.7
5,810
682
-93%
20.71€
1.45€
4. Railway Empire
Similarity 51% 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 9,378 reviews of which 7,764 were positive and 1,614 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 93% discount, this title has earned the #4 position in the best deals for games like Project Hospital.
8.1
7,764
1,614
-93%
31.14€
2.18€
5. Pure Farming 2018
Similarity 52% Use the latest technology and state-of-the-art licensed machines to manage all aspects of modern farming. Travel between Europe, Asia, and both Americas to plant region-specific crops such as hemp, coffee beans, and olives. Farm your way thanks to three unique game modes tailored to both simulation veterans and newcomers to farming games. Pure Farming 2018 is a farming sim, simulation and open world game developed by Ice Flames and published by Techland Publishing. Released on March 13th 2018 has received 1,636 reviews of which 1,197 were positive and 439 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 93% discount, this title has earned the #5 position in the best deals for games like Project Hospital.
7.1
1,197
439
-93%
20.57€
1.44€
6. Cartel Tycoon
Similarity 50% Cartel Tycoon is a survival business sim inspired by the ‘80s and '90s narco trade. Expand and conquer, fight off rival thugs and evade the authorities. Earn people's loyalty and strive to overcome the doomed fate of a power-hungry drug lord. Cartel Tycoon is a top-down, rts and resource management game developed by Moon Moose and published by tinyBuild. Released on July 26th 2022 has received 3,514 reviews of which 2,684 were positive and 830 were negative resulting in a rating of 7.4 out of 10. Currently offered at a significant 92% discount, this title has earned the #6 position in the best deals for games like Project Hospital.
7.4
2,684
830
-92%
29.75€
2.38€
7. Parkasaurus
Similarity 53% 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? Parkasaurus is a management, city builder and dinosaurs game developed and published by Washbear Studio. Released on August 12th 2020 has received 3,005 reviews of which 2,806 were positive and 199 were negative resulting in a rating of 9.0 out of 10. Currently offered at a significant 90% discount, this title has earned the #7 position in the best deals for games like Project Hospital.
9.0
2,806
199
-90%
20.10€
2.01€
8. Transport Fever
Similarity 55% Transport Fever is a railroad-focused tycoon game. Players start in 1850 and build up a thriving transport company. As an emerging transport tycoon, the player constructs stations, airports, harbors and makes money by connecting areas requiring transport services. Build up your own Empire! Transport Fever is a flight, city builder and sandbox game developed by Urban Games and published by Good Shepherd Entertainment. Released on November 08th 2016 has received 10,702 reviews of which 8,919 were positive and 1,783 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 90% discount, this title has earned the #8 position in the best deals for games like Project Hospital.
8.1
8,919
1,783
-90%
30.20€
3.02€
9. Train Fever
Similarity 53% 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. Train Fever is a simulation, trains and management game developed by Urban Games and published by Good Shepherd Entertainment. Released on September 04th 2014 has received 3,495 reviews of which 2,248 were positive and 1,247 were negative resulting in a rating of 6.3 out of 10. Currently offered at a significant 90% discount, this title has earned the #9 position in the best deals for games like Project Hospital.
6.3
2,248
1,247
-90%
19.99€
1.99€
10. Jurassic World Evolution
Similarity 50% 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. Jurassic World Evolution is a building, dinosaurs and simulation game developed and published by Frontier Developments. Released on June 11th 2018 has received 53,766 reviews of which 46,902 were positive and 6,864 were negative resulting in a rating of 8.6 out of 10. Currently offered at a significant 89% discount, this title has earned the #10 position in the best deals for games like Project Hospital.
8.6
46,902
6,864
-89%
46.27€
5.09€
Free games like Project Hospital on Steam
Check out this fantastic list of free-to-play games like Project Hospital you can enjoy on Steam right now, updated on April 26th 2025. Looking for even more free titles? Use the search filters to explore a wider range of free to play games like Project Hospital.
1. OpenTTD
Similarity 60% 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 14,159 reviews of which 13,616 were positive and 543 were negative resulting in an impressive rating of 9.4 out of 10. With 498 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Project Hospital.
9.4
13,616
543
498
players
2. Sim Companies
Similarity 54% Become a Business Tycoon. Build your own company from the ground up. Do business in a virtual economy with players all around the world! Gain valuable business skills for free. An advanced, proprietary, Economy simulation model is used to deliver the best gaming experience. Sim Companies is a economy, capitalism and simulation game developed and published by Sim Companies s.r.o.. Released on August 31st 2023 has received 832 reviews of which 666 were positive and 166 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 143, this game has secured the #2 spot in the ranking of free games like Project Hospital.
7.6
666
166
143
players
3. Industry Idle
Similarity 54% Industry Idle is an idle game that combines factory building, resource management and market trading. Design & build your base, expand & scale up your productions, improve & optimize your economy. Plus all the incremental game goodies: offline earnings, prestige to unlock more powerful upgrades. Industry Idle is a automation, idler and resource management game developed and published by Fish Pond Studio. Released on September 13th 2024 has received 1,352 reviews of which 1,053 were positive and 299 were negative resulting in a rating of 7.5 out of 10. The game currently holds the #3 spot among the most played free games like Project Hospital.
7.5
1,053
299
51
players
4. Simutrans
Similarity 60% 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 616 reviews of which 465 were positive and 151 were negative resulting in a rating of 7.2 out of 10. The game currently holds the #4 spot among the most played free games like Project Hospital.
7.2
465
151
22
players
5. Oxygen: First Breath
Similarity 55% 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 1,586 reviews of which 1,425 were positive and 161 were negative resulting in a rating of 8.6 out of 10. The game currently holds the #5 spot among the most played free games like Project Hospital.
8.6
1,425
161
5
players
6. Smart Factory Tycoon: Beginnings
Similarity 56% This is a free version of Smart Factory Tycoon, a game inspired by Little Big Workshop introducing the first productions. Smart Factory Tycoon is a tycoon management game where you design your dream factory with robots, plan all steps of production, research new technologies and become a tycoon! Smart Factory Tycoon: Beginnings is a simulation, strategy and resource management game developed by Turquoise Revival Games and published by GrabTheGames. Released on January 05th 2022 has received 495 reviews of which 384 were positive and 111 were negative resulting in a rating of 7.3 out of 10. The game currently holds the #6 spot among the most played free games like Project Hospital.
7.3
384
111
2
players
7. Espresso Tycoon Prologue: Underwater
Similarity 65% A completely FREE underwater mission from the Espresso Tycoon - a coffee shop simulator. Build your own cafe from scratch, hire staff, create the most delicious recipes in the whole Pacific Ocean and make customers happy! Decorate, manage, and build a successful coffee business in Sydney! Espresso Tycoon Prologue: Underwater is a life sim, sandbox and strategy game developed by DreamWay Games and published by PlayWay S.A.. Released on November 04th 2022 has received 636 reviews of which 572 were positive and 64 were negative resulting in a rating of 8.4 out of 10. The game currently holds the #7 spot among the most played free games like Project Hospital.
8.4
572
64
1
players