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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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.
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.
SimCity™ 4 Deluxe Edition
SimCity 4 Deluxe Edition includes the bestselling SimCity 4 and the all-new SimCity 4 Rush Hour Expansion Pack. Create the most massive region of cities ever, with a farming town, bedroom community, high-tech commercial center, and industrial backbone.
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 exhibits
Pharaoh™: A New Era
The legendary city-builder returns! Lead the creation of one of the greatest civilizations the world has ever seen in this HD remake with modernized UI. Build monuments, manage your population and explore 4,000 years of history through over a hundred hours of gameplay.
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.
Transport Fever 2
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!
Stronghold Crusader HD (2012)
The highly anticipated sequel to the best-selling Stronghold, Stronghold Crusader HD throws you into historic battles and castle sieges from the Crusades with fiendish AI opponents, new units, 4 historical campaigns and over 100 unique skirmish missions.
Smart Factory Tycoon: Beginnings
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!
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!
RollerCoaster Tycoon® 2: Triple Thrill Pack
This compilation includes the entire RollerCoaster Tycoon 2 series, with the original game as well as the Time Twister and Wacky Worlds expansions.
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.
NIMBY Rails
Design and run your own railroads for the real world. Solve global transportation dilemmas. Unleash your inner railway engineer and transit policy manager.
Founders' Fortune
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.
Bronze Age - HD Edition
What was it like to be a chief of a tribe in 6000 year B.C.? Oh, you know, the usual - feed your people, build them shelters, defend them from raids of neighbors. And if you are lucky, sooner or later you will build a kingdom and become their king!
Marble Age: Remastered
Marble Age is a turn-based historical strategy where your task is to turn a small Ancient Greek village into a flourishing Polis, powerful enough to conquer the known world!
Wildlife Park 2
Now’s the chance to build the Zoo of your dreams! Just like in a real Zoo, your animals must receive complete care. Feed them, train them, cure them and even relocate them. Observe their realistic interactions with one another, the landscape, the play equipment and even Zoo visitors.
Blood Bar Tycoon
Blood Bar Tycoon is a vampire bar management game. Build bars and blood factories, lure humans to harvest their blood, process it, and serve your customers: other vampires. Research quirky machines and deal with hunters! Expand through Crimson City to become a mighty Elder!
Solargene
Lead a space corporation in the sci-fi simulator Solargene! Manage personnel, design and develop colonies and orbital stations throughout the solar system! Extract resources, establish logistics, research new technologies, trade and complete missions
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.
Good Company
Good Company is an in-depth management sim about building a trail-blazing tech corporation. Assemble complex production lines, manage employee logistics, and sell high-quality products on the market to become the best company in the whole county!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 15th 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 207,285 reviews of which 203,071 were positive and 4,214 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 35,684 peak concurrent players over the last day.
9.7
203,071
4,214
35,684
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 212,622 reviews of which 206,226 were positive and 6,396 were negative resulting in an impressive rating of 9.6 out of 10. While seeing 23,861 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
206,226
6,396
23,861
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 273,442 reviews of which 254,189 were positive and 19,253 were negative resulting in an impressive rating of 9.2 out of 10. While seeing 18,962 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
254,189
19,253
18,962
players
4. 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 23,986 reviews of which 19,441 were positive and 4,545 were negative resulting in a rating of 8.0 out of 10. With 8,620 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Project Hospital.
8.0
19,441
4,545
8,620
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 86,491 reviews of which 78,784 were positive and 7,707 were negative resulting in a rating of 9.0 out of 10. With 5,508 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Project Hospital.
9.0
78,784
7,707
5,508
players
6. 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 95,436 reviews of which 91,127 were positive and 4,309 were negative resulting in an impressive rating of 9.4 out of 10. With 5,411 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Project Hospital.
9.4
91,127
4,309
5,411
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 26,971 reviews of which 24,361 were positive and 2,610 were negative resulting in a rating of 8.9 out of 10. With 4,431 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Project Hospital.
8.9
24,361
2,610
4,431
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 70,300 reviews of which 60,884 were positive and 9,416 were negative resulting in a rating of 8.5 out of 10. With 4,080 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Project Hospital.
8.5
60,884
9,416
4,080
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 21,524 reviews of which 19,651 were positive and 1,873 were negative resulting in a rating of 8.9 out of 10. With 3,421 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Project Hospital.
8.9
19,651
1,873
3,421
players
10. Foundation
Similarity 51% Foundation is a grid-less, laidback medieval city-building game with a focus on organic development, monument construction and resource management. Foundation is a city builder, simulation and medieval game developed and published by Polymorph Games. Released on January 31st 2025 has received 19,570 reviews of which 16,721 were positive and 2,849 were negative resulting in a rating of 8.4 out of 10. With 3,224 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Project Hospital.
8.4
16,721
2,849
3,224
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 15th 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 865 reviews of which 626 were positive and 239 were negative resulting in a rating of 6.9 out of 10. Featuring a massive 96% discount, this game currently holds the #1 spot in the best deals for games like Project Hospital.
6.9
626
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 2,093 reviews of which 1,686 were positive and 407 were negative resulting in a rating of 7.8 out of 10. Thanks to its incredible 95% discount, this game is now the #2 best deal in games like Project Hospital.
7.8
1,686
407
-95%
20.00€
1.00€
3. InfraSpace
Similarity 52% Create an extrasolar efficiency utopia from scratch! In this sci-fi city builder you need to start mining operations, plan production, and lay down transportation routes to ensure a smooth supply chain. InfraSpace is a city builder, automation and transportation game developed and published by Dionic Software. Released on September 22nd 2023 has received 1,611 reviews of which 1,297 were positive and 314 were negative resulting in a rating of 7.7 out of 10. Thanks to its incredible 95% discount, this game is now the #3 best deal in games like Project Hospital.
7.7
1,297
314
-95%
20.00€
1.00€
4. Snowtopia: Ski Resort Builder
Similarity 52% 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 1,162 reviews of which 713 were positive and 449 were negative resulting in a rating of 6 out of 10. Currently offered at a significant 94% discount, this title has earned the #4 position in the best deals for games like Project Hospital.
6
713
449
-94%
19.83€
1.19€
5. 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 9,369 reviews of which 7,756 were positive and 1,613 were negative resulting in a rating of 8.1 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.
8.1
7,756
1,613
-93%
30.57€
2.14€
6. 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 #6 position in the best deals for games like Project Hospital.
7.1
1,197
439
-93%
20.57€
1.44€
7. Rise of Industry
Similarity 54% 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 4,084 reviews of which 2,993 were positive and 1,091 were negative resulting in a rating of 7.1 out of 10. Currently offered at a significant 92% discount, this title has earned the #7 position in the best deals for games like Project Hospital.
7.1
2,993
1,091
-92%
30.63€
2.45€
8. 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 3,507 reviews of which 2,680 were positive and 827 were negative resulting in a rating of 7.4 out of 10. Currently offered at a significant 91% discount, this title has earned the #8 position in the best deals for games like Project Hospital.
7.4
2,680
827
-91%
27.78€
2.50€
9. 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 3,000 reviews of which 2,801 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 #9 position in the best deals for games like Project Hospital.
9.0
2,801
199
-90%
20.10€
2.01€
10. 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 10,699 reviews of which 8,917 were positive and 1,782 were negative resulting in a rating of 8.1 out of 10. Currently offered at a significant 90% discount, this title has earned the #10 position in the best deals for games like Project Hospital.
8.1
8,917
1,782
-90%
30.20€
3.02€
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 15th 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 14,119 reviews of which 13,577 were positive and 542 were negative resulting in an impressive rating of 9.4 out of 10. With 749 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Project Hospital.
9.4
13,577
542
749
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 827 reviews of which 663 were positive and 164 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 146, this game has secured the #2 spot in the ranking of free games like Project Hospital.
7.6
663
164
146
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 1,351 reviews of which 1,053 were positive and 298 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
298
48
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
21
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 simulation game developed by Turquoise Revival Games and published by GrabTheGames and UpgradePoint. Released on October 07th 2022 has received 1,584 reviews of which 1,423 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
1,423
161
3
players
6. 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 #6 spot among the most played free games like Project Hospital.
8.4
572
64
7. 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 385 were positive and 110 were negative resulting in a rating of 7.4 out of 10. The game currently holds the #7 spot among the most played free games like Project Hospital.
7.4
385
110