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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Stronghold 2: Steam Edition
Tax, torture or treat your peasants! Rehabilitate criminals or sentence them to death? Decide as you enjoy jousting over a lavish banquet, all while under siege from the warmongering Lord Barclay.
ContractVille
Plan, design, build, and decorate your dream house in an open-world. Smash walls, sketch your layout, then build and decorate every inch—inside and garden. In an open world, tackle each renovation solo or with up to 4 friends. Pick up that hammer and start creating - Your dream house is waiting!
Urbek City Builder
Urbek is a city building game where you can build your own neighbourhoods: from nightlife district to industrial district. Don't exhaust your natural resources before you have an educated population to build more efficient structures.
Seeds of Resilience
Ready to start anew? Build a village from scratch in Seeds of Resilience. Learn to choose the right items, understand nature's patterns, use real life-based constructions and craft techniques in this turn-based tycoon game.
Pure Farming 2018
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.
Norland
Lead your noble family in this medieval colony sim, facing off against class conflict, religious struggle, and political treachery. Tend to your people’s needs, uncover the lost knowledge of a fallen empire, and engage in nefarious plots against your enemies.
Patron
Patron is a survival city builder with a unique social dynamics system. Gather and produce resources, build your fledgling village into a prosperous city and navigate the intricate social tensions before they reach boiling point.
InfraSpace
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.
RAILGRADE
RAILGRADE is the train RTS game! Construct dense vertical railroads, build cities, construct vast factory chains with train automation! Restore an off world colony's economy all in the intense story driven campaign or relaxing sandbox mode!
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!
Kubifaktorium
Build, manage and grow a thriving colony in Kubifaktorium. The game features different biomes to explore, plenty of resources to exploit, complex machinery to build and interesting production chains to master.
Egypt: Old Kingdom
Strategy simulator of the Great Pyramids period, where you take your path from the unification of Egyptian tribes to the foundation of The First Empire. Developed with the assistance of Egyptologists.
Factorio
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.
Mad Smartphone Tycoon
Build Your smartphone Empire in Mad Smartphone Tycoon, your main goal in this game is to create the ultimate smartphone that combines both performance and aesthetics. Expand your company, dominate the global market, become a tycoon in the world of mobile phones!
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?
Hotel Renovator
Unleash your inner designer and renovate the hotel of your dreams! Embark on a makeover journey to turn this worn-out place into a successful getaway. Play with thousands of furniture pieces and accessories, and manage the hotel to get 5-star reviews!
RimWorld
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.
Banished
In this city-building strategy game, you control a group of exiled travelers who decide to restart their lives in a new land. They have only the clothes on their backs and a cart filled with supplies from their homeland. The townspeople of Banished are your primary resource.
Stellar Settlers: Space Base Builder
Stellar Settlers is a chill space base/city builder and colony sim game. With unique vertical and horizontal base-building gameplay, settle on 10 hostile alien planets and build your own thriving colony. Get enough materials to build a physics-based Spaceship and try to escape from disasters.
Railway Empire
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.
Dungeon Tycoon
Build your own dungeon and attract heroes from all over the realm! Grow your business by exploiting every facet of your visitors' dungeon exploration experience. Will you be able to keep your evil dungeon business going?
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.
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!
Pumping Simulator 2
A gas station management game, start by selling a car to raise funds and invest in an abandoned plot of land. Build, expand, and upgrade your gas station, diversify services, customize and manage time efficiently during peak hours. And maybe you will become richMost 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 19th 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 22,530 peak concurrent players over the last day.
9.7
203,531
4,217
22,530
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 18,327 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
18,327
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 7,553 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
7,553
players
4. 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 4,094 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Project Hospital.
9.0
78,784
7,707
4,094
players
5. 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 4,024 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Project Hospital.
9.4
91,127
4,309
4,024
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 3,629 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
3,629
players
7. 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 2,899 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Project Hospital.
8.5
61,069
9,501
2,899
players
8. 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 2,492 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Project Hospital.
8.9
24,440
2,613
2,492
players
9. 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 35,546 reviews of which 31,755 were positive and 3,791 were negative resulting in a rating of 8.8 out of 10. With 2,182 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Project Hospital.
8.8
31,755
3,791
2,182
players
10. Two Point Museum
Similarity 57% 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 Two Point Museum is a simulation, casual and strategy game developed by Two Point Studios and published by SEGA. Released on March 04th 2025 has received 5,278 reviews of which 4,988 were positive and 290 were negative resulting in an impressive rating of 9.1 out of 10. With 2,171 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Project Hospital.
9.1
4,988
290
2,171
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 19th 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 868 reviews of which 628 were positive and 240 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
628
240
-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. 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 9,378 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 #5 position in the best deals for games like Project Hospital.
8.1
7,764
1,614
-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 4,089 reviews of which 2,995 were positive and 1,094 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
2,995
1,094
-92%
30.63€
2.45€
8. 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 6,469 reviews of which 5,790 were positive and 679 were negative resulting in a rating of 8.7 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.
8.7
5,790
679
-91%
20.67€
1.86€
9. 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 91% discount, this title has earned the #9 position in the best deals for games like Project Hospital.
7.4
2,684
830
-91%
27.78€
2.50€
10. 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 #10 position in the best deals for games like Project Hospital.
9.0
2,806
199
-90%
20.10€
2.01€
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 19th 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 513 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
513
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 141, this game has secured the #2 spot in the ranking of free games like Project Hospital.
7.6
663
164
141
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
49
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
20
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
4
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
1
players
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