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.
Filters & Lists
Catizens
Inspired by RimWorld and The Sims, Catizens is a colony management simulation game where you watch over unique cats with quirky personalities, as you help them build and grow their settlement while exploring new lands, facing off against wildlife and overcoming the challenges of each environment.
Workers & Resources: Soviet Republic
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.
Empires of the Undergrowth
Command swarms of warriors at an unprecedented scale of warfare in this blend of RTS and base-building. Lead ant colonies against the many fearsome threats of the insect world, while building intricate nests, developing pheromone-based tactics, and evolving to meet growing dangers.
Mini Metro
Mini Metro is a strategy simulation game about designing a subway map for a growing city. Draw lines between stations and start your trains running. As new stations open, redraw your lines to keep them efficient. Decide where to use your limited resources. How long can you keep the city moving?
TerraScape
Build gorgeous kingdoms on floating islands by strategically placing buildings in this cozy City-Puzzler. Discover secret combinations, take on weekly challenges and explore randomly generated maps in various single- and multiplayer game modes.
Recipe for Disaster
Recipe for Disaster is a management sim that captures the fast-paced, drama-filled environment of a professional kitchen and dining room. Build your dream restaurant, create recipes, design menus and manage your staff, all while contending with demanding customers and disastrous situations!
Techtonica
Techtonica is a first-person factory automation game with a gripping mystery about mining your way out from the depths of an alien planet. Explore bioluminescent caves, mold destructible terrain, construct a massive subterranean factory. Dig your way toward answers & discover the secrets of Calyx.
Desynced
Desynced is a sci-fi strategy game with fully customizable units and behaviors. Gather, build, research, and explore the unknown. Alone or with friends, unveil the mystery of an AI on the edge of self-awareness and uncover the hidden truth in this blend of strategy, automation, and exploration.
Spacelines from the Far Out
Run your own 60s-inspired space-age alien airlines in this randomly-generated chaotic 1-to-4-player local and online co-op game!
Streamer Life Simulator
Streamer Life Simulator is a very comprehensive streamer life simulation game. Be the most popular streamer in the world.
Anno 1800
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.
Train Station Renovation
Welcome to an old, ruined train station. A place that will give you a lot of fun! In Train Station Renovation you play as a renovation company specialized in restoring old and damaged railway stations.
Transport Fever
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!
Anno 2205™
In Anno 2205™, you join humankind‘s next step into the future with the promise to build a better tomorrow. You conquer Earth, establishing rich, bustling cities and grand industrial complexes, but to secure the prosperity of your people, you must travel into space.
Gear Up
Feel the adrenaline as you control your unique tank in multiplayer arcade action! Build your ultimate war machine from over a million different combinations. Now, will you go for the rumbling caterpillar tracks or the crawling spider legs?
The Guild II Renaissance
For centuries Europe has been dominated by the church and nobility. On the shoulders of ordinary people the servants of god and the noble families justified their power and wealth. This was the incontrovertible, divine world order. A truly dark era… In the 14th Century the world order is beginning to transform itself.
Thrillville®: Off the Rails™
Thrillville™: Off the Rails lives up to its name with 20 death-defying rides! Players can build incredible coasters to leap from one track to another, launch through the air like cannonballs, blast through a burning rings of fire and more!
Supermarket Together
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 Simulator
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.
Papa's Freezeria Deluxe
Return to Calypso Island to serve seasonal sundae treats in Papa's Freezeria Deluxe! Craft sundaes in the Freezeria for all your quirky customers while earning tips, points and Special Recipes. Switch gears and take a trip in the Food Truck to concoct your own chilly creations and see who shows up!
Jigsaw Puzzles Infinite
Sit back, relax and build puzzles to your heart's content. Assemble one of the many included puzzles, or add your own images. Customize size and shape of the pieces for any puzzle. Enjoy Classic mode or try out Zen mode for a new type of puzzle experience.
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.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 19th 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 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 Two Point Hospital, thanks to its 22,530 peak concurrent players over the last day.
9.7
203,531
4,217
22,530
players
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 1,150,066 reviews of which 1,113,171 were positive and 36,895 were negative resulting in an impressive rating of 9.6 out of 10. While seeing 21,543 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.
9.6
1,113,171
36,895
21,543
players
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 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 #3 among games like Two Point Hospital based on player count.
9.6
206,226
6,396
18,327
players
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 78,398 reviews of which 75,801 were positive and 2,597 were negative resulting in an impressive rating of 9.5 out of 10. With 12,055 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.
9.5
75,801
2,597
12,055
players
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 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. With 7,553 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.
9.2
254,575
19,282
7,553
players
6. 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 63,629 reviews of which 60,450 were positive and 3,179 were negative resulting in an impressive rating of 9.3 out of 10. With 6,666 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.
9.3
60,450
3,179
6,666
players
7. 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 127,145 reviews of which 123,019 were positive and 4,126 were negative resulting in an impressive rating of 9.5 out of 10. With 5,652 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Two Point Hospital.
9.5
123,019
4,126
5,652
players
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 278,502 reviews of which 274,557 were positive and 3,945 were negative resulting in an impressive rating of 9.8 out of 10. With 4,662 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.
9.8
274,557
3,945
4,662
players
9. Planet Zoo
Similarity 68% 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 #9 spot among the most played games like Two Point Hospital.
9.0
78,784
7,707
4,094
players
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 66,396 reviews of which 62,337 were positive and 4,059 were negative resulting in an impressive rating of 9.2 out of 10. With 4,043 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.
9.2
62,337
4,059
4,043
players
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 19th 2025. Looking for even more deals? Use the search filters to explore a wider range of discounted games like Two Point Hospital.
1. 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 1,373 reviews of which 988 were positive and 385 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.
7.0
988
385
-96%
25.00€
1.00€
2. 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 868 reviews of which 628 were positive and 240 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.
6.9
628
240
-96%
27.50€
1.10€
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 2,097 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 #3 best deal in games like Two Point Hospital.
7.7
1,688
409
-95%
20.00€
1.00€
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 1,713 reviews of which 1,268 were positive and 445 were negative resulting in a rating of 7.2 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.
7.2
1,268
445
-95%
23.40€
1.17€
5. 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 2,135 reviews of which 1,942 were positive and 193 were negative resulting in a rating of 8.7 out of 10. Currently offered at a significant 94% discount, this title has earned the #5 position in the best deals for games like Two Point Hospital.
8.7
1,942
193
-94%
16.67€
1.00€
6. Train Station Renovation
Similarity 54% Welcome to an old, ruined train station. A place that will give you a lot of fun! In Train Station Renovation you play as a renovation company specialized in restoring old and damaged railway stations. Train Station Renovation is a simulation, casual and indie game developed by Live Motion Games and published by Live Motion Games, Frozen Way, PlayWay S.A. and Frozen District. Released on October 01st 2020 has received 2,608 reviews of which 2,146 were positive and 462 were negative resulting in a rating of 7.9 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.
7.9
2,146
462
-94%
17.50€
1.05€
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 1,162 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 #7 position in the best deals for games like Two Point Hospital.
6
713
449
-94%
19.83€
1.19€
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 9,378 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 #8 position in the best deals for games like Two Point Hospital.
8.1
7,764
1,614
-93%
30.57€
2.14€
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 5,878 reviews of which 3,895 were positive and 1,983 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.
6.5
3,895
1,983
-93%
24.57€
1.72€
10. Train Valley 2
Similarity 53% Build bigger and more complex railway networks than ever before! Building on the success of the original, you’ll get more of what you loved about the original and then some. With increasingly difficult and complex challenges from local industries, the Valley has never felt so vast! ALL ABOARD! Train Valley 2 is a multiple endings, quick-time events and trains game developed by Alexey Davydov, Sergey Dvoynikov, Timofey Shargorodskiy and Flazm and published by Flazm and META Publishing. Released on April 15th 2019 has received 2,847 reviews of which 2,570 were positive and 277 were negative resulting in a rating of 8.7 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.
8.7
2,570
277
-92%
12.50€
1.00€
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 19th 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.
1. 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 63,629 reviews of which 60,450 were positive and 3,179 were negative resulting in an impressive rating of 9.3 out of 10. With 6,666 active players enjoying it for free, this strategy game has reached the #1 spot among the top free games like Two Point Hospital.
9.3
60,450
3,179
6,666
players
2. Clicker Heroes
Similarity 55% Ever wondered what one quadrillion damage per second feels like? Wonder no more! Embark on your quest to attain it today! Clicker Heroes is a clicker, idler and casual game developed and published by Playsaurus. Released on May 13th 2015 has received 61,156 reviews of which 54,871 were positive and 6,285 were negative resulting in a rating of 8.8 out of 10. Thanks to its free to play tag and a daily player base of 2,129, this game has secured the #2 spot in the ranking of free games like Two Point Hospital.
8.8
54,871
6,285
2,129
players
3. Fallout Shelter
Similarity 62% Fallout Shelter puts you in control of a state-of-the-art underground Vault from Vault-Tec. Build the perfect Vault, keep your Dwellers happy, and protect them from the dangers of the Wasteland. Fallout Shelter is a free to play, base-building and survival game developed by Bethesda Game Studios and published by Bethesda Softworks. Released on March 29th 2017 has received 73,819 reviews of which 65,306 were positive and 8,513 were negative resulting in a rating of 8.7 out of 10. Thanks to its free to play tag and a daily player base of 1,067, this game has secured the #3 spot in the ranking of free games like Two Point Hospital.
8.7
65,306
8,513
1,067
players
4. Business Tour - Board Game with Online Multiplayer
Similarity 60% "Business Tour" is a free to play multiplayer tabletop game. Build your monopoly with friends. Complete daily tasks, compete against the other players and receive trade items rewards! Business Tour - Board Game with Online Multiplayer is a board game, free to play and multiplayer game developed by and published by 8floor. Released on July 27th 2017 has received 76,297 reviews of which 46,352 were positive and 29,945 were negative resulting in a rating of 6.0 out of 10. Attracting a solid base of 1,044 players due to its free access, this strategy game has achieved the #4 position in the best free games like Two Point Hospital.
6.0
46,352
29,945
1,044
players
5. Mr.Mine
Similarity 60% Explore the depths of the earth and uncover hidden treasures in this addictive idle mining game. Unlock the power of your drill with hundreds of upgrades, discover mysterious relics, and unearth priceless gems. Can you master the mines and reveal their deepest secrets? Dive in and dig deep! Mr.Mine is a idler, clicker and simulation game developed and published by Playsaurus. Released on September 30th 2020 has received 16,928 reviews of which 15,565 were positive and 1,363 were negative resulting in a rating of 9.0 out of 10. Attracting a solid base of 963 players due to its free access, this strategy game has achieved the #5 position in the best free games like Two Point Hospital.
9.0
15,565
1,363
963
players
6. OpenTTD
Similarity 67% 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. Attracting a solid base of 513 players due to its free access, this strategy game has achieved the #6 position in the best free games like Two Point Hospital.
9.4
13,577
542
513
players
7. Global City
Similarity 57% Become the mayor and build the city of your dreams! In this game, anything is possible. Whatever you can imagine in a city-building and development simulator, you can do. Start from the very beginning and unlock new possibilities for developing your city in Global City! Global City is a city builder, strategy and building game developed by Red Brix Wall and published by MY.GAMES. Released on November 30th 2021 has received 1,163 reviews of which 818 were positive and 345 were negative resulting in a rating of 6.8 out of 10. Attracting a solid base of 183 players due to its free access, this strategy game has achieved the #7 position in the best free games like Two Point Hospital.
6.8
818
345
183
players
8. California Escapades
Similarity 60% In this simulation and adventure game, explore 19th-century Gold Rush California. Join Jim and Emma to build and manage your farm and city. Plant crops, raise animals, construct buildings, complete missions, uncover secrets, and collect treasures. Start your adventure now! California Escapades is a casual, simulation and strategy game developed and published by NUTS POWER ONLINE ENTERTAINMENT LIMITED. Released on September 03rd 2024 has received 476 reviews of which 429 were positive and 47 were negative resulting in a rating of 8.4 out of 10. Attracting a solid base of 171 players due to its free access, this strategy game has achieved the #8 position in the best free games like Two Point Hospital.
8.4
429
47
171
players
9. Sarah's Adventure: Time Travel
Similarity 63% This game unearths the essence of adventure by combining elements of exploration and puzzle-solving. The game’s appeal lies in its interactive gameplay mechanics, where your choices dictate the progression of the story. Sarah's Adventure: Time Travel is a casual, simulation and free to play game developed and published by NUTS POWER ONLINE ENTERTAINMENT LIMITED. Released on June 25th 2024 has received 2,009 reviews of which 1,825 were positive and 184 were negative resulting in a rating of 8.7 out of 10. Attracting a solid base of 163 players due to its free access, this strategy game has achieved the #9 position in the best free games like Two Point Hospital.
8.7
1,825
184
163
players
10. Kingdom: Classic
Similarity 55% Kingdom is a 2D sidescrolling strategy/resource management hybrid with a minimalist feel wrapped in a beautiful, modern pixel art aesthetic. Kingdom: Classic is a free to play, singleplayer and strategy game developed by Noio and Licorice and published by Raw Fury. Released on October 21st 2015 has received 21,983 reviews of which 19,934 were positive and 2,049 were negative resulting in a rating of 8.9 out of 10. The game currently holds the #10 spot among the most played free games like Two Point Hospital.
8.9
19,934
2,049
62
players