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.
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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.
Project Hospital
Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.
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!
Youtubers Life
Become the most successful youtuber on the planet! Create videos, get subscribers, attend events, interact with your fans… and grow your channel. Live a youtuber’s life!
Tropico 4
The world is changing and Tropico is moving with the times - geographical powers rise and fall and the world market is dominated by new players with new demands and offers - and you, as El Presidente, face a whole new set of challenges.
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.
Planet Coaster 2
Build and customise thrilling roller coasters and incredible water slides, manage the ultimate theme park experience, and share your epic creations. Are you ready to ride the wave?
The Sims™ 3
The Sims 3: Create the perfect world with full customization at your fingertips. Refine personalities and help fulfill destinies.
Sarah's Adventure: Time Travel
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.
Overcrowd: A Commute 'Em Up
Design and build the most efficient metro stations known to man! Excavate. Expand. Set staff priorities. And manage the commuter flow. Overcrowd is a 2.5D management/tycoon/simulator set below the bustling city of Lubdon Town.
Bridge Constructor Portal
Enter the Aperture Science Enrichment Center and experience Bridge Constructor Portal – the unique merging of the classic Portal™ and Bridge Constructor™ games.
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.
My Free Zoo
A small zoo needs your help! As the new manager, it's your job to boost business. Design the zoo of your dreams. From wolves and polar bears all the way to prehistoric beasts – the further you progress in the game, the more exotic the animals you'll be able to keep in your zoo. Play now and save the zoo!
Dungeons 2
The Dungeon Lord is back – and this time he’s serious! In Dungeons 2, fulfil the Dungeon Lord’s insatiable quest for vengeance by recruiting fearsome new monsters from all corners of the underworld in order to undertake his evil bidding.
Youtubers Life 2
Start from humble beginnings and take charge of the daily life of a wannabe influencer. Balance your day between creating trend-based content, completing tasks to earn money, and building trust with your neighbors to uncover their stories. Are you ready to embark on your road to fame?
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.
Train Station Renovation - First Job
Welcome to the prologue to Train Station Renovation. This is where you will learn and teach how to renovate these small and the largest train stations in the world.
Streamer Daily
Did you think it was easy to streaming? Do you think streamers earn money by playing games? Can you reach the summit by facing all the challenges of streaming? Then be a real streamer instead of playing this game !!!
Definitely Not Fried Chicken
Definitely Not Fried Chicken is a business management sim with a Twist! Grow your drugs trade through legitimate fronts by managing both sides of the business. Acquire new "businesses", meet new clientele, Develop more potent narcotics, make lots of money and leave a city in ruin!
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.
Fallout Shelter
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.
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.
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!
Parking Tycoon: Business Simulator
Are you ready to immerse yourself in the exhilarating world of car parking management? Step into the shoes of a visionary entrepreneur and become the ultimate Parking Lot Tycoon! Take Charge and embark on a thrilling journey of strategy, expansion, and success.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 15th 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 207,285 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 Two Point Hospital, thanks to its 35,684 peak concurrent players over the last day.
9.7
203,071
4,214
35,684
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 28,494 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
28,494
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 23,861 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
23,861
players
4. 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 273,442 reviews of which 254,189 were positive and 19,253 were negative resulting in an impressive rating of 9.2 out of 10. With 18,962 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.
9.2
254,189
19,253
18,962
players
5. 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 78,130 reviews of which 75,535 were positive and 2,595 were negative resulting in an impressive rating of 9.5 out of 10. With 13,767 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.
9.5
75,535
2,595
13,767
players
6. Oxygen Not Included
Similarity 55% Oxygen Not Included is a space-colony simulation game. Deep inside an alien space rock your industrious crew will need to master science, overcome strange new lifeforms, and harness incredible space tech to survive, and possibly, thrive. Oxygen Not Included is a colony sim, base-building and survival game developed and published by Klei Entertainment. Released on July 30th 2019 has received 127,145 reviews of which 123,019 were positive and 4,126 were negative resulting in an impressive rating of 9.5 out of 10. With 13,414 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.
9.5
123,019
4,126
13,414
players
7. Anno 1800
Similarity 54% 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 #7 spot among the most played games like Two Point Hospital.
8.0
19,441
4,545
8,620
players
8. 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 6,607 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.
9.2
62,337
4,059
6,607
players
9. 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 62,815 reviews of which 59,688 were positive and 3,127 were negative resulting in an impressive rating of 9.3 out of 10. With 6,579 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Two Point Hospital.
9.3
59,688
3,127
6,579
players
10. 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 277,891 reviews of which 273,962 were positive and 3,929 were negative resulting in an impressive rating of 9.8 out of 10. With 5,894 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.
9.8
273,962
3,929
5,894
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 15th 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 865 reviews of which 626 were positive and 239 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
626
239
-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 2,093 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 #3 best deal in games like Two Point Hospital.
7.8
1,686
407
-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 2,605 reviews of which 2,143 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
2,143
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 9,369 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 #8 position in the best deals for games like Two Point Hospital.
8.1
7,756
1,613
-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 5,873 reviews of which 3,892 were positive and 1,981 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
3,892
1,981
-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 15th 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 62,815 reviews of which 59,688 were positive and 3,127 were negative resulting in an impressive rating of 9.3 out of 10. With 6,579 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
59,688
3,127
6,579
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 2,508, this game has secured the #2 spot in the ranking of free games like Two Point Hospital.
8.8
54,871
6,285
2,508
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 73,710 reviews of which 65,209 were positive and 8,501 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 1,524, this game has secured the #3 spot in the ranking of free games like Two Point Hospital.
8.7
65,209
8,501
1,524
players
4. 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 strategy game developed and published by Playsaurus. Released on September 30th 2020 has received 16,877 reviews of which 15,520 were positive and 1,357 were negative resulting in a rating of 9.0 out of 10. Attracting a solid base of 1,260 players due to its free access, this strategy game has achieved the #4 position in the best free games like Two Point Hospital.
9.0
15,520
1,357
1,260
players
5. 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 749 players due to its free access, this strategy game has achieved the #5 position in the best free games like Two Point Hospital.
9.4
13,577
542
749
players
6. 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 697 players due to its free access, this strategy game has achieved the #6 position in the best free games like Two Point Hospital.
6.0
46,352
29,945
697
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 1,157 reviews of which 813 were positive and 344 were negative resulting in a rating of 6.8 out of 10. Attracting a solid base of 179 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
813
344
179
players
8. 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. The game currently holds the #8 spot among the most played free games like Two Point Hospital.
8.7
1,825
184
80
players
9. My Free Zoo
Similarity 62% A small zoo needs your help! As the new manager, it's your job to boost business. Design the zoo of your dreams. From wolves and polar bears all the way to prehistoric beasts – the further you progress in the game, the more exotic the animals you'll be able to keep in your zoo. Play now and save the zoo! My Free Zoo is a free to play, casual and simulation game developed and published by upjers. Released on November 28th 2017 has received 658 reviews of which 410 were positive and 248 were negative resulting in a rating of 6.1 out of 10. The game currently holds the #9 spot among the most played free games like Two Point Hospital.
6.1
410
248
76
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
72
players