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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Mini Settlers
Mini Settlers is a minimalistic city builder! Settle islands, construct cities, and design efficient logistic networks to fulfill your buildings' needs and fuel population growth to adventure into new worlds.
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!
The Universim
Jump straight into managing your own planets as you guide a civilization through the ages. Build the ultimate empire in The Universim, a new breed of God Game in development by Crytivo.
Cook, Serve, Delicious!
One of the few hardcore restaurant sims in existence, Cook, Serve, Delicious! is a deceptively easy game to learn but incredibly challenging to master as you progress through your career from owning a terrible zero star cafe into a five star world famous restaurant.
Bee Island
Take control of the hive and protect it from enemies. Build factories and defence, research technologies and, if necessary, use nuclear weapons, but do not let the enemies harm the queen!
Tavern Master
Tavern Master is all about managing your medieval tavern. You start with a very small room, couple of benches and tables and build your way up to a huge successful tavern with a kitchen, rooms for guests, group of loyal staff and much more!
Food Truck Simulator
Renovate, equip and restore the shine of the food truck that belonged to your father. Create recipes, cook the food and serve customers across an entire city. Customize and upgrade your food truck to reach more customers and expand your menu.
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!
Marble Age
Turn-based historical simulation strategy. Develop the Greek civilization from the small village to the great city-state when it will dominate the world!
Car Mechanic Simulator 2015
New cars, new tools, new options, more parts and much more fun in the next version of Car Mechanic Simulator! Take your wrench! Create and expand your auto repairs service empire. Car Mechanic Simulator 2015 will take you behind the scenes of daily routine in car workshop.
Cataclismo
Design and build fortresses brick by brick to stand against endless hordes of Horrors in this real-time strategy game with resource management, siege defense, and exploration. Lead from the ramparts, push back the darkness, and hold fast against the creatures of the Mist.
Cook, Serve, Delicious! 3?!
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!
Farm for your Life
Your community was taken down by a heavy storm which caused an apocalypse and unleashed the living dead. Together with the other survivors, it is your task to rebuild and to allow that sustainable life can still be assured. Cultivate your farm and manage your restaurant to provide food and deal with all the zombies.
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?
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.
Cafe Owner Simulator
Open your dream restaurant at FPP. Create a unique exterior and interior, hire the best workers and chefs, create a place where people will love to eat, spend time and spend their money. Simulation of the restaurant business.
Manor Lords
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.
Against the Storm
A dark fantasy city builder where you must rebuild civilization in the face of apocalyptic rains. As the Queen’s Viceroy, lead humans, beavers, lizards, foxes, and harpies to reclaim the wilderness and secure a future for civilization's last survivors.
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.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 1,716 reviews of which 1,270 were positive and 446 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
1,270
446
-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 1,943 were positive and 192 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
1,943
192
-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 1,165 reviews of which 714 were positive and 451 were negative resulting in a rating of 6.0 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.
6.0
714
451
-94%
19.83€
1.19€
8. 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 #8 position in the best deals for games like Two Point Hospital.
8.7
2,570
277
-92%
12.50€
1.00€
9. Rise of Industry
Similarity 59% 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 #9 position in the best deals for games like Two Point Hospital.
7.1
2,995
1,094
-92%
30.63€
2.45€
10. Sugar Shack
Similarity 58% Grab some friends, fire up the boiler, and let the syrup flow! Build the world around your cabin as you fulfill orders of hungry villagers with endless sweet tooths. There's never a dull moment in this cozy forest inspired by Quebec lore and art! Sugar Shack is a online co-op, co-op and indie game developed by MadLife Divertissement and published by indie.io. Released on September 14th 2023 has received 303 reviews of which 207 were positive and 96 were negative resulting in a rating of 6.5 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.
6.5
207
96
-92%
19.25€
1.54€
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