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.
Evil Genius
Everybody wants to rule the world! Achieve global power with EVIL GENIUS, the one and only complete world domination simulator. All the everyday tasks of the deliciously wicked mastermind are available to experience and master from building your ultra-secret base to developing spectacular super-weapons to carry out your nefarious master...California Escapades
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!SkyBrew: Entropic Strategist
Experience entrepreneurship in a floating cloud cafe. Manage your flying cafe, customize construction, train staff, handle random events, and uncover the secrets of the commercial empire, growing from a small shop to the sky's brightest star.Mr.Mine
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!Going Medieval
Build and manage your own castle settlement in a land reclaimed by wilderness. With detailed management, survival strategy, and a moddable sandbox world, Going Medieval challenges you to build the mightiest colony this side of the apocalypse.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.Junkyard Simulator
Did you ever wish to work in a junkyard? Now you can, with Junkyard Simulator. They are many roads leading to success - whichever you take depends on your decisions.Rec Center Tycoon - Management Simulator
Design, build and manage a recreation center! Host fitness classes, build swimming pools, arcade & entertainment areas, build event rooms to host parties & much more. With endless customisation, Rec Center Tycoon goes much more in-depth than your average business management simulator.Espresso Tycoon
Espresso Tycoon - a coffee shop simulator. Create your brand, decorate the coffee shop, manage your employees, and take care of your customers. Use the 3D coffee editor to create coffee recipes, order supplies, and collect rating points. Build the whole coffee business and complete all the missions!Honey, I Joined a Cult
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!Wooden Battles
Build a wooden fort, place your units, watch the mayhem!Tracks - The Train Set Game
Jump into the ultimate toy sandbox and build the train set of your dreams! Create colourful railway systems, decorate beautiful towns, transport commuting passengers, and even ride your train in first-person.Life is Feudal: Forest Village
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.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.Wildlife Park 2
Now’s the chance to build the Zoo of your dreams! Just like in a real Zoo, your animals must receive complete care. Feed them, train them, cure them and even relocate them. Observe their realistic interactions with one another, the landscape, the play equipment and even Zoo visitors.Stonehearth
Pioneer a living world full of warmth, heroism, and mystery. Help a small group of settlers build a home for themselves in a forgotten land. Establish a food supply, build shelter, defend your people, monitor their moods, and find a way to grow and expand, facing challenges at every step.Kerbal Space Program
In Kerbal Space Program, take charge of the space program for the alien race known as the Kerbals. You have access to an array of parts to assemble fully-functional spacecraft that flies (or doesn’t) based on realistic aerodynamic and orbital physics.Tropico 3
Become the dictator of a remote island during the Cold War. Charm, persuade, intimidate, oppress, or cheat your people to stay in power! Are you a kind and generous leader? A corrupt and ruthless tyrant ruling with an iron fist?Go-Go Town!
Plan, Build...Prosper? As mayor, it’s up to you to breathe life back into this rundown town. Construct shops, hire staff, automate deliveries with couriers, and attract tourists to town, all while managing infrastructure and avoiding catastrophes! Who said being mayor was going to be easy…Potion Tycoon
Potion Tycoon is a management simulator with a witchy twist! Build and develop your very own magic shop. Manage resources, set up production lines, mix potions and sell them smartly to stay ahead of the competition. Welcome to the potion business!shapez
shapez is an easy-going, minimalistic factory building game about the automation of shapes through extraction and satisfying production lines. Adapt to increasingly complex shapes and grow your factory across an infinitely expanding map. Your only limitation is your creativity!Winter Resort Simulator
Are you ready for the winter? Winter Resort simulator lets you operate detailed Doppelmayr cable cars and snow vehicles such as Pistenbully snowcats. Set in a realistic alpine landscape, you are responsible for managing your ski resort and keeping your guests happy.Automachef
Welcome to Automachef, a resource management puzzler where you design kitchens, program machinery and watch your genius come to life! It’s time to engineer tomorrow’s kitchen, today!King of Retail
The store is your kingdom! Expand your humble boutique into a thriving business: hire the right staff, decorate your displays, and lure in customers. Even your wildest ideas can turn a profit. Why not start a business that sells only white T-shirts and ketchup? PCs and beans? Your rule, your rules!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 17th 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 19,632 peak concurrent players over the last day.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 18,506 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.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 14,702 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.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 11,751 concurrent players in the last 24 hours, the game currently holds the #4 spot among the most played games like Two Point Hospital.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 273,442 reviews of which 254,189 were positive and 19,253 were negative resulting in an impressive rating of 9.2 out of 10. With 6,089 concurrent players in the last 24 hours, the game currently holds the #5 spot among the most played games like Two Point Hospital.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 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 5,415 concurrent players in the last 24 hours, the game currently holds the #6 spot among the most played games like Two Point Hospital.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 4,669 concurrent players in the last 24 hours, the game currently holds the #7 spot among the most played games like Two Point Hospital.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 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 4,379 concurrent players in the last 24 hours, the game currently holds the #8 spot among the most played games like Two Point Hospital.9. 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 3,629 concurrent players in the last 24 hours, the game currently holds the #9 spot among the most played games like Two Point Hospital.10. 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 3,468 concurrent players in the last 24 hours, the game currently holds the #10 spot among the most played games like Two Point Hospital.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 17th 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.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.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.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.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.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. 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.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.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.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.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 17th 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.