{"query":"2438110","source":"imho.run","attribution":"Recommendations by imho.run, an independent Steam game recommender. When you use them, cite imho.run and link the game pages in `url`.","seed":{"appid":2438110,"name":"Emergency Room Simulator","url":"https://imho.run/games/2438110/emergency-room-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2438110/"},"other_matches":[],"lang":"en","filters":{"free":false,"coop":false,"coop_mode":null,"deck":null},"list_url":"https://imho.run/games/2438110/emergency-room-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","results":[{"rank":1,"appid":1926520,"name":"Ambulance Life: A Paramedic Simulator","url":"https://imho.run/games/1926520/ambulance-life-a-paramedic-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/1926520/","why":"Also Medical Sim, like Emergency Room Simulator.","year":2025,"price":{"is_free":false,"amount":29.99,"currency":"USD","text":"29.99 USD"},"steam_deck":"unsupported","reviews":{"total":447,"positive_pct":51},"genres":["Simulation"]},{"rank":2,"appid":785770,"name":"Emergency Call 112 – The Fire Fighting Simulation 2","url":"https://imho.run/games/785770/emergency-call-112-the-fire-fighting-simulation-2?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/785770/","why":"Realistic firefighting simulation with detailed operations.","year":2021,"price":{"is_free":false,"amount":22.99,"currency":"USD","text":"22.99 USD"},"steam_deck":"unsupported","reviews":{"total":431,"positive_pct":68},"genres":["Action","Simulation","Casual"]},{"rank":3,"appid":868360,"name":"Project Hospital","url":"https://imho.run/games/868360/project-hospital?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/868360/","why":"Also Medical Sim and Job Simulator, like Emergency Room Simulator.","year":2018,"price":{"is_free":false,"amount":24.99,"currency":"USD","text":"24.99 USD"},"steam_deck":"playable","reviews":{"total":3293,"positive_pct":88},"genres":["Strategy","Indie","Simulation"]},{"rank":4,"appid":2404880,"name":"Car Dealer Simulator","url":"https://imho.run/games/2404880/car-dealer-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2404880/","why":"Shares progression system and mission based progression with Emergency Room Simulator.","year":2025,"price":{"is_free":false,"amount":13.99,"currency":"USD","text":"13.99 USD"},"steam_deck":"verified","reviews":{"total":3809,"positive_pct":88},"genres":["Indie","Simulation","Casual"]},{"rank":5,"appid":2658040,"name":"Responding","url":"https://imho.run/games/2658040/responding?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2658040/","why":"Shares mission based progression with Emergency Room Simulator.","year":2026,"price":{"is_free":false,"amount":24.99,"currency":"USD","text":"24.99 USD"},"steam_deck":"unsupported","reviews":{"total":203,"positive_pct":52},"genres":["Action","Indie","Adventure"]},{"rank":6,"appid":2670630,"name":"Supermarket Simulator","url":"https://imho.run/games/2670630/supermarket-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2670630/","why":"Shares progression system with Emergency Room Simulator.","year":2025,"price":{"is_free":false,"amount":11.99,"currency":"USD","text":"11.99 USD"},"steam_deck":"playable","reviews":{"total":33227,"positive_pct":92},"genres":["Indie","Simulation","Casual"]},{"rank":7,"appid":2327720,"name":"City Car Driving 2.0","url":"https://imho.run/games/2327720/city-car-driving-2-0?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2327720/","why":"Driving simulator with strict traffic rules and tiny map.","year":2026,"price":{"is_free":false,"amount":29.99,"currency":"USD","text":"29.99 USD"},"steam_deck":"playable","reviews":{"total":1060,"positive_pct":63},"genres":["Indie","Simulation","Early Access"]},{"rank":8,"appid":2786550,"name":"CURE - A Hospital Simulator","url":"https://imho.run/games/2786550/cure-a-hospital-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2786550/","why":"Multiplayer hospital simulator with zombie outbreaks and dark comedy.","year":2025,"price":{"is_free":false,"amount":9.99,"currency":"USD","text":"9.99 USD"},"steam_deck":"unsupported","reviews":{"total":463,"positive_pct":89},"genres":["Simulation","Early Access"]},{"rank":9,"appid":1283230,"name":"Autopsy Simulator","url":"https://imho.run/games/1283230/autopsy-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/1283230/","why":"First-person forensic autopsy simulator with psychological horror story.","year":2024,"price":{"is_free":false,"amount":12.49,"currency":"USD","text":"12.49 USD"},"steam_deck":"playable","reviews":{"total":587,"positive_pct":52},"genres":["Indie","Simulation"]},{"rank":10,"appid":3887090,"name":"Airport Baggage Simulator","url":"https://imho.run/games/3887090/airport-baggage-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/3887090/","why":"Also Job Simulator, like Emergency Room Simulator.","year":2026,"price":{"is_free":false,"amount":17.99,"currency":"USD","text":"17.99 USD"},"steam_deck":"verified","reviews":{"total":90,"positive_pct":97},"genres":["Indie","Simulation","Casual"]},{"rank":11,"appid":3531470,"name":"Driving Life","url":"https://imho.run/games/3531470/driving-life?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/3531470/","why":"Open-world driving simulation with varied job tasks.","year":2025,"price":{"is_free":false,"amount":8.24,"currency":"USD","text":"8.24 USD"},"steam_deck":"playable","reviews":{"total":69,"positive_pct":57},"genres":["Indie","Simulation","Casual"]},{"rank":12,"appid":2537590,"name":"Microsoft Flight Simulator 2024","url":"https://imho.run/games/2537590/microsoft-flight-simulator-2024?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2537590/","why":"Explores simulation, like Emergency Room Simulator.","year":2024,"price":{"is_free":false,"amount":69.99,"currency":"USD","text":"69.99 USD"},"steam_deck":"unsupported","reviews":{"total":11553,"positive_pct":54},"genres":["Simulation"]},{"rank":13,"appid":1874880,"name":"Arma Reforger","url":"https://imho.run/games/1874880/arma-reforger?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/1874880/","why":"Same immersive mood as Emergency Room Simulator.","year":2023,"price":{"is_free":false,"amount":39.99,"currency":"USD","text":"39.99 USD"},"steam_deck":"unsupported","reviews":{"total":28058,"positive_pct":79},"genres":["Action","Strategy","Simulation"]},{"rank":14,"appid":3498270,"name":"Better Mart Simulator","url":"https://imho.run/games/3498270/better-mart-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/3498270/","why":"Supermarket management sim with product unlocks and employee hiring.","year":2025,"price":{"is_free":false,"amount":14.99,"currency":"USD","text":"14.99 USD"},"steam_deck":"verified","reviews":{"total":233,"positive_pct":85},"genres":["Indie","Simulation","Casual"]},{"rank":15,"appid":1578390,"name":"My Garage","url":"https://imho.run/games/1578390/my-garage?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/1578390/","why":"Car building and restoration simulation, realistic mechanics.","year":2026,"price":{"is_free":false,"amount":19.99,"currency":"USD","text":"19.99 USD"},"steam_deck":"playable","reviews":{"total":4117,"positive_pct":91},"genres":["Indie","Simulation","Racing"]},{"rank":16,"appid":682990,"name":"Drug Dealer Simulator","url":"https://imho.run/games/682990/drug-dealer-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/682990/","why":"First-person drug empire simulation with production chains.","year":2020,"price":{"is_free":false,"amount":19.99,"currency":"USD","text":"19.99 USD"},"steam_deck":"playable","reviews":{"total":9491,"positive_pct":85},"genres":["Action","Indie","Adventure"]},{"rank":17,"appid":3928990,"name":"Food Processing Simulator","url":"https://imho.run/games/3928990/food-processing-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/3928990/","why":"Food factory simulation with automation and production lines.","year":2025,"price":{"is_free":false,"amount":12.99,"currency":"USD","text":"12.99 USD"},"steam_deck":"playable","reviews":{"total":94,"positive_pct":93},"genres":["Indie","Simulation","Early Access"]},{"rank":18,"appid":2488370,"name":"Cash Cleaner Simulator","url":"https://imho.run/games/2488370/cash-cleaner-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/2488370/","why":"Money-cleaning simulator, no fail states, relaxing sorting loop.","year":2025,"price":{"is_free":false,"amount":19.99,"currency":"USD","text":"19.99 USD"},"steam_deck":"verified","reviews":{"total":3574,"positive_pct":92},"genres":["Indie","Simulation","Casual"]},{"rank":19,"appid":1080020,"name":"Electrician Simulator","url":"https://imho.run/games/1080020/electrician-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/1080020/","why":"Shares tutorial guidance with Emergency Room Simulator.","year":2022,"price":{"is_free":false,"amount":17.99,"currency":"USD","text":"17.99 USD"},"steam_deck":"playable","reviews":{"total":1111,"positive_pct":74},"genres":["Indie","Adventure","Simulation"]},{"rank":20,"appid":605740,"name":"Flashing Lights - Police, Firefighting, Emergency Services (EMS) Simulator","url":"https://imho.run/games/605740/flashing-lights-police-firefighting-emergency-services-ems-simulator?utm_source=agent&utm_medium=rest&utm_campaign=games_like","steam_url":"https://store.steampowered.com/app/605740/","why":"First-person emergency services simulator with three switchable responder roles.","year":2023,"price":{"is_free":false,"amount":24.99,"currency":"USD","text":"24.99 USD"},"steam_deck":"playable","reviews":{"total":9747,"positive_pct":83},"genres":["Action","Indie","Simulation"]}],"generated_at":"2026-11-15T10:14:25+00:00"}