Choose Pilgrims
Choose Pilgrims if it's Steam Deck Verified, so handheld play works out of the box. 1,488 Steam reviews back the pick.
Pilgrims vs Plague M.D.
Pilgrims and Plague M.D. both land in Indie, Adventure, Casual on Steam, which is why they keep getting compared. The comparison below is built from each game's Steam metadata — release year, genres, categories, Steam Deck status, price, and review score — refreshed daily by imho.run's scraper. Headline differences: Both share Indie, Adventure, Casual on Steam. Pilgrims (2019) is 1 year older than Plague M.D. (2020). Pilgrims scores higher on Steam reviews (96% positive) than Plague M.D. (73.7% positive). No login or purchase needed — scroll for the full table, the verdict FAQ, and links to ranked similar games for both titles.
Which should you pick?
Choose Plague M.D.
Choose Plague M.D. if you want a Simulation experience. Plague M.D. launched in 2020.
Both Pilgrims and Plague M.D. sit in Indie, Adventure, and Casual on Steam, so either pick lands in the same broad neighborhood. Use the side-by-side table for the feature view, or follow the "Games like" links below to see ranked alternatives for either title.
Side-by-side comparison
 Pilgrims |  Plague M.D. | |
|---|---|---|
| Released | 2019 | 2020 |
| Genres | Indie, Adventure, Casual | Indie, Adventure, Simulation, Casual |
| Platforms | Windows, macOS, Linux | Windows, Linux |
| Steam Deck | Deck Verified | Unrated |
| Price | 6.99 USD | 5.99 USD |
| Steam reviews | 96% positive (1,488 reviews) | 73.7% positive (38 reviews) |
| Multiplayer | Single-player only | Single-player only |
| Developers | Amanita Design | CosCom Art Group |
Side by side
- Both share Indie, Adventure, Casual on Steam.
- Pilgrims (2019) is 1 year older than Plague M.D. (2020).
- Pilgrims scores higher on Steam reviews (96% positive) than Plague M.D. (73.7% positive).
- Plague M.D. is currently ~14% cheaper on Steam than Pilgrims (5.99 USD vs. 6.99 USD).
- Pilgrims is Deck Verified on Steam Deck; Plague M.D. has no Deck rating yet.
Pilgrims vs Plague M.D. — FAQ
- Should I play Pilgrims or Plague M.D. first?
- If you want chronology, Pilgrims (2019) came out before Plague M.D. (2020). If neither is a sequel to the other, order doesn't really matter — start with whichever fits your current mood, since both share enough on Steam to make either a reasonable opener.
- Are Pilgrims and Plague M.D. similar?
- They overlap on Indie, Adventure, Casual on Steam, so the catalogue groups them together — but "similar" depends on the specific mechanics. Use the genre + category rows above to decide whether the overlap matches what drew you to the one you've already played.
- Does Pilgrims run on Steam Deck?
- Yes — Pilgrims is rated Deck Verified by Valve. Plague M.D. doesn't have a Deck rating yet, so its Deck behaviour is currently unverified.