Single-player games like Ailment
Below are 9 single-player Steam games similar to Ailment, ranked by player overlap. Every pick carries Steam's Single-player category, so multiplayer-only titles or always-online games don't sneak in. imho.run pulls the category data from Steam directly — Single-player here matches what the store labels.
Want the full alternatives list (paid + free + Steam Deck + cheaper picks)? See the parent games like Ailment page.
Ranked picks
- 1

门 The Door
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
你想要明白生命的真正意义吗,想在无尽的世界里游戏吗,想真正的活着吗? 那么主神空间欢迎您!
- 2

Atomfall
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Adventure with Ailment.
A nuclear disaster has left an area of Britain in tatters. Atomfall, a new survival-action game, will see you explore, scavenge, craft, barter and fight your way through beautifully recreated scenery in search of answers.
- 3

The Ascent
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
The Ascent is a solo and co-op Action-shooter RPG set in a cyberpunk world. The mega corporation that owns you and everyone, The Ascent Group, has just collapsed. Can you survive without it?
- 4

ROMEO IS A DEAD MAN
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Adventure with Ailment.
Paint the screen red and travel the cosmos in this bloodstained action adventure game! Witness the latest from Grasshopper Manufacture: the advent of ULTRA-VIOLENT SCIENCE FICTION!
- 5

Daymare: 1998
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
DAYMARE: 1998 is a third-person survival horror game that recreates the mood of iconic titles from the '90s, with a fresh storyline. An incident that turns a small town into a deadly zone, three characters to play with and little time to find the truth, before its mutated citizens abruptly end your mission.
- 6

Alien Shooter
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
The endless darkness and the somber, long passages of a military complex have become the abode of evil, thousands of blood-thirsty creatures fill its offices, storehouses and mysterious laboratories. About 1,000 monsters on each map, showing up to 100 monsters simultaneously on one playing screen.
- 7

RUINER
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
RUINER is a brutal action shooter set in the year 2091 in the cyber metropolis Rengkok. A wired psychopath lashes out against a corrupt system to uncover the truth and retrieve his kidnapped brother under the guidance of a secretive hacker friend.
- 8

Hatred
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
Hatred is a violent twin-stick shooter, in which you take the role of The Antagonist fighting against all of humanity.
- 9

Endurance - space action
Single-player alternative to Ailment — playable solo, no multiplayer required. Shares Action and Indie with Ailment.
Endurance is an extremely exciting story-driven adventure shooter and a prequel of Ailment, one of the most downloaded pixel art mobile action games in the last year