Choose Dungeons 4
Choose Dungeons 4 if you want the Multi-player, Online Co-op, and Co-op side of the pairing. On Steam, it's Steam Deck Verified, so handheld play works out of the box. 1,160 Steam reviews back the pick.
Dungeons 4 vs Malpractice Hospital
Dungeons 4 and Malpractice Hospital both land in Strategy, Simulation 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 Strategy, Simulation on Steam. Dungeons 4 (2023) is 2 years older than Malpractice Hospital (2025). Malpractice Hospital is currently ~97% cheaper on Steam than Dungeons 4 (0.79 USD vs. 29.99 USD). 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 Malpractice Hospital
Choose Malpractice Hospital if you want an Indie experience. On Steam, it's currently about 97% cheaper on the Steam Store. Malpractice Hospital launched in 2025.
Both Dungeons 4 and Malpractice Hospital sit in Strategy and Simulation 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
 Dungeons 4 |  Malpractice Hospital | |
|---|---|---|
| Released | 2023 | 2025 |
| Genres | Strategy, Simulation | Strategy, Indie, Simulation |
| Platforms | Windows | Windows |
| Steam Deck | Deck Verified | Unrated |
| Price | 29.99 USD | 0.79 USD |
| Steam reviews | 85.6% positive (1,160 reviews) | 2 reviews |
| Multiplayer | Multi-player, Online Co-op, Co-op | Single-player only |
| Developers | Realmforge Studios | Jason Hodge Games |
Side by side
- Both share Strategy, Simulation on Steam.
- Dungeons 4 (2023) is 2 years older than Malpractice Hospital (2025).
- Malpractice Hospital is currently ~97% cheaper on Steam than Dungeons 4 (0.79 USD vs. 29.99 USD).
- Dungeons 4 has co-op; Malpractice Hospital does not.
- Dungeons 4 is Deck Verified on Steam Deck; Malpractice Hospital has no Deck rating yet.
Dungeons 4 vs Malpractice Hospital — FAQ
- Should I play Dungeons 4 or Malpractice Hospital first?
- If you want chronology, Dungeons 4 (2023) came out before Malpractice Hospital (2025). 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 Dungeons 4 and Malpractice Hospital similar?
- They overlap on Strategy, Simulation 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 Malpractice Hospital have multiplayer like Dungeons 4?
- No. Dungeons 4 supports multiplayer on Steam (Multi-player, Online Co-op, Co-op), while Malpractice Hospital is listed as single-player only.
- Does Dungeons 4 run on Steam Deck?
- Yes — Dungeons 4 is rated Deck Verified by Valve. Malpractice Hospital doesn't have a Deck rating yet, so its Deck behaviour is currently unverified.