Single-player games like The medical examination diary: the exciting days of me and my senpai
Below are 14 single-player Steam games similar to The medical examination diary: the exciting days of me and my senpai, 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 The medical examination diary: the exciting days of me and my senpai page.
Ranked picks
- 1

Virtual Maid Streamer Ramie
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
The Vtuber who came out of the screen was actually a maid!? Featuring the virtual maid who just wants to cheer the protagonist up. Follow this fluffy adventure with a little spice, full of charming moments and a few tears along the way.
- 2

I made a FEMBOY SQUIRT!
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Adventure with The medical examination diary: the exciting days of me and my senpai.
An old friend asks a big favor...
- 3

Saimin Gakushū: Secret Desire
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Adventure with The medical examination diary: the exciting days of me and my senpai.
Saimin Gakushū is a school adventure visual novel by popular Japanese developers Dark One! Soichi Akano acquires a sleep-learning machine through a dubious online shopping site, and plans to imprint his knowledge on the female students and teachers at his school.
- 4

LOVE³ -Love Cube-
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie with The medical examination diary: the exciting days of me and my senpai.
Things are about to change for Ichinari Tsuzurigi, an adult comics artist living in poverty. Blessed by his "Fates", he is facing a turning point of his career, and three women are going to live together with him...
- 5

Forbidden Love with My Wife's Sister
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
Handa Masayuki and Mayuka have finally gotten married after seven years together. However Masayuki begins his secret affair with Mayuka's sister, Natsume Sasa. An erotic visual novel from Appetite!
- 6

Monster College
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
The protagonist of this story discovers that he is a werewolf. In his new life, he will meet beautiful women, each with their own fascinating peculiarities: demons, vampires, zombies, werewolves, gorgons...
- 7

Mech Academy
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
It is the year 2175 and you are the pilot of a Guardian Mech. Gigantic war machines built to defend Earth from the Noxa, a ruthless alien race intent on conquering your planet. As a result of a mysterious experiment, you have been catapulted two centuries forward in time...
- 8

beat refle
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required.
This new take on rhythm games has you massage beautiful women in time to the music. The patrons of your massage parlor have not only sore bodies, but unique worries weighing on their hearts as well. Use your secret massage technique to clear all the stress out of their minds and bodies!
- 9

Fantasy Tavern Sextet -Vol.3 Postlude Days-
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
The final chapter of the 3-part series! The harem antics get even crazier when a maid and a priestess join the fray! Even a certain legendary hero makes an appearance! The harem rom-com set in a fantasy tavern welcomes its final chapter!
- 10

Fantasy Tavern Sextet -Vol.2 Adventurer's Days-
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
The 2nd part of a 3 part series! A run-of-the-mill guy who got transported to a fantasy world joins a witch and a lady knight together in battle?! Will he live to tell the tale?! And he has an unexpected reunion?! The 2nd chapter of the harem love-comedy in a fantasy world tavern available now!
- 11

NinNinDays2
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Adventure with The medical examination diary: the exciting days of me and my senpai.
A life turned upside down after an encounter with two female ninja?! This romance adventure game is set in Akihabara, where you'll enjoy your new, slightly naughty roommate life with laughter, tears, and the friendship of two female ninja.
- 12

IdolDays
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
Can a delinquent girl transform into an idol?! A love-adventure game where you can enjoy the heart-pounding roommate life of a rookie producer and a delinquent girl turned idol.
- 13

COSPLAY LOVE! : Enchanted princess
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
A lonely young lady who cosplays alone. A young, rookie designer chasing his dream. When these two meet, they open a brand new path through "cosplay"! A slightly erotic, young romance story between two people brought together by cosplay.
- 14

Hot“Sento Girls”and love
Single-player alternative to The medical examination diary: the exciting days of me and my senpai — playable solo, no multiplayer required. Shares Indie and Adventure with The medical examination diary: the exciting days of me and my senpai.
This is an adventure game that depicts the slapstick mishaps of a crossdressing boy. He decided to dress up as a girl as part of running his grandma’s traditional Japanese bathhouse (Sento). Is it really possible to run the Sento without his crossdressing being exposed?