Single-player games like Monster Therapy
Below are 9 single-player Steam games similar to Monster Therapy, 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 Monster Therapy page.
Ranked picks
- 1

Darkest Darkness
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
Darkest Darkness is a roguelike deck-building game with extraction elements. Choose your identity and venture into a Lovecraftian town. Craft every card yourself—collect materials, build powerful cards, plan your route, or extract with your gathered materials to gain an edge in your next run.
- 2

Dominoir
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
Dominoir is a domino roguelike where every tile can make—or break—your run. Build clever chains, close wraps, stack powerful Schemes and Marks, and chase outrageous scores. Outsmart the House, bend its rules, and prove that at this table, luck is only the beginning. Think Balatro meets Dominoes.
- 3

Grounds For Termination
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
The coffee is terrible. The management is worse. A roguelike deckbuilder set in a corporate dystopia - fight through 10 floors of co-workers, managers, and bosses to find out how deep the bad decision making goes. Every run is different. Every termination is a lesson. End the bureaucracy.
- 4

Shadows Across The Sun
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
You are one of the last to fight back — a scavenger, a soldier, a changeling — surviving run after run across the wreckage orbiting the dying star. Each attempt takes you closer to the truth buried at its core.
- 5

Bet on Beta
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
A roguelike deckbuilder where you run a tech company, but every sprint is decided on a slot machine. Hire coworker cards for your deck, staff them on the machine, and spin for tickets, epics, and OKRs. From garage startup to IPO.
- 6

GO, STOP
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
A roguelike deckbuilder built on hwatu, Korea's flower cards. It's 1999 and you owe a Busan loan shark ₩200,000,000. Match cards, stack charms, blow up the multiplier, and call "Go" to double the pot. Interest comes due every third night.
- 7

Lost
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
Lost is a with Chinese style mysterious unreal story is setting, contain all sorts of Chinese style ghost legend and content card card player of Rougelike adventure game ACTS the vagabonder that loses memory, set foot on unknown journey.
- 8

Madjack Vs Magic
Single-player alternative to Monster Therapy — playable solo, no multiplayer required. Shares Strategy with Monster Therapy.
A Bullet Hell Roguelike Deck Builder set in the 1920s following the mysterious death of a world renown talent. Madjack, a middle-aged rabbit magician, finds himself cursed as a permanent resident of an old manor. Now, he must put on his best performance yet to break the curse of the Swan Song.
- 9

Yaga
Single-player alternative to Monster Therapy — playable solo, no multiplayer required.
Play as Ivan, a one-handed blacksmith with incredibly bad luck, who must take on the impossible tasks given to him by the tzar. All the while the mysterious witch, Baba Yaga, watches over Ivan's fate.