Single-player games like Emergency Room Simulator
Below are 16 single-player Steam games similar to Emergency Room Simulator, 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 Emergency Room Simulator page.
Ranked picks
- 1
Ambulance Life: A Paramedic Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Dedicate your life to saving others. As soon as you receive the emergency call, speed off to the site of the accident in your ambulance, sirens wailing. Apply first aid and transport the seriously injured to hospital. Every second counts!
- 2
Emergency Call 112 – The Fire Fighting Simulation 2
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Emergency Call 112 – The Fire Fighting Simulation 2 is the consequent further development of the successful first part, which lets every Firefighter Fan experience the way a professional fire brigade works.
- 3
Project Hospital
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.
- 4
Car Dealer Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Uncover a goldmine in the used car market! Sniff out deals, buy low, modify, and sell high. Your journey from amateur grease monkey to car dealer magnate awaits. How fast will you rise in this lucrative venture?
- 5
Responding
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Responding is an upcoming open-world Emergency Services simulator sandbox that offers a realistic and in-depth Police, Fire, and EMS experience that is set in a fictional version of New York State.
- 6
Supermarket Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Run your own supermarket! Stock shelves, set your prices, take payments, hire staff, expand your store, handle shoplifters, and design your layout. Purchase goods from online or local markets around town, and personally deliver online orders to your customers.
- 7
CURE - A Hospital Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!
- 8
City Car Driving 2.0
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
City Car Driving 2.0 is a driving simulator designed to help novice drivers master driving in a setting as close to reality as possible.
- 9
Road Maintenance Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Experience the everyday life in a German street maintenance service and complete a variety of realistic tasks in the area of road construction and maintenance! For your work you will have unique vehicles and various usable tools at your disposal.
- 10
Urlaubsflug Simulator – Holiday Flight Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Without doubt flying virtual aircraft from your PC is one of the most interesting simulations – at the same time, it is one with a very steep learning curve. Holiday Flight Simulator, though, makes it especially easy to relive the last holiday trip from the cockpit’s view.
- 11
Road Maintenance Simulator 2 - Winter Services
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
In Road Maintenance Simulator 2, you take on a variety of authentic tasks that occur every day in a road maintenance depot - now including winter service! Choose from a wide selection of tools, attachments and vehicles to master the challenges ahead.
- 12
Island Flight Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Come fly the friendly skies and prove yourself as a freight pilot on twelve exotic islands.
- 13
Mystery Maze Of Balthasar Castle
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required.
Friends always manage, because they stick together, no matter what.
- 14
City Patrol: Police
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required.
City Patrol: Police — Combatting Crime! Attention! The City Patrol Special Unit is recruiting new members — and they want YOU! Enforce order in the city’s streets and highways, be the arm of the law.
- 15
My Little Riding Champion
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required.
Your horse. Your passion. Get ready to fulfil your dreams at a gallop. Choose your favourite horse, take care of it, train it and win medals for your club!
- 16
The Unicorn Princess
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required.
Explore the world on horseback and help the inhabitants of your village. Befriend Unica the unicorn and try to save the Dream World by completing all your missions!