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
Lifeguard Simulator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Guard the beach, react fast, and save lives using quads, jet skis, motorboats, drones, and a helicopter. Patrol the bay, help those in need and uncover a hidden criminal intrigue beneath the waves.
- 2
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.
- 3
AirportSim
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
AirportSim is an Advanced Airport Ground Handling Simulator with true-to-life visuals and operations, licensed planes and vehicles, real airports and live weather conditions. Enjoy the many tasks alone or with friends, making this experience unforgettable.
- 4
Ranch Simulator: Build, Hunt, Farm
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Builder. Farmer. Hunter. Trader. Ranching certainly isn’t your average job. Think you have the skills to turn your family’s rundown homestead into the most prosperous ranch in the valley? Then it’s time to head out into the wilderness in this captivating single and multiplayer open-world simulator.
- 5
Arma Reforger
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Engage in massive combined arms battles, create and curate combat missions in real time, and shape your experience with endless community mods. Deploy into the Cold War and experience the most authentic and immersive military sandbox ever created.
- 6
SnowRunner
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Get ready for the next-generation off-road experience! Drive powerful vehicles and overcome extreme open environments to complete dozens of challenging missions solo or with up to 3 friends!
- 7
Teardown
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Prepare the perfect heist in a fully destructible, simulated voxel world. Tear down walls with vehicles or use explosives to create your own shortcuts. Shape the environment to your advantage in the most creative ways you can imagine. Play solo or with up to 12 players in multiplayer.
- 8
112 Operator
Single-player alternative to Emergency Room Simulator — playable solo, no multiplayer required. Shares Simulation with Emergency Room Simulator.
Manage emergency services in any city in the world! Take calls and dispatch rescue forces. Handle difficult situations, now depending on the weather, and traffic. Help the citizens through cataclysms and natural disasters, becoming a better emergency number operator every day!
- 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!