Single-player games like Eternity's Echo: Patient Zero
Below are 8 single-player Steam games similar to Eternity's Echo: Patient Zero, 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 Eternity's Echo: Patient Zero page.
Ranked picks
- 1
Dendrophobia
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
A twisted pixel-art horror thriller about death, ancient gods, and a persistent waiter. Explore The Willow’s Embrace hotel, solve puzzles, and gather paranormal evidence. Challenge the madness to find a way out and avoid becoming part of an eternal nightmare.
- 2
Lens Of Fear
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
Realistic, hyper-immersive, intense action-adventure horror game. Developed by PlayableGraph as their debut title. This game combines a portable camera perspective with highly detailed environments and immersive sound design to deliver an authentic horror experience.
- 3
Wraith Rage: A Shadow's Choice
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
They have been waiting for you. To survive, you must unravel the terrifying secrets of a deadly cult, find clues, solve twisted puzzles, and piece together the truth before you become their sacrifice.
- 4
Ritual Tides
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
Ritual Tides is a story rich, psychological horror game set on the dark, atmospheric, isolated British island of Hortus. Explore the island, uncover its dark past, loot food, ammunition and supplies, evade the cult of the Fallow Parish, as you fight for survival against Lovecraftian horrors.
- 5
Inner Demons
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
Inner Demons is a first-person psychological horror game where the line between madness and reality dissolves. Explore, fight, and evade disturbing manifestations of your own mind as they invade the world around you - if you can tell them apart from what is real.
- 6
The Abandoned Levels
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Indie and Adventure with Eternity's Echo: Patient Zero.
After personal tragedy, you fall into the nightmarish Backrooms. Navigate handcrafted levels, evade deadly creatures, and cling to your sanity. Find the exit – and the answer to whether survival is worth the struggle at all.
- 7
Alkimya: House of Wisdom
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Adventure with Eternity's Echo: Patient Zero.
A first-person survival horror game set in the House of Wisdom during the 1258 siege of Baghdad. Scavenge for resources, craft alchemical flasks, unlock an interconnected sanctum of Golden Age puzzles, and survive the Mongol invaders — and the cosmic horror waiting beneath them.
- 8
Backrooms: Echo
Single-player alternative to Eternity's Echo: Patient Zero — playable solo, no multiplayer required. Shares Action and Indie with Eternity's Echo: Patient Zero.
A co-op horror for 1–4 players inspired by the Backrooms. Procedurally generated levels, terrifying entities, and a realistic atmosphere powered by Unreal Engine 5. Every playthrough is a unique experience. Try to find the way out, but don’t trust everything you hear and see.