IMHO.

Hospital 666 vs Long Carnage

Hospital 666 and Long Carnage both land in Action, Indie on Steam, which is why they keep getting compared. The comparison below is built from each game's Steam metadata — release year, genres, categories, Steam Deck status, price, and review score — refreshed daily by imho.run's scraper. Headline differences: Both share Action, Indie on Steam. Hospital 666 (2024) is 2 years older than Long Carnage (2026). Both support cooperative play. No login or purchase needed — scroll for the full table, the verdict FAQ, and links to ranked similar games for both titles.

Which should you pick?

Choose Hospital 666

Choose Hospital 666 if you want an Adventure experience. Hospital 666 launched in 2024.

Choose Long Carnage

Choose Long Carnage if you want an Early Access game with Online PvP, PvP, and Custom Volume Controls. Long Carnage launched in 2026.

Both Hospital 666 and Long Carnage sit in Action and Indie on Steam and both list Multi-player, Online Co-op, and Co-op, so either pick lands in the same broad neighborhood. Use the side-by-side table for the feature view, or follow the "Games like" links below to see ranked alternatives for either title.

Side-by-side comparison

Hospital 666 vs Long Carnage — Steam metadata comparison
Hospital 666 — Steam game coverHospital 666Long Carnage — Steam game coverLong Carnage
Released20242026
GenresAction, Indie, AdventureAction, Indie, Early Access
PlatformsWindowsWindows
Steam DeckDeck PlayableUnrated
Price7.99 USDPrice unknown
Steam reviews80.4% positive (296 reviews)
MultiplayerMulti-player, Online Co-op, Co-opMulti-player, Online Co-op, Co-op
DevelopersLokinCelestial Studio

Side by side

Hospital 666 vs Long Carnage — FAQ

Should I play Hospital 666 or Long Carnage first?
If you want chronology, Hospital 666 (2024) came out before Long Carnage (2026). If neither is a sequel to the other, order doesn't really matter — start with whichever fits your current mood, since both share enough on Steam to make either a reasonable opener.
Are Hospital 666 and Long Carnage similar?
They overlap on Action, Indie on Steam, so the catalogue groups them together — but "similar" depends on the specific mechanics. Use the genre + category rows above to decide whether the overlap matches what drew you to the one you've already played.
Do both Hospital 666 and Long Carnage have co-op?
Yes — both list a co-op category on Steam. Specifics differ: Hospital 666 ships Online Co-op, Co-op; Long Carnage ships Online Co-op, Co-op.
Does Hospital 666 run on Steam Deck?
Yes — Hospital 666 is rated Deck Playable by Valve. Long Carnage doesn't have a Deck rating yet, so its Deck behaviour is currently unverified.
Hospital 666 vs Long Carnage — Verdict (2026) · imho.run