Single-player games like Do No Harm
Below are 9 single-player Steam games similar to Do No Harm, 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 Do No Harm page.
Ranked picks
- 1

Static Dread: The Lighthouse
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
Lovecraft meets Papers, Please. Play as a lighthouse keeper and guide ships safely into the harbor using your radio. Survive the presence of something impossible, and don’t let the shadows consume you!
- 2

Strange Antiquities
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
Become the custodian of a store dealing in occult antiquities. Explore the quaint and gloomy town of Undermere, where strange goings-on and dark mysteries abound. Find and identify arcane artefacts, use your collection to aid the townsfolk with their unusual problems — and remember to pet your cat!
- 3

Sunken Engine
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
Sunken Engine Lovecraftian Ship Repair Simulation. Restore your father’s old shipyard. Each arriving ship carries a dark mystery to be solved. Keep your customers satisfied while dealing with the strange and eerie happenings on the island.
- 4

Pathologic 3
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
In this psychological horror game, you are a doctor with only 12 days to save a town from a mysterious plague. Make ruthless decisions and diagnose with precision. Shape the town's future and rewrite the past. Hold yourself together while it all falls apart.
- 5

The Dark Rites of Arkham
Single-player alternative to Do No Harm — playable solo, no multiplayer required.
A macabre ritual murder puts Arkham PD detectives Jack Foster and Harvey Whitman to the test. As the investigation progresses, they will unveil a disturbing connection between the Salem witch trials of the 17th century and the end of humankind.
- 6

Dreams in the Witch House
Single-player alternative to Do No Harm — playable solo, no multiplayer required.
Navigate the eerie world of Dreams in the Witch House, a unique blend of point-and-click and RPG-adventure. Unravel occult mysteries in Arkham, maintain your sanity, and survive the May-Eve in this Lovecraftian horror game.
- 7

Sultan's Game
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
Survive a mad Sultan's reign in this brutal resource management RPG. Draw a card every seven days and complete its challenge. Make dreadful choices to stay alive: will you die a loyal servant, become a kingslayer, or call down the gods' judgement?
- 8

WORLD OF HORROR
Single-player alternative to Do No Harm — playable solo, no multiplayer required.
Experience the quiet terror of this 1-bit love letter to Junji Ito and H.P. Lovecraft. Navigate a hellish roguelite reality with turn-based combat and unforgiving choices. Experiment with your deck of event cards to discover new forms of cosmic horror in every playthrough. The inevitable awaits...
- 9

Lunar Ascendant
Single-player alternative to Do No Harm — playable solo, no multiplayer required. Shares Simulation with Do No Harm.
The political drama set in a future that's too close for comfort. Become the first mayor of ARTEMIS: A Pioneering Lunar City. Navigate the future of lunar colonization, choose between independence and cooperation, shape policies for or against AI influence, and tackle interplanetary conspiracies.