Single-player games like Malpractice
Below are 8 single-player Steam games similar to Malpractice, 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 Malpractice page.
Ranked picks
- 1
Pacify
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Strategy with Malpractice.
An online co-op horror game where you pacify, weaken and capture supernatural creatures for PAH Inc. Each level has a different story, unique monsters, and multiple endings. Play single player or together with up to 6 friends. Includes proximity voice chat with fun effects.
- 2
Spectral Scream
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Strategy with Malpractice.
Spectral Scream is a 1-4 player cooperative horror exploration game. Are you ready to face death in the maw of purgatory? Your goal is to find key items in each chapter and retrieve the orb. But be careful! Threatening and vicious creatures await you at every stage.
- 3
Krampus is Home
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Strategy with Malpractice.
Sebastian is a teenager who is waiting for his parents to come back home on a cold Christmas night. Soon he realizes that there is something evil lurking around. Experience Sebastian 's journey into a surreal world like no other.
- 4
Cold House
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Adventure with Malpractice.
The protagonist gets into a car accident and is forced to take shelter from the cold in an abandoned house, waiting for warmer temperatures, where it will soon turn out that he is not alone at all..
- 5
The Experiment
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Adventure with Malpractice.
The tests went wrong. He has been transformed. It is hostile toward others. You have been assigned the task of killing the horrifying creature. Listen closely as it could be around any corner. (Game includes Remastered + Classic versions)
- 6
Backrooms Lost Runners
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Adventure with Malpractice.
Backrooms Lost Runners is a co-op survival horror with team play, voice-reactive AI, and immersive puzzles. This isn’t a “walking simulator”: explore liminal spaces, outsmart entities, and remember—even a whisper can give you away.
- 7
Return the Backrooms
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Adventure with Malpractice.
Return the Backrooms is a Co-op horror game for 1-4 players where you can have a great time with your friends. Think, Explore, Wander, find the key items and try to escape. but be careful because something is lurking in the dark...
- 8
MetaPhysical
Single-player alternative to Malpractice — playable solo, no multiplayer required. Shares Action and Adventure with Malpractice.
Supernatural phenomena are on the rise. In MetaPhysical you and up to 5 other friends can go on the hunt for eerie creatures to put an end to their sinister activities! Whether it's an ordinary ghost or a demon, your task is to identify the rumbling creature and then finish it off.