Single-player games like DYSTHANASIA
Below are 13 single-player Steam games similar to DYSTHANASIA, 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 DYSTHANASIA page.
Ranked picks
- 1

Grinnel
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
If you stop, the light dies. If you turn, darkness takes over. As a patient trapped in Grinnel, escape this psychological horror nightmare with Dr. Esin. Use your visor in the atmospheric labyrinth and never look back; in this surreal thriller, your gaze is your worst enemy.
- 2

8 floor, only me ?
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Indie and Adventure with DYSTHANASIA.
A horror game where you must identify anomalies in the environment. You’re trying to leave the building, but the 1st floor never comes.
- 3

ANOMALITH
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and RPG with DYSTHANASIA.
“ANOMALITH” is a survival third-person shooter set in Japan, steeped in the atmosphere of liminal spaces and Showa-era retro aesthetics. To search for her missing friend, a girl steps into a world writhing with anomalies.
- 4

METROLOGY
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
METROLOGY is a First Person Horror set in the dark depths of the Underground Metro Transit System. Traverse endless tunnels while the horrors of the Underground haunt you. Uncover secrets, solve environmental puzzles and RUN. You do not want to be here. THEY do not want you here. Escape, if you can…
- 5

Yakyosho - Terror and escape at school
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
A simple Japanese horror game, with horrible creatures, not very complex puzzles, and an unwelcoming atmosphere! Have sweet nightmares...
- 6

Haunted Bloodlines
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
Every family has secrets. This house knows yours. Haunted Bloodlines is a first-person psychological horror game where the halls shift, the walls breathe, and the mansion has been waiting for you your whole life.
- 7

ROUTINE
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
ROUTINE is a First Person Sci-Fi Horror set on an abandoned lunar base designed around an 80s vision of the future. Explore and investigate your surroundings as you survive against unknown threats.
- 8

The Bridge Curse 2: The Extrication
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Adventure with DYSTHANASIA.
Try to escape with your life in a first-person survival horror adventure. Play through the eyes of four distinct characters as you evade and confront terrifying ghosts, unravel mind-bending puzzles, and unearth a sinister conspiracy…
- 9

Resident Evil
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Adventure with DYSTHANASIA.
The game that defined the survival-horror genre is back! Check out the remastered HD version of Resident Evil.
- 10

SILENT HILL 2
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Adventure with DYSTHANASIA.
Investigating a letter from his late wife, James returns to where they made so many memories - Silent Hill. What he finds is a ghost town, prowled by disturbing monsters and cloaked in deep fog. Confront the monsters, solve puzzles, and search for traces of your wife in this remake of SILENT HILL 2.
- 11

Kenophobia
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Adventure with DYSTHANASIA.
A Psychological Horror Backrooms Found Footage Game
- 12

Outlast
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Action and Indie with DYSTHANASIA.
Hell is an experiment you can't survive in Outlast, a first-person survival horror game developed by veterans of some of the biggest game franchises in history. As investigative journalist Miles Upshur, explore Mount Massive Asylum and try to survive long enough to discover its terrible secret... if you dare.
- 13

MONOPHOBIA
Single-player alternative to DYSTHANASIA — playable solo, no multiplayer required. Shares Indie and Adventure with DYSTHANASIA.
Follow a recluse who is the only being left in the world as she struggles with little things in her everyday life. This game was made entirely out of scanned traditional watercolor art.