IMHO.

Single-player games like Therapy Simulator

Below are 8 single-player Steam games similar to Therapy Simulator, 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 Therapy Simulator page.

Ranked picks

  1. 1
    Rock Star Manager — Steam game cover

    Rock Star Manager

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    Manage your own music studio, hire bands, schedule shows and pay your bills.

    2022StrategyIndieSimulation1.99 USDSingle-playerSimilar games →
  2. 2
    TeleNovela — Steam game cover

    TeleNovela

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    Embrace your inner Latino and write the greatest love story that will run for about six months on prime time before being replaced by an even greater love story!

    2021IndieSimulationCasual1.99 USDSingle-playerSimilar games →
  3. 3
    Bingus: My Beloved — Steam game cover

    Bingus: My Beloved

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    Bingus: My Beloved is a visual novel and dating sim where you choose to pursue Bingus or Big Floppa while you attend Zabloing Academy. Join your favorite high school club, make friends, and prepare to enter the Floppaverse! 💕

    2022IndieAdventureSimulation4.99 USDSingle-playerSimilar games →
  4. 4
    Nerd Simulator — Steam game cover

    Nerd Simulator

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    You're forty, living with your mom, and your life is one big meme. Time to change that! See if you can get your act together and become independent in this absurd mash-up of a simulator and an RPG.

    2025IndieAdventureSimulation7.99 USDDeck PlayableSingle-playerSimilar games →
  5. 5
    Survivor Dieland — Steam game cover

    Survivor Dieland

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Simulation with Therapy Simulator.

    You're gonna get yourself killed being out here all by your lonesome... There's monsters on this island! Besides, It's not always the beasts you should be afraid of... Beasts are easy to predict. They just want to kill and eat you. Humans are much harder... They'll pretend to be your friend first...

    2021AdventureSimulation1.99 USDSingle-playerSimilar games →
  6. 6
    Trolley Problem, Inc. — Steam game cover

    Trolley Problem, Inc.

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    Trolley Problem, Inc. is a darkly comedic narrative game based on real-world philosophical papers, in which you are asked to make a series of impossible choices from two awful answers. Wrestle with your moral compass, decide the fate of millions – and compare your choices with the rest of the world.

    2022IndieSimulationCasual10.99 USDDeck PlayableSingle-playerSimilar games →
  7. 7
    Waterpark Simulator — Steam game cover

    Waterpark Simulator

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Indie and Simulation with Therapy Simulator.

    Build and run your own waterpark. Design slides, send guests flying with ragdoll physics, manage staff, and fully customize your park. Turn total madness into a five-star empire in this first-person management simulator!

    2025IndieSimulationCasual12.99 USDDeck PlayableSingle-playerSimilar games →
  8. 8
    WTF Is Wrong With You? — Steam game cover

    WTF Is Wrong With You?

    Single-player alternative to Therapy Simulator — playable solo, no multiplayer required. Shares Simulation and Casual with Therapy Simulator.

    Have you ever wondered WTF Is Wrong With You? Well, so have we... Let's find out together, shall we?

    2021AdventureSimulationCasual1.99 USDSingle-playerSimilar games →