Single-player games like MEDIX
Below are 8 single-player Steam games similar to MEDIX, 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 MEDIX page.
Ranked picks
- 1

NOBUNAGA'S AMBITION: Sphere of Influence
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy with MEDIX.
Become a Daimyo of the Warring States period of Japanese history in NOBUNAGA'S AMBITION, a historical simulation game of conquest and domination. It is the 30th anniversary of this series and this current release, NOBUNAGA'S AMBITION: Sphere of Influence, is the crown of the series.
- 2

NOBUNAGA'S AMBITION: Souzou
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy with MEDIX.
The 14th entry of the the historical simulation series "Nobunaga's Ambition." Become a daimyō of the Warring States era, and unite the land! With "the creation of a new age" as the key concept, this title features beautifully recreated castle towns, dynamic battlefield action and dramatic event scenes.
- 3

Combat Mission Shock Force 2
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy with MEDIX.
The latest title in the famous Combat Mission franchise of wargames, now on Steam. Shock Force 2 brings you to a hypothetical conflict in Syria between the forces of NATO and the Syrian Army. Play either on WeGo or Real Time in an incredibly detailed and realistic 1:1 tactical simulation.
- 4

Commandos: Origins
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy with MEDIX.
ALARM! You have been selected for a mission which will shape the fate of the entire world. Witness the very beginning of the legendary elite WWII force in Commandos: Origins. The long-awaited sequel to the Commandos series brings you right back to the foundation of the real-time tactics genre.
- 5

三国志猛将传
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy and Indie with MEDIX.
摒弃传统三国游戏的数据对碰,实现对每个单位都进行独立的实时演算。国产单机三国游戏,尽可能在保留三国历史原貌同时还原壮观的冷兵器决战场景。
- 6

Ratten Reich
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy and Indie with MEDIX.
Ratten Reich is an RTS focusing on realistic combat in a unique, steampunk/dieselpunk world ripped apart by an ongoing war between rats, mice, cockroaches, and lizards.
- 7

Wargame: Red Dragon
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy and Indie with MEDIX.
The new reference in RTS at its best! The Wargame series returns to duty, larger, richer and more spectacular than ever before. In Wargame Red Dragon, you are engaged in a large-scale conflict where Western forces clash against the Communist bloc.
- 8

Hearts of Iron III
Single-player alternative to MEDIX — playable solo, no multiplayer required. Shares Strategy with MEDIX.
Hearts of Iron III lets you play the most engaging conflict in world history, World War 2, on all fronts as any country and through multiple different scenarios. Guide your nation to glory between 1936 and 1948 and wage war, conduct diplomacy and build your industry in the most detailed World War 2 game ever made.