IMHO.

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. 1
    NOBUNAGA'S AMBITION: Sphere of Influence — Steam game cover

    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.

    2015Strategy29.99 USDSingle-playerSimilar games →
  2. 2
    NOBUNAGA'S AMBITION: Souzou — Steam game cover

    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.

    2014Strategy12.49 USDSingle-playerSimilar games →
  3. 3
    Combat Mission Shock Force 2 — Steam game cover

    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.

    2020StrategySimulation59.99 USDSingle-playerSimilar games →
  4. 4
    Commandos: Origins — Steam game cover

    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.

    2025Strategy49.99 USDDeck PlayableSingle-playerSimilar games →
  5. 5
    三国志猛将传 — Steam game cover

    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。

    2020StrategyIndieEarly Access4.99 USDSingle-playerSimilar games →
  6. 6
    Ratten Reich — Steam game cover

    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.

    2025StrategyIndie19.99 USDDeck PlayableSingle-playerSimilar games →
  7. 7
    Wargame: Red Dragon — Steam game cover

    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.

    2014StrategyIndieSimulation29.99 USDDeck PlayableSingle-playerSimilar games →
  8. 8
    Hearts of Iron III — Steam game cover

    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.

    2009Strategy2.49 USDSingle-playerSimilar games →