imho.run
Menu

Games like Big Pharma

  • 19 games
  • Updated May 4, 2026

Players who liked Big Pharma also play

The closest matches to Big Pharma: Production Line : Car factory simulation, Project Hospital, Factorio, Little Big Workshop, and Two Point Hospital. Ranked by imho.run from Steam co-play data, shared tags and reviews.

  1. Rank 02

    Why this

    Also Medical Sim and Isometric, like Big Pharma.

    • $24.99 (Price checked Nov 3)
    • Deck Playable
    • 2018
  2. Rank 03

    Why this

    Also Base-Building and Automation, like Big Pharma.

    • $35.00 (Price checked Nov 3)
    • 2020
  1. Rank 07

    RAILGRADE

    Why this: Also Automation and Economy, like Big Pharma.

    • $29.99 (Price checked Oct 31)
    • Deck Verified
    • 2023
  2. Rank 08

    Satisfactory

    • $39.99 (Price checked Nov 3)
    • Deck Verified
    • 2024

The full ranked list: top 24 games like Big Pharma

Best match first, as plain text. The same list for AI assistants:
  1. 1
    Production Line : Car factory simulation

    Shares resource management with Big Pharma.

    • 82% of 2,148 reviews
  2. 2
    Project Hospital

    Also Medical Sim and Isometric, like Big Pharma.

    • 88% of 3,293 reviews
  3. 3
    Factorio

    Also Base-Building and Automation, like Big Pharma.

    • 98% of 114,794 reviews
  4. 4
    Little Big Workshop

    Genres: Strategy, Simulation

    • 83% of 989 reviews
  5. 5
    Two Point Hospital

    Genres: Indie, Simulation

    • 93% of 12,548 reviews
  6. 6
    Rise of Industry

    Genres: Strategy, Indie, Simulation

    • 74% of 1,866 reviews
  7. 7
    RAILGRADE

    Also Automation and Economy, like Big Pharma.

    • 87% of 710 reviews
  8. 8
    Satisfactory

    Genres: Strategy, Indie, Adventure

    • 98% of 132,199 reviews
  9. 9
    Good Company

    Genres: Strategy, Indie, Simulation

    • 71% of 757 reviews
  10. 10
    Prison Architect

    Also Base-Building and Economy, like Big Pharma.

    • 89% of 33,775 reviews
  11. 11
    Factory Town

    Genres: Strategy, Indie, Simulation

    • 91% of 2,390 reviews
  12. 12
    Opus Magnum

    Same whimsical mood as Big Pharma.

    • 97% of 3,341 reviews
  13. 13
    Blueprint Tycoon

    Genres: Indie, Simulation, Casual

    • 80% of 689 reviews
  14. 14
    Potion Tycoon

    Genres: Strategy, Simulation

    • 70% of 275 reviews
  15. 15
    Project Highrise

    Genres: Strategy, Simulation

    • 85% of 2,227 reviews
  16. 16
    Startup Company

    Also Isometric and Economy, like Big Pharma.

    • 80% of 2,882 reviews
  17. 17
    Foundation

    Genres: Strategy, Indie, Simulation

    • 86% of 10,915 reviews
  18. 18
    Democracy 3

    Same contemplative mood as Big Pharma.

    • 74% of 4,686 reviews
  19. 19
    T-Minus 30

    Shares procedural generation and resource management with Big Pharma.

    • 94% of 155 reviews
  20. 20
    Space Architect

    Genres: Strategy, Indie, Simulation

    • 72% of 130 reviews
  21. 21
    Mini Settlers

    Shares puzzle solving and resource management with Big Pharma.

    • 84% of 259 reviews
  22. 22
    Weedcraft Inc

    Also Medical Sim and Economy, like Big Pharma.

    • 77% of 869 reviews
  23. 23
    Incremental Factory

    Genres: Strategy, Indie, Simulation

    • 65% of 170 reviews
  24. 24
    Empire Architect

    Shares procedural generation with Big Pharma.

    • 68% of 111 reviews
Big Pharma — Steam game cover
  • Released: 2015
  • Developer: Twice Circled
  • Price: $24.99checked Oct 31
  • Steam Deck: Deck Playable
  • 79% of 944 reviews
  • Genres: Strategy, Indie, Simulation
  • Metacritic 72
  • Platforms: Windows, macOS, Linux

Players highlight

  • Each playthrough feels fresh due to randomized resources
  • Puzzle like efficiency challenges
  • Satisfying tinkering with production lines
  • Challenging
  • Contemplative
  • Intense

More games like Big Pharma, sliced differently

About Big Pharma

The closest matches to Big Pharma: Production Line : Car factory simulation, Project Hospital, Factorio, Little Big Workshop, and Two Point Hospital. Ranked by imho.run from Steam co-play data, shared tags and reviews.

If Big Pharma is your kind of game, the closest matches are Production Line : Car factory simulation, Project Hospital and Factorio — picked from the ranked list below. Reviewers describe it as challenging, contemplative and intense, and single out its automation chain design and financial strategy. Each pick is ranked by what players of this game also play, shared genres and tags, and review-mined similarity — not a generic popularity list.

About Big Pharma: What if you had it in your power to rid the world of disease, to improve the lives of millions, to ease suffering and cure the sick… and earn a tidy profit? As the head of your own Pharmaceutical Conglomerate you have this power resting in your hands. Will you use it for good?

Is Big Pharma worth buying?

  • 79% of 944 Steam reviews are positive.
  • We don't track this game's daily reviews yet, so this is the all-time picture.
  • Price: $24.99 (checked Nov 7).
  • People who recommend it had played a median of 45 h when they wrote their review.
  • Steam Deck Playable: works, with some rough edges.

What fans praise · Themes mined from positive reviews

Top critical reviews

The most up-voted negative English reviews in our sample, quoted as written.

“This is more of a reminder to myself of why I don't like the game rather than a review. You pretty much have a choice between infinite money creative mode and various timed challenges. Neither are what I look for in an automation game.”
9 h played
“Doesn't do it as well as other factory/processing games out there. The processes are ridiculous in the specifics of each. I find myself making one mistake and not knowing what it is for 30 minutes at a time. The tutorial is extremely…”
16 h played
More negative reviews on Steam ↗

People who play it also play: Production Line : Car factory simulation, Project Hospital, Factorio

How this verdict works →

Frequently asked about Big Pharma

Can I run it?

Does Big Pharma run on Steam Deck?

Big Pharma is rated Playable on Steam Deck — it runs, but expect some manual adjustments (control remapping, text size, or graphics settings) for the best experience.

How much does Big Pharma cost?

Big Pharma is listed on Steam at 24.99 USD (current store price; Steam sales may reduce this temporarily).

What games are most similar to Big Pharma?

Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Big Pharma are Production Line : Car factory simulation, Project Hospital, Factorio.

Who developed Big Pharma?

Big Pharma was developed by Twice Circled and published by Positech Games.