IMHO.

Single-player games like Medic Mayhem

Below are 8 single-player Steam games similar to Medic Mayhem, 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 Medic Mayhem page.

Ranked picks

  1. 1
    FENDERSHOT — Steam game cover

    FENDERSHOT

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Action and Racing with Medic Mayhem.

    Old-school street racing meets car combat. Soaked in 2000s vibes. And a wild sense of speed. Split-Screen local multiplayer. Test drive the demo on PC, Mac and SteamOS (Proton)!

    2026ActionSportsRacingSingle-playerSimilar games →
  2. 2
    Nitro Nonsense — Steam game cover

    Nitro Nonsense

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Indie and Casual with Medic Mayhem.

    A chaotic arcade party racer for up to 8 players, locally or online. Race your way with split-screen or a shared top-down view, build custom tracks packed with traps and obstacles, and upgrade your car every time you lose.

    2026IndieCasualRacingSingle-playerSimilar games →
  3. 3
    Blastlane Racers — Steam game cover

    Blastlane Racers

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Action and Casual with Medic Mayhem.

    Explosive arcade combat racing. Boost with rockets, fire weapons and outmaneuver rivals on dangerous tracks packed with jumps and hazards. Upgrade your car between races, compete solo or battle friends in chaotic 4-player splitscreen.

    2026ActionCasualRacingSingle-playerSimilar games →
  4. 4
    Airframe Ultra — Steam game cover

    Airframe Ultra

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Action and Indie with Medic Mayhem.

    There's only two types of racers in Megacity West: The winners and the dead. Down here, you’ve got a chop shop Airframe, a rusted machete, and blood on the motorway. Welcome to the violent underground world of Ultra Circuit racing!

    2026ActionIndieRacingSingle-playerSimilar games →
  5. 5
    Grannies on Wheels — Steam game cover

    Grannies on Wheels

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Indie and Racing with Medic Mayhem.

    Battle it out in chaotic single screen party game where Monster Truck driving Grannies fight for jam and survival! Smash, crash, and outwit your rivals in dynamic arenas, packed with physics, mini-games, and laugh-out-loud chaos.

    2027IndieRacingSingle-playerSimilar games →
  6. 6
    PizzaPanic — Steam game cover

    PizzaPanic

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Action and Indie with Medic Mayhem.

    People are starving for Pizza! Become our new delivery operator. Race through the city with your trusty courier bot, and bring joy to your customers. Customize your robot and experiment with dozens of unique skills and upgrades. Bring your friends and enjoy chaos in online and local multiplayer.

    2024ActionIndieMassively Multiplayer8.99 USDSingle-playerSimilar games →
  7. 7
    Explosive Track - Crazy Action Arcade Racing — Steam game cover

    Explosive Track - Crazy Action Arcade Racing

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Indie and Racing with Medic Mayhem.

    Every route is a disaster course. Drive fast, dodge explosions, and survive the chaos.

    2026IndieRacing10.79 USDSingle-playerSimilar games →
  8. 8
    Hyperboard Extreme — Steam game cover

    Hyperboard Extreme

    Single-player alternative to Medic Mayhem — playable solo, no multiplayer required. Shares Action and Indie with Medic Mayhem.

    Hyperboard Extreme combines PS2-era arcade style racing with cool girls, crazy powerups, and intense, speedy action! This is a free vertical slice as a complete proof-of-concept for the next generation of indie racers!

    2026ActionIndieFree To PlayFreeSingle-playerSimilar games →