IMHO.

Co-op games like Sanitism

Below are 8 cooperative Steam games similar to Sanitism, ranked by player overlap and content similarity. Every pick supports cooperative play — online co-op, LAN co-op, or shared/split-screen — so you can play with friends right out of the box. imho.run pulls from the same Steam category data Valve uses internally, so "Co-op" here matches what the store labels.

Want the full alternatives list (paid + free + Steam Deck + cheaper picks)? See the parent games like Sanitism page.

Ranked picks

  1. 1
    Guillotine — Steam game cover

    Guillotine

    Online Co-op alternative to Sanitism — playable with friends. Shares Indie with Sanitism.

    Guillotine is a multiplayer game of social deduction, with a pinch of survival. You're in a tavern in the woods, but someone is a necromorph hungry for human meat. Guillotine the necromorph, or get eaten alive.

    2022IndieAdventureCasual4.99 USDCo-opSimilar games →
  2. 2
    Sincognito — Steam game cover

    Sincognito

    Online Co-op alternative to Sanitism — playable with friends. Shares Strategy and Indie with Sanitism.

    An social deduction investigation horror game where one of you is secretly possessed by a Deadly Sin. Use stealth and proximity chat to cooperate or deceive as you gather clues and compare findings to deduce which Sin is haunting the castle.

    2026ActionStrategyIndieCo-opSimilar games →
  3. 3
    Castle of Mist — Steam game cover

    Castle of Mist

    Online Co-op alternative to Sanitism — playable with friends. Shares Strategy and Indie with Sanitism.

    Castle of Mist is a first-person shooter with Roguelike random elements set in a medieval-style adventure. Players control different characters, choose various items to create unique playstyles, and ultimately defeat various monsters and the dragon attacking the castle to achieve victory.

    2025ActionStrategyIndie4.99 USDCo-opSimilar games →
  4. 4
    Bloodbound: Vampire Hunters — Steam game cover

    Bloodbound: Vampire Hunters

    Online Co-op alternative to Sanitism — playable with friends. Shares Strategy and Indie with Sanitism.

    Bloodbound is a Vampire, Vampire Slayer multiplayer first-person action shooter. Locations are varied and detailed, and each character comes with its own unique weapons and special abilities. Pick a side, squad up, and master a rising roster of fearless characters in this fast-paced bloody FPS.

    2023ActionStrategyIndie14.99 USDCo-opSimilar games →
  5. 5
    Modiverse — Steam game cover

    Modiverse

    Online Co-op alternative to Sanitism — playable with friends. Shares Strategy and Indie with Sanitism.

    An open multiplayer sandbox game; includes tools, props, levels, NPCs, character models, game-modes and much more! Make your own using our mod kit!

    2021ActionStrategyIndie0.99 USDCo-opSimilar games →
  6. 6
    Buried Whispers — Steam game cover

    Buried Whispers

    Online Co-op alternative to Sanitism — playable with friends.

    A chaotic social deduction game for up to 10 players. Collaborate to complete a demonic ritual, but be careful: secret moles among you are trying to prevent it. Anyone can kill anyone, sacrifice your health to cast multiple votes, and dig tunnels inside fully destructible, randomly generated caves.

  7. 7
    DotStrike — Steam game cover

    DotStrike

    Online Co-op alternative to Sanitism — playable with friends. Shares Indie and Early Access with Sanitism.

    DotStrike is a 3D online shooter in which alien invaders in the form of colored spheres fight each other in a seaport. But the aliens are not fighting alone.

    2022ActionIndieMassively Multiplayer7.99 USDCo-opSimilar games →
  8. 8
    Cyberless: Online — Steam game cover

    Cyberless: Online

    Online Co-op alternative to Sanitism — playable with friends. Shares Strategy and Indie with Sanitism.

    Cyberless: Online," a multiplayer, FPS, and Sci-Fi game, presents the government warfare between two factions, Forces and Rebels. While Rebels argue that elections are rigged, Forces hold the power. Engage in the battle to contribute to the storyline of the Cyberless game series!

    2020ActionStrategyIndie9.99 USDCo-opSimilar games →