Choose Trauma Football
Choose Trauma Football if you want an Action game with PvP. Trauma Football launched in 2025.
Trauma Football vs THE REF - Football Referee Simulator
Trauma Football and THE REF - Football Referee Simulator both land in Sports, Simulation on Steam, which is why they keep getting compared. The comparison below is built from each game's Steam metadata — release year, genres, categories, Steam Deck status, price, and review score — refreshed daily by imho.run's scraper. Headline differences: Both share Sports, Simulation on Steam. Trauma Football (2025) is 1 year older than THE REF - Football Referee Simulator (2026). THE REF - Football Referee Simulator has co-op; Trauma Football does not. No login or purchase needed — scroll for the full table, the verdict FAQ, and links to ranked similar games for both titles.
Which should you pick?
Choose THE REF - Football Referee Simulator
Choose THE REF - Football Referee Simulator if you want an Indie and Early Access game with Online Co-op, Custom Volume Controls, and Stereo Sound. On Steam, it has co-op, so you can bring a friend. THE REF - Football Referee Simulator launched in 2026.
Both Trauma Football and THE REF - Football Referee Simulator sit in Sports and Simulation on Steam and both list Multi-player, so either pick lands in the same broad neighborhood. Use the side-by-side table for the feature view, or follow the "Games like" links below to see ranked alternatives for either title.
Side-by-side comparison
 Trauma Football |  THE REF - Football Referee Simulator | |
|---|---|---|
| Released | 2025 | 2026 |
| Genres | Action, Sports, Simulation | Sports, Indie, Simulation, Early Access |
| Platforms | Windows | Windows |
| Steam Deck | Unrated | Unrated |
| Price | 7.99 USD | Price unknown |
| Steam reviews | 1 reviews | — |
| Multiplayer | Multi-player | Multi-player, Online Co-op, Co-op |
| Developers | Nuskadamo | HustleGrow AB |
Side by side
- Both share Sports, Simulation on Steam.
- Trauma Football (2025) is 1 year older than THE REF - Football Referee Simulator (2026).
- THE REF - Football Referee Simulator has co-op; Trauma Football does not.
Trauma Football vs THE REF - Football Referee Simulator — FAQ
- Should I play Trauma Football or THE REF - Football Referee Simulator first?
- If you want chronology, Trauma Football (2025) came out before THE REF - Football Referee Simulator (2026). If neither is a sequel to the other, order doesn't really matter — start with whichever fits your current mood, since both share enough on Steam to make either a reasonable opener.
- Are Trauma Football and THE REF - Football Referee Simulator similar?
- They overlap on Sports, Simulation on Steam, so the catalogue groups them together — but "similar" depends on the specific mechanics. Use the genre + category rows above to decide whether the overlap matches what drew you to the one you've already played.