IMHO.

Games like Osteomalacia

If Osteomalacia is your kind of game, the closest matches are Rontgard, Project S.U.N.D.I.A.L and Apocalypse Survivors — picked from the ranked list below. 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.

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About Osteomalacia: Osteomalacia is a 2D top-down survival shooter set in a fog-covered city overrun by mutated beasts. Fight to escape by any means, upgrade your gear and skills, and uncover the story as you survive.

ActionWindowsby Yellow Screen
Osteomalacia — Steam game cover

Players who liked Osteomalacia also play

Steam players who put hours into Osteomalacia also tend to own these titles — a signal called collaborative filtering. imho.run cross-references millions of library ownership patterns to surface games whose real audiences overlap, regardless of whether their genre tags match.

  1. Rontgard

    WHY THIS

    Top pick for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    A tense top-down post-apocalyptic survival shooter where every bullet, bandage, and inventory slot matters.

    ActionSteam ↗
  2. Project S.U.N.D.I.A.L

    WHY THIS

    Second-strongest match for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    Project S.U.N.D.I.A.L. is a PvPvE extraction shooter playable in single-player or online. Explore a shattered Europe, battle hostile players, ruthless raiders, and terrifying Hollows, then fight your way to extraction.

    ActionIndieAdventureSteam ↗
  3. Apocalypse Survivors

    WHY THIS

    Third-strongest match for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    As the savior of the apocalypse, take up your weapons and unleash your powers. Rescue survivors, confront waves of zombies, and through relentless searching, become an immortal warrior. Write your own glorious legend in this plague-ridden hell.

    2025ActionIndieAdventure8.99 USDSteam ↗
  4. Dead Extraction

    WHY THIS

    Ranked #4 for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    Explore zombie-infested Tokyo, scavenge resources, and make it out alive. Expand your shelter, manage survivors, and face dynamic threats and deadly bosses in a top-down extraction survival roguelite.

    2026ActionIndieEarly AccessSteam ↗
  5. Scrappage

    WHY THIS

    Ranked #5 for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    In this unforgiving rogue-lite twin stick shooter, death awaits you behind every corner. Fight your way through hordes of monsters, eliminate bosses and loot their valuable items and body parts. With them you can enhance your own body, unlock powerful skills and create your own unique builds.

    2023ActionIndie4.99 USDSteam ↗
  6. DROSS

    WHY THIS

    Ranked #6 for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    DROSS is a procedurally Generated FPS, set in a derelict facility infested with alien bugs. Explore, collect powerful weapons and equipment, to upgrade your gear and fight the Dross.

    2026ActionIndieAdventureSteam ↗
  7. Vault of Eras

    WHY THIS

    Ranked #7 for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    A bullet hell shooter, dungeon crawler about robbing a pyramid that rearranges itself after every run.

    ActionIndieSteam ↗
  8. Reality Core

    WHY THIS

    Ranked #8 for Osteomalacia fans by collaborative filtering across millions of Steam libraries. Shares Action with Osteomalacia.

    Blast through chaotic dungeons and unleash powerful weapons as you journey through the multiverse in search of a way home. Dodge, loot, and survive against deadly foes, extracting hard-won treasures to repair your ship and make it back!

    2024ActionIndieAdventure1.99 USDSteam ↗

Free alternatives

Free-to-play games that recommended players of this title also tend to enjoy.

  1. Life is Strange - Episode 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with Osteomalacia.

    Episode 1 now FREE! Life is Strange is an award-winning and critically acclaimed episodic adventure game that allows the player to rewind time and affect the past, present and future.

    2015ActionAdventureFreeDeck PlayableSteam ↗
  2. Ultimate Custom Night

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with Osteomalacia.

    Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!

    2018ActionIndieFree To PlayFreeSteam ↗
  3. ENA: Dream BBQ

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    Experience surreal environments and inexplicable characters as ENA in a new wild world.

    2025IndieAdventureFreeDeck VerifiedSteam ↗
  4. The Looker

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    You wake up, alone, on a strangely familiar island full of puzzles that will frustrate and annoy you.

    2022IndieFreeDeck PlayableSteam ↗
  5. Sheepy: A Short Adventure

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    A Short Handcrafted Pixel Art Platformer that follows Sheepy, an abandoned plushy brought to life. Sheepy: A Short Adventure is the first short game from MrSuicideSheep.

    2024IndieAdventureFree To PlayFreeDeck PlayableSteam ↗
  6. Awaria

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with Osteomalacia.

    Awaria is a short game about working in haunted maintenance tunnels.

    2024ActionIndieFree To PlayFreeDeck PlayableSteam ↗
  7. Grimm's Hollow

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it.

    A spooky, freeware RPG where you search the afterlife for your brother. Reap ghosts with your scythe, explore haunted caves, and eat ghostly treats on your journey through death.

    2019IndieAdventureRPGFreeDeck PlayableSteam ↗
  8. The Expendabros

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Action with Osteomalacia.

    The Expendabros have assembled and set their sights on the forces of ruthless arms dealer Conrad Stonebanks in the forests of Eastern Europe.

    2014ActionIndieAdventureFreeDeck VerifiedSteam ↗

Frequently asked about Osteomalacia

What games are most similar to Osteomalacia?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Osteomalacia are Rontgard, Project S.U.N.D.I.A.L, Apocalypse Survivors.
Who developed Osteomalacia?
Osteomalacia was developed by Yellow Screen.

imho.run ranks Steam game alternatives using a mix of collaborative filtering (ALS / iALS / EASE / LightGCN), content scoring over genres, categories, Steam tags, developers, and publishers, plus AI-extracted vibes mined from review text. The page above is generated in seed mode anchored on Osteomalacia.

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