Games like The Dreadthorn Therapist
Below are 16 hand-picked alternatives to The Dreadthorn Therapist for fans of indie, simulation, ranked by imho.run's hybrid recommender. Each pick is scored on three signals: collaborative filtering across millions of Steam libraries (which players who logged hours in The Dreadthorn Therapist also play), content overlap on genres, categories, and storefront tags, and review-mined "vibe" embeddings that catch tonal similarity even when the genre label differs. Sections below cover closest matches, reviewer cross-mentions, free-to-play picks. No login required — these picks work anchor-only.
About The Dreadthorn Therapist: A mysterious black fog covers the skies, plunging Dreadthorn into endless night, corrupting some residents. In this horror therapist-sim, run your business, decide your clients’ fate, and survive what seems like end times.

Players who liked The Dreadthorn Therapist also play
Ranked by collaborative filtering across millions of Steam libraries plus content overlap on genres, tags, and developers.
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The Horrorscope: Fatal Awakening
Top pick for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Simulation with The Dreadthorn Therapist.
You will answer a series of questions that will reveal your potential fate. These questions may make you uncomfortable, but with great knowledge comes great sacrifice. Can you make it all the way through The Horrorscope, and if you do, are you sure you want the answers you seek?
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House of Lost Souls
Second-strongest match for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Simulation with The Dreadthorn Therapist.
House of Lost Souls is a story-driven horror game about Jack, who returns to his old family home in search of answers. Explore distorted memories, uncover dark secrets, and learn the truth about the tragedy that changed his life forever.
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77 Oleander Avenue
Third-strongest match for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Indie with The Dreadthorn Therapist.
Even if you bear no Grudge, your Grudge was surely born. Explore the abandoned house at 77 Oleander, search for your wallet, keys, and phone, and above all else... try not to forget again the next time she tells you to leave.
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Apartment 22
Ranked #4 for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Dreadthorn Therapist.
Apartment 22 is a bite-sized horror game about being trapped in a loop. You look out for clues left by the previous resident or possibly by you to escape the apartment.
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No Players Online
Ranked #5 for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Dreadthorn Therapist.
you find an abandoned fps game on an old computer. you decide to play it.
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Water Delivery
Ranked #6 for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Dreadthorn Therapist.
Water Delivery is a first person, horror experience where you play as a water delivery boy. Ride along in the delivery truck from house to house. Deliver filled water jugs, find and return empty jugs, and collect all the payments. Will you be able to finish your final route of the evening?
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Slay the Princess — The Pristine Cut
Ranked #7 for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Dreadthorn Therapist.
You're here to slay the princess. Don't believe her lies.
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BrokenLore: DON'T WATCH
Ranked #8 for The Dreadthorn Therapist fans by collaborative filtering across millions of Steam libraries. Shares Simulation with The Dreadthorn Therapist.
In BrokenLore: DON'T WATCH, immerse yourself in the haunting world of Shinji, a young hikikomori trapped in his Tokyo apartment. As his mind unravels, confront a malevolent entity lurking in the shadows. Will you uncover the truth before it's too late?
Free alternatives
Free-to-play games that recommended players of this title also tend to enjoy.
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Doki Doki Literature Club!
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Dreadthorn Therapist.
The Literature Club is full of cute girls! Will you write the way into their heart? This game is not suitable for children or those who are easily disturbed.
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Ultimate Custom Night
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Dreadthorn Therapist.
Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!
- 4

Bongo Cat
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Simulation with The Dreadthorn Therapist.
Bongo cat needs your help. Bongo cat needz more hatz!!! Every time you press a key, Bongo cat will punch your taskbar. Type, click, play, work to collect more points. Which hats will you find?
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ENA: Dream BBQ
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Dreadthorn Therapist.
Experience surreal environments and inexplicable characters as ENA in a new wild world.
- 6

The Murder of Sonic the Hedgehog
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Simulation with The Dreadthorn Therapist.
Sonic the Hedgehog...was murdered!? Get to the bottom of the mystery in this brand-new adventure!
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Indigo Park: Chapter 1
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Dreadthorn Therapist.
Explore the abandoned childhood wonder of Indigo Park! Guided by Rambley the Raccoon, help restore power to the destroyed amusement park while you run from the reason it shut down.
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The Looker
Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Dreadthorn Therapist.
You wake up, alone, on a strangely familiar island full of puzzles that will frustrate and annoy you.
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Head-to-head comparisons
Frequently asked about The Dreadthorn Therapist
- What games are most similar to The Dreadthorn Therapist?
- Based on Steam play patterns and shared genres/tags, the games most often recommended alongside The Dreadthorn Therapist are The Horrorscope: Fatal Awakening, House of Lost Souls, 77 Oleander Avenue.
- Who developed The Dreadthorn Therapist?
- The Dreadthorn Therapist was developed by T3rrifk.
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 The Dreadthorn Therapist.
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