IMHO.

Games like The Pharm Sim

If The Pharm Sim is your kind of game, the closest matches are Pharma Craft, The Medieval Doctor and Fire Station Renovation — 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 The Pharm Sim: The Pharm Sim is a single-player simulation game set in a dystopian future. As humanity loses its basic needs and identity due to rapid technological evolution, you must take control of your pharmacy. Produce medicines, develop new formulas, and manage your lab to help save what remains of humanity.

StrategyIndieAdventureSimulationCasualEarly AccessWindowsby atistudio, HllBs
The Pharm Sim — Steam game cover

Players who liked The Pharm Sim also play

Steam players who put hours into The Pharm Sim 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. Pharma Craft

    WHY THIS

    Top pick for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Simulation and Casual with The Pharm Sim.

    Pharma Craft: Build your lab from the ground up, research new recipes, optimize production chains, and craft valuable products. Produce in batches, improve quality, and sell your results to keep expanding.

    2026SimulationRPGCasual6.99 USDDeck PlayableSteam ↗
  2. The Medieval Doctor

    WHY THIS

    Second-strongest match for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Strategy and Adventure with The Pharm Sim.

    Gather medicinal herbs, craft remedies, treat patients, and expand your hospital to become the most renowned physician of the Middle Ages.

    StrategyAdventureSimulationSteam ↗
  3. Fire Station Renovation

    WHY THIS

    Third-strongest match for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Simulation with The Pharm Sim.

    FIRE STATION RENOVATION is a renovator simulator for abandoned and forgotten fire stations. Buy old hovels, repaint, redecorate, clean and even build rodent traps and bring the firehouse back to life!

    SimulationSteam ↗
  4. Lost Scavenger

    WHY THIS

    Ranked #4 for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Strategy and Indie with The Pharm Sim.

    How long could you survive in a parallel universe where the Mist dictates its rules? Would you be able to find the way to your homeworld, or will you adapt to live under the Mist domain? Fight for resources, get together with other survivors and discover the secrets of this world.

    2022StrategyIndieAdventure14.99 USDDeck PlayableSteam ↗
  5. Automation - The Car Company Tycoon Game

    WHY THIS

    Ranked #5 for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Strategy and Indie with The Pharm Sim.

    Make your dream cars a reality with Automation’s unparalleled car and engine design tools. Gain a competitive edge through smart engineering and business decisions to help you build an automotive empire. Will you become an industry leader, or just a footnote in automotive history?

    2015StrategyIndieSimulation29.99 USDDeck PlayableSteam ↗
  6. Used Cars Simulator

    WHY THIS

    Ranked #6 for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Pharm Sim.

    Used Cars Simulator - trade used or stolen cars, fix and customize them, drive around, and explore the open world! Grow your business, complete quests, and have fun with a physics-based sandbox!

    2025ActionIndieSimulation14.99 USDDeck PlayableSteam ↗
  7. Teddy's Haven - A Fantasy Inspired Shop Simulator

    WHY THIS

    Ranked #7 for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Indie and Simulation with The Pharm Sim.

    Teddy’s Haven is a cozy shop sim filled with magic and charm. Sell over 400 items, decorate with 250+ decorations, and create the shop of your dreams. Meet mythical creatures, level up your skills, harvest the land, and uncover the peaceful wonders of life on Ursa.

    2025IndieSimulationRPG14.99 USDDeck PlayableSteam ↗
  8. Mon Bazou

    WHY THIS

    Ranked #8 for The Pharm Sim fans by collaborative filtering across millions of Steam libraries. Shares Indie and Adventure with The Pharm Sim.

    Build your crappy vehicle into a race car, install the parts yourself. Make money by cutting wood, racing at night or delivering pizza. Maybe you want to manage a sugar shack or build yourself a big garage?

    2025IndieAdventureSimulation15.99 USDDeck VerifiedSteam ↗

Free alternatives

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

  1. Doki Doki Literature Club!

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Casual with The Pharm Sim.

    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.

    2017IndieFree To PlayCasualFreeDeck PlayableSteam ↗
  2. Life is Strange - Episode 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Adventure with The Pharm Sim.

    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 ↗
  3. Ultimate Custom Night

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Pharm Sim.

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

    2018ActionIndieFree To PlayFreeSteam ↗
  4. ENA: Dream BBQ

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with The Pharm Sim.

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

    2025IndieAdventureFreeDeck VerifiedSteam ↗
  5. Indigo Park: Chapter 1

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with The Pharm Sim.

    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.

    2024ActionIndieAdventureFreeDeck PlayableSteam ↗
  6. The Looker

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie with The Pharm Sim.

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

    2022IndieFreeDeck PlayableSteam ↗
  7. Sheepy: A Short Adventure

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with The Pharm Sim.

    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 ↗
  8. NGU IDLE

    WHY THIS

    Free-to-play pick from the same recommendation pool — no purchase to try it. Shares Indie and Adventure with The Pharm Sim.

    NGU Idle is a Free To Play Idle game that's full of weird humor, tons of upgrades and hundreds of hours of content! Try out NGU Idle today and experience the joy of Numbers Going Up!

    2019IndieAdventureSimulationFreeDeck PlayableSteam ↗

Frequently asked about The Pharm Sim

What games are most similar to The Pharm Sim?
Based on Steam play patterns and shared genres/tags, the games most often recommended alongside The Pharm Sim are Pharma Craft, The Medieval Doctor, Fire Station Renovation.
Who developed The Pharm Sim?
The Pharm Sim was developed by atistudio, HllBs and published by atistudios.

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 Pharm Sim.

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