IMHO.

Single-player games like Pile 'Em High Episode 3: Convalescence

Below are 8 single-player Steam games similar to Pile 'Em High Episode 3: Convalescence, ranked by player overlap. Every pick carries Steam's Single-player category, so multiplayer-only titles or always-online games don't sneak in. imho.run pulls the category data from Steam directly — Single-player here matches what the store labels.

Want the full alternatives list (paid + free + Steam Deck + cheaper picks)? See the parent games like Pile 'Em High Episode 3: Convalescence page.

Ranked picks

  1. 1
    HEADCUTTER — Steam game cover

    HEADCUTTER

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action and Adventure with Pile 'Em High Episode 3: Convalescence.

    HEADCUTTER is a sci-fi spaghetti western FPS with brutal combat, destructible environments, and lots of gore. Track targets as a space bounty hunter, explore maps with multiple routes, and use the crunchy gunplay to cut their heads off so you can get your money!

    2027ActionAdventureSingle-playerSimilar games →
  2. 2
    WRATH: Aeon of Ruin — Steam game cover

    WRATH: Aeon of Ruin

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action with Pile 'Em High Episode 3: Convalescence.

    Blast, slice and shred through your enemies in this hardcore FPS inspired by the icons of the '90s, powered by the legendary Quake-1 Tech. Taking place in a realm left to rot, take up arms, unearth long-forgotten secrets and hunt down the Guardians of the Old World.

    2024Action24.99 USDDeck VerifiedSingle-playerSimilar games →
  3. 3
    Rise of the Triad: Dark War — Steam game cover

    Rise of the Triad: Dark War

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action with Pile 'Em High Episode 3: Convalescence.

    You are part of an elite group of operatives called HUNT (High-risk United Nations Taskforce), and you must stop a maniac cult leader from killing millions of people. You are equipped with high-tech weaponry and magical instruments that defy description to invade the monastery and stop the madness.

    2014Action6.99 USDSingle-playerSimilar games →
  4. 4
    Ion Fury — Steam game cover

    Ion Fury

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action and Indie with Pile 'Em High Episode 3: Convalescence.

    3D Realms, creators of Duke Nukem 3D, Prey, and Max Payne, team up with Voidpoint to bring back the legendary Build Engine, famous for classic shooters like Duke Nukem 3D, Shadow Warrior, and Blood. Fast-paced FPS combat across huge, secret-packed levels. Ion Fury is the real deal!

    2019ActionIndie24.99 USDDeck PlayableSingle-playerSimilar games →
  5. 5
    The Apogee Throwback Pack — Steam game cover

    The Apogee Throwback Pack

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action with Pile 'Em High Episode 3: Convalescence.

    The Apogee Throwback Pack is a collection of four classic Apogee Software titles all in one kick ass package. Blast your way across the galaxy as British Special Agent Blake Stone in "Aliens of Gold" and "Planet Strike", then take on an ancient evil menace as the H.U.N.T in "Rise of the Triad".

    2013Action9.99 USDSingle-playerSimilar games →
  6. 6
    Project Warlock II — Steam game cover

    Project Warlock II

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action and Indie with Pile 'Em High Episode 3: Convalescence.

    Adrenaline-pumping gore retro funhouse that’s full of guns, magic, demons, vertical arenas, 3D visuals, 2D sprites, and heavy metal music. Inspired by FPS classics like Quake and Doom 64, Project Warlock II is the explosive boomer shooter sequel you were too shy to ask for.

    2025ActionIndie16.99 USDDeck VerifiedSingle-playerSimilar games →
  7. 7
    Warhammer 40,000: Boltgun — Steam game cover

    Warhammer 40,000: Boltgun

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action and Indie with Pile 'Em High Episode 3: Convalescence.

    Load up your Boltgun and unleash the awesome Space Marine arsenal to blast your way through an explosion of sprites, pixels and blood in a perfect blend of Warhammer 40,000, frenetic gameplay and the stylish visuals of 90’s retro shooters.

    2023ActionIndie21.99 USDDeck VerifiedSingle-playerSimilar games →
  8. 8
    Blood II: The Chosen + Expansion — Steam game cover

    Blood II: The Chosen + Expansion

    Single-player alternative to Pile 'Em High Episode 3: Convalescence — playable solo, no multiplayer required. Shares Action and Adventure with Pile 'Em High Episode 3: Convalescence.

    Includes original Blood II: The Chosen and add-on package The Nightmare LevelsAn immersive atmosphere full of dark humor and exciting actionFour playable characters and wide variety of weapons

    2014ActionAdventure4.99 USDDeck PlayableSingle-playerSimilar games →