Co-op games like Night Shift Hospital
Below are 8 cooperative Steam games similar to Night Shift Hospital, ranked by player overlap and content similarity. Every pick supports cooperative play — online co-op, LAN co-op, or shared/split-screen — so you can play with friends right out of the box. imho.run pulls from the same Steam category data Valve uses internally, so "Co-op" here matches what the store labels.
Want the full alternatives list (paid + free + Steam Deck + cheaper picks)? See the parent games like Night Shift Hospital page.
Ranked picks
- 1

Clay Clinic
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
A chaotic co-op medical job sim for up to 6 players. Treat clay patients, run risky procedures, fix your friends’ mistakes, and survive each hospital shift without causing too much malpractice.
- 2

Vital Decisions
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
Take charge of a chaotic emergency room up to 8 players. Examine patients’ vitals, diagnose their conditions, and choose the right treatment. Prioritize emergencies and keep the shift under control as your patients’ conditions worsen around you.
- 3

Nine Lives Hospital
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Simulation and Casual with Night Shift Hospital.
You are clumsy cat doctors in a chaotic co-op hospital - a vet clinic in reverse, where the patients are human. Grab and haul ragdoll patients, X-ray, transplant and stitch against the clock, drive the claw-machine bed. For 1-4 online. Your patients don't have nine lives. meow!
- 4

Rash Decision
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
Co-op medical for 1-2 players. The Nurse examines a very unwell patient and SHOUTS the symptoms through a hatch. The Biochemist brews a cure from a deeply unreliable grimoire. Get it wrong and the patient mutates. Then mutates again.
- 5

Hospital Hustle
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
A chaotic co-op hospital comedy for 1-4 players. Run an overwhelmed hospital with your friends, diagnose ridiculous patients, juggle emergencies, and keep the whole place from falling apart. Between shifts, upgrade your hospital, unlock new rooms and equipment, and prepare for even bigger chaos.
- 6

ur round
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
run a small british pub with up to 4 friends. pull pints, chop fruit, shake dodgy cocktails, and boot the troublemakers out through the window. the bar is small and so are the margins.
- 7

Hendichen
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
Asymmetric co-op cooking for 2-3 players. The chef knows every recipe but has one working hand. The BASSHEAD cannot hear you. The RAVER cannot read: the letters will not sit still, and he reads the orders out WRONG. The kitchen only works if you talk.
- 8

Clash of Chefs VR
Online Co-op alternative to Night Shift Hospital — playable with friends. Shares Indie and Simulation with Night Shift Hospital.
Ready, set, cook! Clash of Chefs VR is a competitive cooking game that’ll put your culinary skills to the test as you race to finish orders. Complete 100 single player stages, or take on human opponents in both real-time and asynchronous competitive multiplayer with four unique restaurants.