Choose Agony
Choose Agony if you want an Action and Adventure game with Steam Leaderboards. Agony launched in 2018.
Agony vs Sanatorium Purgatorium
Agony and Sanatorium Purgatorium both land in Indie on Steam, which is why they keep getting compared. The comparison below is built from each game's Steam metadata — release year, genres, categories, Steam Deck status, price, and review score — refreshed daily by imho.run's scraper. Headline differences: Both are Indie games on Steam. Both released in 2018. Sanatorium Purgatorium is currently ~87% cheaper on Steam than Agony (1.99 USD vs. 14.99 USD). No login or purchase needed — scroll for the full table, the verdict FAQ, and links to ranked similar games for both titles.
Which should you pick?
Choose Sanatorium Purgatorium
Choose Sanatorium Purgatorium if you want a Casual experience. On Steam, it's currently about 87% cheaper on the Steam Store. Sanatorium Purgatorium launched in 2018.
Both Agony and Sanatorium Purgatorium sit in Indie on Steam, so either pick lands in the same broad neighborhood. Use the side-by-side table for the feature view, or follow the "Games like" links below to see ranked alternatives for either title.
Side-by-side comparison
 Agony |  Sanatorium Purgatorium | |
|---|---|---|
| Released | 2018 | 2018 |
| Genres | Action, Indie, Adventure | Indie, Casual |
| Platforms | Windows | Windows |
| Steam Deck | Deck Playable | Unrated |
| Price | 14.99 USD | 1.99 USD |
| Steam reviews | 44.2% positive (917 reviews) | 8 reviews |
| Multiplayer | Single-player only | Single-player only |
| Developers | Madmind Studio | TMR |
Side by side
- Both are Indie games on Steam.
- Both released in 2018.
- Sanatorium Purgatorium is currently ~87% cheaper on Steam than Agony (1.99 USD vs. 14.99 USD).
- Agony is Deck Playable on Steam Deck; Sanatorium Purgatorium has no Deck rating yet.
Agony vs Sanatorium Purgatorium — FAQ
- Are Agony and Sanatorium Purgatorium similar?
- They overlap on Indie on Steam, so the catalogue groups them together — but "similar" depends on the specific mechanics. Use the genre + category rows above to decide whether the overlap matches what drew you to the one you've already played.
- Does Agony run on Steam Deck?
- Yes — Agony is rated Deck Playable by Valve. Sanatorium Purgatorium doesn't have a Deck rating yet, so its Deck behaviour is currently unverified.