Co-op games like Vital Decisions
Below are 8 cooperative Steam games similar to Vital Decisions, 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 Vital Decisions page.
Ranked picks
- 1
Night Shift Hospital
Online Co-op alternative to Vital Decisions — playable with friends. Shares Indie and Simulation with Vital Decisions.
A chaotic co-op job sim for up to 4 players about night-shift doctors. Handle a bizarre stream of patients, diagnose illnesses, and assign people to the correct treatment zones. Work as a team, get through nightly crises, and try your best not to get fired!
- 2
Pizza House Simulator🍕
Online Co-op alternative to Vital Decisions — playable with friends. Shares Indie and Simulation with Vital Decisions.
Run your dream pizzeria solo or with up to 6 players in chaotic online co-op multiplayer. Cook authentic pizzas, automate your kitchen, customize your restaurant, survive disasters, invest in stocks, gamble and build the ultimate Italian restaurant empire.
- 3
Cafe Crew Simulator
Online Co-op alternative to Vital Decisions — playable with friends. Shares Indie and Simulation with Vital Decisions.
Craft coffee masterpieces, grow your dream café, and sabotage the competition in style! Coffee’s hot, competition’s hotter!
- 4
Rewind 99
Online Co-op alternative to Vital Decisions — playable with friends. Shares Action and Indie with Vital Decisions.
You're the last remaining video rental store. From humble VHS clerk to rental racketeer - run your video store and explore Reshoot Springs, building an underground empire. Expand with upgrades, side hustles, store membership, and more. Whatever it takes to survive - solo or in up to 4-player co-op.
- 5
Anime Shop Simulator ✨
Online Co-op alternative to Vital Decisions — playable with friends. Shares Action and Simulation with Vital Decisions.
Manage your own anime shop 🎌. Play solo or team up with friends 🤝 in 4-player co-op mode to grow your business 📈 Stock shelves with manga, figures, and collectible cards in this immersive first-person game 🕹️.
- 6
Chaos Express: Delivery Simulator
Online Co-op alternative to Vital Decisions — playable with friends. Shares Action and Indie with Vital Decisions.
Deliver goods with your friends in open-world city. Manage and upgrade your delivery point, acquire new ways of delivery and become the best.
- 7
Baggage Handler Simulator
Online Co-op alternative to Vital Decisions — playable with friends. Shares Indie and Simulation with Vital Decisions.
BH Simulator is a fun and immersive airport logistics game. As a baggage hub manager, build efficient conveyor systems to sort, unload, and load luggage. Plan smart routes, avoid bottlenecks, and prove you're the boss of the baggage game. Can you turn chaos into perfect order?
- 8
Roadside Research
Online Co-op alternative to Vital Decisions — playable with friends. Shares Simulation and Casual with Vital Decisions.
Roadside Research is a 1 to 4 player co-op gas station simulator. Except you’re aliens. And undercover. Do very human things like restocking shelves while preparing for the invasion. Just don’t get caught.