Single-player games like The Last Patient
Below are 9 single-player Steam games similar to The Last Patient, 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 The Last Patient page.
Ranked picks
- 1

GUTTED: Infested Crypts
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
Descend into infested crypts beneath a cursed cemetery in this visceral action-horror FPS. Fight through rotting horrors with heavy gunplay, brutal dismemberment, and only a dying flashlight between you and the darkness.
- 2

Fast Mission
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
A collection of indie games with simple mechanics and arcade-style gameplay.
- 3

IMHA
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
IMHA is a first-person shooter set on an island ravaged by a demon invasion. Battle your way through endless hordes of enemies and survive the onslaught of relentless ghouls and demons.
- 4

Forest Keeper
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
Survival Horror set on a sinister island. As a lone forest keeper, you'll unravel its grim secrets from the eerie backstory of a royal vacation home turned nightmare. Journey through the changing seasons, from day to night. Confront nightmarish abominations that emerge in the winter cold.
- 5

Nightmare of Decay
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
A first-person action horror game set in a nightmarish manor infested with zombies, psychotic cultists, and a horde of other horrors. Utilize an assortment of different weapons in a brutal fight for survival as you try to escape from the Nightmare of Decay.
- 6

Resident Evil Village
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
Experience survival horror like never before in the 8th major installment in the Resident Evil franchise - Resident Evil Village. With detailed graphics, intense first-person action and masterful storytelling, the terror has never felt more realistic.
- 7

DOOM 3 Resurrection of Evil
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
The gripping expansion pack for DOOM 3 takes your even further into the the DOOM universe. Two years following the unexplained disaster on Mars, the UAC returns to the abandoned facility to investigate a mysterious beacon buried deep in the ruins of the ancient civilization.
- 8

Killing Floor
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
6-player co-op survival horror at its finest! Free updates, free special events and a ridiculous amount of fun!
- 9

City 13
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
City 13 is a fast-paced, hardcore 2D platformer in the spirit of classic games straight from the nineties