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
Purge Phalanx
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
Unleash heavy weaponry to exterminate the demonic horde alone or up to 4 players online and/or in splitscreen
- 3
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.
- 4
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.
- 5
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.
- 6
Insomnia is Coming
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action and Indie with The Last Patient.
INSOMNIA IS COMING. You won’t sleep. In a world without rules, you sink into chaos – drugs, alcohol, betrayal. Each choice drags you deeper. A psychological FPS horror about guilt and sin, where sleepless nights blur reality and force you to face truth… or the end.
- 7
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.
- 8
CARNAGE OFFERING
Single-player alternative to The Last Patient — playable solo, no multiplayer required. Shares Action with The Last Patient.
Ultra fast-paced sci-fi FPS where you battle waves of robots and genetically engineered creatures. Upgrade your arsenal, unleash explosive physics, and survive relentless combat.
- 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