IMHO.

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. 1
    GUTTED: Infested Crypts — Steam game cover

    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.

    ActionAdventureSingle-playerSimilar games →
  2. 2
    Fast Mission — Steam game cover

    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.

    2025ActionIndie4.99 USDSingle-playerSimilar games →
  3. 3
    IMHA — Steam game cover

    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.

    2022ActionIndieEarly Access7.99 USDSingle-playerSimilar games →
  4. 4
    Forest Keeper — Steam game cover

    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.

    2024ActionIndie11.99 USDSingle-playerSimilar games →
  5. 5
    Nightmare of Decay — Steam game cover

    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.

    2022ActionIndieAdventure4.99 USDDeck PlayableSingle-playerSimilar games →
  6. 6
    Resident Evil Village — Steam game cover

    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.

    2021Action39.99 USDDeck VerifiedSingle-playerSimilar games →
  7. 7
    DOOM 3 Resurrection of Evil — Steam game cover

    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.

    2007ActionSingle-playerSimilar games →
  8. 8
    Killing Floor — Steam game cover

    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!

    2009Action19.99 USDDeck PlayableSingle-playerSimilar games →
  9. 9
    City 13 — Steam game cover

    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

    2020ActionIndieAdventure0.99 USDSingle-playerSimilar games →