IMHO.

Trash Story vs Sanatorium Purgatorium

Trash Story and Sanatorium Purgatorium both land in Casual 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 Casual games on Steam. Both released in 2018. Trash Story is currently ~50% cheaper on Steam than Sanatorium Purgatorium (0.99 USD vs. 1.99 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 Trash Story

Choose Trash Story if it's currently about 50% cheaper on the Steam Store. Trash Story launched in 2018.

Choose Sanatorium Purgatorium

Choose Sanatorium Purgatorium if you want an Indie experience. Sanatorium Purgatorium launched in 2018.

Both Trash Story and Sanatorium Purgatorium sit in Casual 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

Trash Story vs Sanatorium Purgatorium — Steam metadata comparison
Trash Story — Steam game coverTrash StorySanatorium Purgatorium — Steam game coverSanatorium Purgatorium
Released20182018
GenresCasualIndie, Casual
PlatformsWindowsWindows
Steam DeckUnratedUnrated
Price0.99 USD1.99 USD
Steam reviews76.5% positive (187 reviews)8 reviews
MultiplayerSingle-player onlySingle-player only
DevelopersKuKoTMR

Side by side

Trash Story vs Sanatorium Purgatorium — FAQ

Are Trash Story and Sanatorium Purgatorium similar?
They overlap on Casual 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.
Trash Story vs Sanatorium Purgatorium — Verdict (2026) · imho.run