Single-player games like Pale Cachexia
Below are 14 single-player Steam games similar to Pale Cachexia, 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 Pale Cachexia page.
Ranked picks
- 1
Luto
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
Luto is a psychological horror experience where you take on the role of someone unable to leave their home. Every attempt to escape will lead you deeper into the unknown, where nothing is as it seems and everything will test your senses.
- 2
EDENGATE: The Edge of Life
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Mia Lorenson, wakes up in an abandoned hospital full of questions. What happened to her? What happened to the world? Edengate: The Edge of Life is an interactive experience reflecting on feelings of uncertainty, isolation and hope in the face of devastation.
- 3
Leila
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Leila is a heartfelt, hand-animated narrative game about the small yet significant struggles we all face. Solve story-driven puzzles, relive fragile memories, and discover a deeply personal journey that may feel more familiar than you expect.
- 4
The Midnight Walk
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
Follow The Midnight Walk in a dark adventure from the minds behind Lost in Random. Befriend a lost lantern creature and light your way through a world of wonder and terror. Outsmart monsters and marvel at details in a landscape handcrafted with real clay and animated in a stop motion style.
- 5
The Cat Lady
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
The Cat Lady follows Susan Ashworth, a lonely 40-year old on the verge of suicide. She has no family, no friends and no hope for a better future. One day she discovers that five strangers will come along and change everything...
- 6
South of the Circle
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
South of the Circle is a deep narrative experience of the emerging relationship between Peter and Clara, Cambridge academics involved in a political conflict. The story focuses on promises made in between career and true love, where our choices burdened by our past seem to be illusory.
- 7
A Tithe in Blood
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
A dark yuri visual novel about a quiet university student who discovers blood magic in the depths of her grief. Stepping into a world she little understands, Honoka finds unexpected love, and inadvertently sets in motion a deadly series of events.
- 8
Hellblade: Senua's Sacrifice
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
From the makers of Heavenly Sword, Enslaved: Odyssey to the West, and DmC: Devil May Cry, comes a warrior’s brutal journey into myth and madness. Set in the Viking age, a broken Celtic warrior embarks on a haunting vision quest into Viking Hell to fight for the soul of her dead lover.
- 9
Red Embrace: Hollywood
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
1996—Los Angeles, CA. A young newcomer is turned into a vampire and thrust into the dark underworld of society, forced to sink or swim. You are that newcomer.
- 10
Red Embrace
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
A normal graveyard shift at a dingy diner in San Francisco... until a mysterious customer arrives, bringing with him a war between vampires.
- 11
Requiescence
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Dive into the story of Kymil, a young ice mage on a quest to unravel the mystery behind his uncle's death. As the world you know shatters around you, will you find a place for romance while the stakes climb higher?
- 12
Chess of Blades
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
At a huge celebration in a secluded fantasy castle, the young nobleman Rivian is faced with murder, mystery, and romance in a whirlwind tale of dangerous intrigue.
- 13
Your Dry Delight
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Set in 1920s Prohibition-era America, this romantic comedy follows Detective Richter and his adventures as he attempts to unravel Cleveland's liquor industry.
- 14
Self-Checkout Unlimited
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Explore and unravel the mall of your mind in this surreal adventure game.