Single-player games like Pale Cachexia
Below are 13 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
Argumentum ad culpam
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required.
Argumentum ad culpam is a gothic visual novel about the world of eternal agony. A capricious dance of principles and death. Take part in twisted battles of wits, where morality is only a tool for survival, and decide what future that world will have.
- 2
Bad Faith
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Sanctuaries. Secrets. Serious consequences. A solo-developed psychological horror/drama visual novel.
- 3
Perennial Dusk -Kinsenka-
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
“Perennial Dusk -Kinsenka-” is a kinetic novel about how the human heart endures relentless violence and limitless cruelty, telling the story of a group of exorcists-in-training as they gather the pieces needed to mend their wounded souls.
- 4
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.
- 5
Aoi Tori
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Shiratori Ritsu, the sole male at Kirihara Academy for Girls and its priest, protects the school from demons but finds his sanity tested by the arrival of a new student, the one-hundred-year-old vampire Mary Harker, and a call from the devil, questioning his purpose in life.
- 6
Pumpkin Eater
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
Pumpkin Eater is a visual novel about grief, pumpkin heads, and human decomposition. 100% medically accurate.
- 7
Salome's Kiss
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
A dark lesbian / yuri gothic romance tale set in Victorian England, in which an anxious governess is aggressively pursued by her unruly, tempestuous pupil.
- 8
Robotherapy
Single-player alternative to Pale Cachexia — playable solo, no multiplayer required. Shares Casual with Pale Cachexia.
An emotional dark comedy about robots doing therapy. In Robotherapy, you're a robot therapist in a dystopian society that killed all the humans, but is still not happy. Treat patients, meet weird robots and enter their minds. If killing all humans doesn't bring happiness, then what does?
- 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
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.