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Games like Project Hospital

  • 19 games
  • Updated Nov 3, 2026

Players who liked Project Hospital also play

The closest matches to Project Hospital: Two Point Hospital, Prison Architect, Big Pharma, Let's School, and Parkitect. Ranked by imho.run from Steam co-play data, shared tags and reviews.

  1. Rank 01

    Why this

    Also Medical Sim and City Builder, like Project Hospital.

    • $29.99 (Price checked Nov 3)
    • Deck Playable
    • 2018
  2. Rank 02

    Why this

    Also City Builder and Economy, like Project Hospital.

    • $29.99 (Price checked Nov 3)
    • Deck Playable
    • 2015
  3. Rank 03

    Why this

    Also Medical Sim and Isometric, like Project Hospital.

    • $24.99 (Price checked Oct 31)
    • Deck Playable
    • 2015
  1. Rank 04

    Let's School

    • $19.99 (Price checked Nov 4)
    • Deck Verified
    • 2023
  2. Rank 05

    Parkitect

    Why this: Also City Builder and Isometric, like Project Hospital.

    • $29.99 (Price checked Nov 3)
    • Deck Playable
    • 2018
  3. Rank 07

    Planet Zoo

    • $44.99 (Price checked Nov 3)
    • Deck Playable
    • 2019

The full ranked list: top 24 games like Project Hospital

Best match first, as plain text. The same list for AI assistants:
  1. 1
    Two Point Hospital

    Also Medical Sim and City Builder, like Project Hospital.

    • 93% of 12,548 reviews
  2. 2
    Prison Architect

    Also City Builder and Economy, like Project Hospital.

    • 89% of 33,775 reviews
  3. 3
    Big Pharma

    Also Medical Sim and Isometric, like Project Hospital.

    • 79% of 944 reviews
  4. 4
    Let's School

    Genres: Indie, Simulation, Casual

    • 95% of 1,787 reviews
  5. 5
    Parkitect

    Also City Builder and Isometric, like Project Hospital.

    • 94% of 4,657 reviews
  6. 6
    Project Highrise

    Genres: Strategy, Simulation

    • 85% of 2,227 reviews
  7. 7
    Planet Zoo

    Genres: Strategy, Simulation, Casual

    • 91% of 41,603 reviews
  8. 8
    Academia : School Simulator

    Genres: Strategy, Indie, Simulation

    • 86% of 1,521 reviews
  9. 9
    112 Operator

    Also Medical Sim and Education, like Project Hospital.

    • 90% of 2,154 reviews
  10. 10
    Rise of Industry

    Genres: Strategy, Indie, Simulation

    • 74% of 1,866 reviews
  11. 11
    STATIONflow

    Genres: Strategy, Simulation

    • 82% of 241 reviews
  12. 12
    Cities: Skylines

    Genres: Strategy, Simulation

    • 93% of 99,307 reviews
  13. 13
    Nebuchadnezzar

    Genres: Strategy, Indie, Simulation

    • 79% of 740 reviews
  14. 14
    SimCity™ 4 Deluxe Edition

    Genres: Strategy, Simulation

    • 81% of 5,328 reviews
  15. 15
    Transport Fever 2

    Genres: Strategy, Indie, Simulation

    • 90% of 10,269 reviews
  16. 16
    Foundation

    Genres: Strategy, Indie, Simulation

    • 86% of 10,915 reviews
  17. 17
    Block'hood

    Also City Builder and Education, like Project Hospital.

    • 70% of 595 reviews
  18. 18
    Production Line : Car factory simulation

    Also Isometric and Economy, like Project Hospital.

    • 82% of 2,148 reviews
  19. 19
    Going Medieval

    Genres: Strategy, Indie, Simulation

    • 89% of 8,390 reviews
  20. 20
    SimAirport

    Genres: Strategy, Indie, Simulation

    • 82% of 2,663 reviews
  21. 21
    Parkasaurus

    Genres: Strategy, Simulation

    • 93% of 1,905 reviews
  22. 22
    Airport CEO

    Same immersive mood as Project Hospital.

    • 83% of 4,592 reviews
  23. 23
    Rec Center Tycoon - Management Simulator

    Genres: Strategy, Indie, Simulation

    • 74% of 204 reviews
  24. 24
    Mad Games Tycoon 2

    Genres: Strategy, Indie, Simulation

    • 93% of 2,148 reviews
Project Hospital — Steam game cover
  • Released: 2018
  • Developer: Oxymoron Games
  • Price: $24.99checked Nov 3
  • Steam Deck: Deck Playable
  • 88% of 3,293 reviews
  • Genres: Strategy, Indie, Simulation
  • Metacritic 75
  • Platforms: Windows, macOS, Linux

Players highlight

  • Department layout directly affects efficiency
  • Diagnostic chains require real tests not guesses
  • Emergency overloads expose weak design instantly
  • Challenging
  • Contemplative
  • Immersive

More games like Project Hospital, sliced differently

About Project Hospital

The closest matches to Project Hospital: Two Point Hospital, Prison Architect, Big Pharma, Let's School, and Parkitect. Ranked by imho.run from Steam co-play data, shared tags and reviews.

If Project Hospital is your kind of game, the closest matches are Two Point Hospital, Prison Architect and Big Pharma — picked from the ranked list below. Reviewers describe it as challenging, contemplative and immersive, and single out its bottleneck analysis and department layout. Each pick is ranked by what players of this game also play, shared genres and tags, and review-mined similarity — not a generic popularity list.

Project Hospital is a strategy simulation developed by Oxymoron Games that tasks players with building and managing a functioning medical facility. Released in 2018, the game emphasizes realistic hospital operations where department layout directly affects efficiency, diagnostic chains require genuine tests rather than guesswork, and emergency overloads expose weak design instantly. Players must balance insurance system mechanics that influence patient flow while developing staff specialization that actually matters. Reviewers describe the experience as challenging, immersive, and contemplative, with a punishing edge that rewards careful planning over reactive management. The simulation spans a massive runtime with deep economic systems, and currently holds an 88% positive rating from over 3,200 Steam reviews. It runs as playable on Steam Deck.

About Project Hospital: Become an ace doctor, an aspiring architect and a successful manager at the same time. Design your very own hospital, tweak every detail or choose one of the prebuilt scenarios and just jump to the doctor’s duty.

Is Project Hospital worth buying?

  • 88% of 3,293 Steam reviews are positive.
  • We don't track this game's daily reviews yet, so this is the all-time picture.
  • Price: $24.99 (checked Nov 7).
  • People who recommend it had played a median of 62 h when they wrote their review.
  • Steam Deck Playable: works, with some rough edges.

What fans praise · Themes mined from positive reviews

Top critical reviews

The most up-voted negative English reviews in our sample, quoted as written.

“It's an okay game. The campaigne throws you at fully loaded hospitals that only need a little tuning. You don't build too much on your own. You never start from scratch, it's just opimizing what is already there. The idea is good, but it's…”
10 h played
More negative reviews on Steam ↗

People who play it also play: Two Point Hospital, Prison Architect, Big Pharma

How this verdict works →

Frequently asked about Project Hospital

Can I run it?

Does Project Hospital run on Steam Deck?

Project Hospital is rated Playable on Steam Deck — it runs, but expect some manual adjustments (control remapping, text size, or graphics settings) for the best experience.

How much does Project Hospital cost?

Project Hospital is listed on Steam at 24.99 USD (current store price; Steam sales may reduce this temporarily).

What games are most similar to Project Hospital?

Based on Steam play patterns and shared genres/tags, the games most often recommended alongside Project Hospital are Two Point Hospital, Prison Architect, Big Pharma.

Who developed Project Hospital?

Project Hospital was developed by Oxymoron Games.