IMHO.

Free games like Project Hospital

Below are 9 free-to-play Steam games similar to Project Hospital, ranked by player overlap and content similarity. No purchase or Steam login required to view the list. Every pick is a full free-to-play title — not a demo, trial, or time-limited giveaway. imho.run's catalogue refreshes daily, so newly free or newly popular titles surface here without manual editing.

Want the full alternatives list (paid + free + Steam Deck + cheaper picks)? See the parent games like Project Hospital page.

Ranked picks

  1. 1
    Ultimate Custom Night — Steam game cover

    Ultimate Custom Night

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Indie with Project Hospital.

    Welcome to the ultimate FNAF mashup, featuring 50 selectable characters and custom difficulties!

    2018ActionIndieFree To PlayFreeFree to playSimilar games →
  2. 2
    Bongo Cat — Steam game cover

    Bongo Cat

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Indie and Simulation with Project Hospital.

    Bongo cat needs your help. Bongo cat needz more hatz!!! Every time you press a key, Bongo cat will punch your taskbar. Type, click, play, work to collect more points. Which hats will you find?

    2025IndieSimulationMassively MultiplayerFreeDeck PlayableFree to playSimilar games →
  3. 3
    Steam Engine Simulator — Steam game cover

    Steam Engine Simulator

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Simulation with Project Hospital.

    The Steam Engine Simulator shown on AngeTheGreat's YouTube channel.

    2023SimulationFreeDeck VerifiedFree to playSimilar games →
  4. 4
    Magic Archery — Steam game cover

    Magic Archery

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Indie and Simulation with Project Hospital.

    Train a commoner to become the greatest archer in this short incremental game! Increase your stats, gather wealth from quests, buy upgrades, and infuse your arrows with magic.

    2024IndieSimulationRPGFreeDeck PlayableFree to playSimilar games →
  5. 5
    Landfall Archives — Steam game cover

    Landfall Archives

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Strategy and Indie with Project Hospital.

    Break into the Landfall Archives to steal and play previously unreleased games, demos, interactive slide shows, and even an unreleased version of Totally Accurate Battle Simulator from 2017!

    2023ActionStrategyIndieFreeFree to playSimilar games →
  6. 6
    SuchArt: Creative Space — Steam game cover

    SuchArt: Creative Space

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Indie and Simulation with Project Hospital.

    Paint on any surfaces with numerous tools in Creative Space — a free sandbox version of SuchArt: Genius Artist Simulator. Create masterpieces, complete commissions, and decorate your studio in the most advanced artist sim!

    2021ActionIndieAdventureFreeDeck PlayableFree to playSimilar games →
  7. 7
    one night, hot springs — Steam game cover

    one night, hot springs

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Indie and Simulation with Project Hospital.

    Haru is invited by her old friend Manami to spend a night at the hot springs. All Haru wants to do is enjoy the hot springs like everyone else, but she doesn't want to cause any trouble...

    2018IndieSimulationFree To PlayFreeDeck VerifiedFree to playSimilar games →
  8. 8
    The Riftbreaker: Prologue — Steam game cover

    The Riftbreaker: Prologue

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Strategy and Indie with Project Hospital.

    The Riftbreaker: Prologue allows you to experience the events taking place before the story campaign of the main game. Explore an entirely new world. Gather resources. Build up a base. Defend yourself from thousands of alien creatures.

    2020ActionStrategyIndieFreeDeck PlayableFree to playSimilar games →
  9. 9
    Espresso Tycoon Prologue: Underwater — Steam game cover

    Espresso Tycoon Prologue: Underwater

    Free-to-play alternative to Project Hospital — no purchase or trial window. Shares Strategy and Simulation with Project Hospital.

    A completely FREE underwater mission from the Espresso Tycoon - a coffee shop simulator. Build your own cafe from scratch, hire staff, create the most delicious recipes in the whole Pacific Ocean and make customers happy! Decorate, manage, and build a successful coffee business in Sydney!

    2022StrategySimulationFree To PlayFreeFree to playSimilar games →