Choose CosmoDrive:Zero
Choose CosmoDrive:Zero if you want a Massively Multiplayer experience. On Steam, it's currently about 99% cheaper on the Steam Store. CosmoDrive:Zero launched in 2018.
CosmoDrive:Zero vs 3D PUZZLE - Hospital 4
CosmoDrive:Zero and 3D PUZZLE - Hospital 4 both land in Action, Sports, Strategy 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 share Action, Sports, Strategy on Steam. CosmoDrive:Zero (2018) is 6 years older than 3D PUZZLE - Hospital 4 (2024). CosmoDrive:Zero is currently ~99% cheaper on Steam than 3D PUZZLE - Hospital 4 (1.99 USD vs. 199.99 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 3D PUZZLE - Hospital 4
Choose 3D PUZZLE - Hospital 4 if you want the Steam Leaderboards side of the pairing. On Steam, it's the newer release (2024) and ships with the modern feature baseline. 3D PUZZLE - Hospital 4 launched in 2024.
Both CosmoDrive:Zero and 3D PUZZLE - Hospital 4 sit in Action, Sports, and Strategy 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
 CosmoDrive:Zero |  3D PUZZLE - Hospital 4 | |
|---|---|---|
| Released | 2018 | 2024 |
| Genres | Action, Sports, Strategy, Indie, Adventure, Simulation, Massively Multiplayer, RPG, Casual, Racing | Action, Sports, Strategy, Indie, Adventure, Simulation, RPG, Casual, Racing |
| Platforms | Windows | Windows, macOS, Linux |
| Steam Deck | Unrated | Unrated |
| Price | 1.99 USD | 199.99 USD |
| Steam reviews | 3 reviews | 100% positive (10 reviews) |
| Multiplayer | Single-player only | Single-player only |
| Developers | Diamond Cats Studio | PUZZLE Games |
Side by side
- Both share Action, Sports, Strategy on Steam.
- CosmoDrive:Zero (2018) is 6 years older than 3D PUZZLE - Hospital 4 (2024).
- CosmoDrive:Zero is currently ~99% cheaper on Steam than 3D PUZZLE - Hospital 4 (1.99 USD vs. 199.99 USD).
CosmoDrive:Zero vs 3D PUZZLE - Hospital 4 — FAQ
- Should I play CosmoDrive:Zero or 3D PUZZLE - Hospital 4 first?
- If you want chronology, CosmoDrive:Zero (2018) came out before 3D PUZZLE - Hospital 4 (2024). If neither is a sequel to the other, order doesn't really matter — start with whichever fits your current mood, since both share enough on Steam to make either a reasonable opener.
- Are CosmoDrive:Zero and 3D PUZZLE - Hospital 4 similar?
- They overlap on Action, Sports, Strategy 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.