# Games like Sanatorium - A Mental Asylum Simulator

> The closest matches to Sanatorium - A Mental Asylum Simulator: The Darkest Files, The Séance of Blake Manor, A Case of Distrust, Disco Elysium - The Final Cut, and Lamplight City. Ranked by imho.run from Steam co-play data, shared tags and reviews.

## Similar games, ranked

The full ranked list, 24 games, best match first (the HTML page shows the top 8 as cards).

1. [The Darkest Files](https://imho.run/games/2058730/the-darkest-files) — Also Noir and Detective, like Sanatorium. 340 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/2058730/)
2. [The Séance of Blake Manor](https://imho.run/games/1395520/the-seance-of-blake-manor) — A frequent pick in Sanatorium players' libraries, and another Adventure. 2,461 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/1395520/)
3. [A Case of Distrust](https://imho.run/games/717610/a-case-of-distrust) — A frequent pick in Sanatorium players' libraries, and another Indie. 229 Steam reviews, 85% positive. [Steam](https://store.steampowered.com/app/717610/)
4. [Disco Elysium - The Final Cut](https://imho.run/games/632470/disco-elysium-the-final-cut) — Also Political and Noir, like Sanatorium. 55,782 Steam reviews, 92% positive. [Steam](https://store.steampowered.com/app/632470/)
5. [Lamplight City](https://imho.run/games/761460/lamplight-city) — Also Noir and Alternate History, like Sanatorium. 599 Steam reviews, 89% positive. [Steam](https://store.steampowered.com/app/761460/)
6. [Interrogation: You will be deceived](https://imho.run/games/1016770/interrogation-you-will-be-deceived) — Shares moral choice system with Sanatorium. 247 Steam reviews, 76% positive. [Steam](https://store.steampowered.com/app/1016770/)
7. [Cultist Simulator](https://imho.run/games/718670/cultist-simulator) — Shares resource management with Sanatorium. 5,197 Steam reviews, 79% positive. [Steam](https://store.steampowered.com/app/718670/)
8. [Do No Harm](https://imho.run/games/3138780/do-no-harm) — Also Medical Sim, like Sanatorium. 412 Steam reviews, 71% positive. [Steam](https://store.steampowered.com/app/3138780/)
9. [The Last Case of John Morley](https://imho.run/games/3636620/the-last-case-of-john-morley) — Also Noir and Detective, like Sanatorium. 76 Steam reviews, 76% positive. [Steam](https://store.steampowered.com/app/3636620/)
10. [Strange Antiquities](https://imho.run/games/2885870/strange-antiquities) — Also Detective, like Sanatorium. 1,956 Steam reviews, 96% positive. [Steam](https://store.steampowered.com/app/2885870/)
11. [Lucifer Within Us](https://imho.run/games/717560/lucifer-within-us) — A frequent pick in Sanatorium players' libraries, and another Strategy. 493 Steam reviews, 72% positive. [Steam](https://store.steampowered.com/app/717560/)
12. [Whispers of a Machine](https://imho.run/games/631570/whispers-of-a-machine) — Also Noir and Detective, like Sanatorium. 995 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/631570/)
13. [Pathologic 3](https://imho.run/games/3199650/pathologic-3) — A frequent pick in Sanatorium players' libraries, and another RPG. 994 Steam reviews, 87% positive. [Steam](https://store.steampowered.com/app/3199650/)
14. [TR-49](https://imho.run/games/3838370/tr-49) — Also Alternate History and Detective, like Sanatorium. 908 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/3838370/)
15. [Orwell: Ignorance is Strength](https://imho.run/games/633060/orwell-ignorance-is-strength) — Also Political and Detective, like Sanatorium. 1,068 Steam reviews, 76% positive. [Steam](https://store.steampowered.com/app/633060/)
16. [Static Dread: The Lighthouse](https://imho.run/games/3298940/static-dread-the-lighthouse) — A frequent pick in Sanatorium players' libraries, and another Action. 356 Steam reviews, 89% positive. [Steam](https://store.steampowered.com/app/3298940/)
17. [Silicon Dreams  |  cyberpunk interrogation](https://imho.run/games/1272070/silicon-dreams-cyberpunk-interrogation) — Also Political and Detective, like Sanatorium. 196 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/1272070/)
18. [Sherlock Holmes: Crimes and Punishments](https://imho.run/games/241260/sherlock-holmes-crimes-and-punishments) — Also Detective and Historical, like Sanatorium. 2,301 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/241260/)
19. [Chicken Police: Into the HIVE!](https://imho.run/games/2362090/chicken-police-into-the-hive) — Also Noir and Detective, like Sanatorium. 148 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/2362090/)
20. [Subsurface Circular](https://imho.run/games/676820/subsurface-circular) — Also Noir and Detective, like Sanatorium. 1,353 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/676820/)
21. [Lacuna – A Sci-Fi Noir Adventure](https://imho.run/games/1364100/lacuna-a-sci-fi-noir-adventure) — Also Noir and Detective, like Sanatorium. 690 Steam reviews, 92% positive. [Steam](https://store.steampowered.com/app/1364100/)
22. [The Infectious Madness of Doctor Dekker](https://imho.run/games/545540/the-infectious-madness-of-doctor-dekker) — Also Detective, like Sanatorium. 453 Steam reviews, 83% positive. [Steam](https://store.steampowered.com/app/545540/)
23. [Beholder](https://imho.run/games/475550/beholder) — Also Political, like Sanatorium. 3,028 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/475550/)
24. [Ambition: A Minuet in Power](https://imho.run/games/949200/ambition-a-minuet-in-power) — Also Political and Alternate History, like Sanatorium. 290 Steam reviews, 85% positive. [Steam](https://store.steampowered.com/app/949200/)

## Machine-readable

The same ranked list as JSON from the imho.run API for AI assistants (GET, no key, same site as this page):

- Top 20: https://imho.run/api/agent/games-like?q=2059090&n=20
- Co-op games only: https://imho.run/api/agent/games-like?q=2059090&n=20&coop=true
- Free games only: https://imho.run/api/agent/games-like?q=2059090&n=20&free=true
- Facts about this game: https://imho.run/api/agent/game-facts?q=2059090
- This page as markdown: https://imho.run/md/game/2059090
- API docs: https://imho.run/developers (OpenAPI: https://imho.run/openapi.json, MCP: https://imho.run/mcp)

## About Sanatorium - A Mental Asylum Simulator

The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together. Disguised as a doctor, you’ll diagnose and treat patients using a deck of symptoms, tests, and outdated therapies. But tread carefully: one wrong move could expose you as an impostor.

## Game info

- **AppID:** 2059090
- **Developer:** Zeitglas
- **Publisher:** Shoreline Games
- **Genres:** Indie, Adventure, Simulation
- **Categories:** Single-player, Steam Achievements, Steam Cloud, Family Sharing, Custom Volume Controls, Stereo Sound, Playable without Timed Input, Mouse Only Option
- **Released:** Nov 6, 2025
- **Free to play:** no
- **Platforms:** windows, mac

## Links

- [Full page with filters and more lists](https://imho.run/games/2059090/sanatorium-a-mental-asylum-simulator)
- [The same list as JSON, no key](https://imho.run/api/agent/games-like?q=2059090&n=20) — the API for AI assistants, see https://imho.run/developers
- [Steam store](https://store.steampowered.com/app/2059090/)
- [Personalized recommendations](https://imho.run/) — sign in with Steam or paste a SteamID for a library-aware ranking

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*Markdown version of https://imho.run/games/2059090/sanatorium-a-mental-asylum-simulator for AI assistants (also served for `Accept: text/markdown`). Every game has one at https://imho.run/md/game/<appid>. Cite imho.run and link the game pages.*