# Games like 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.

## Similar games, ranked

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

1. [Two Point Hospital](https://imho.run/games/535930/two-point-hospital) — Also Medical Sim and City Builder, like Project Hospital. 12,548 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/535930/)
2. [Prison Architect](https://imho.run/games/233450/prison-architect) — Also City Builder and Economy, like Project Hospital. 33,775 Steam reviews, 89% positive. [Steam](https://store.steampowered.com/app/233450/)
3. [Big Pharma](https://imho.run/games/344850/big-pharma) — Also Medical Sim and Isometric, like Project Hospital. 944 Steam reviews, 79% positive. [Steam](https://store.steampowered.com/app/344850/)
4. [Let's School](https://imho.run/games/1937500/let-s-school) — A frequent pick in Project Hospital players' libraries, and another Indie. 1,787 Steam reviews, 95% positive. [Steam](https://store.steampowered.com/app/1937500/)
5. [Parkitect](https://imho.run/games/453090/parkitect) — Also City Builder and Isometric, like Project Hospital. 4,657 Steam reviews, 94% positive. [Steam](https://store.steampowered.com/app/453090/)
6. [Project Highrise](https://imho.run/games/423580/project-highrise) — A frequent pick in Project Hospital players' libraries, and another Strategy. 2,227 Steam reviews, 85% positive. [Steam](https://store.steampowered.com/app/423580/)
7. [Planet Zoo](https://imho.run/games/703080/planet-zoo) — Also City Builder and Economy, like Project Hospital. 41,603 Steam reviews, 91% positive. [Steam](https://store.steampowered.com/app/703080/)
8. [Academia : School Simulator](https://imho.run/games/672630/academia-school-simulator) — Also City Builder and Economy, like Project Hospital. 1,521 Steam reviews, 86% positive. [Steam](https://store.steampowered.com/app/672630/)
9. [112 Operator](https://imho.run/games/793460/112-operator) — Also Medical Sim and Education, like Project Hospital. 2,154 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/793460/)
10. [Rise of Industry](https://imho.run/games/671440/rise-of-industry) — Also City Builder and Isometric, like Project Hospital. 1,866 Steam reviews, 74% positive. [Steam](https://store.steampowered.com/app/671440/)
11. [STATIONflow](https://imho.run/games/1122120/stationflow) — Also City Builder and Isometric, like Project Hospital. 241 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/1122120/)
12. [Cities: Skylines](https://imho.run/games/255710/cities-skylines) — Also City Builder and Economy, like Project Hospital. 99,307 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/255710/)
13. [Nebuchadnezzar](https://imho.run/games/1157220/nebuchadnezzar) — Also City Builder and Isometric, like Project Hospital. 740 Steam reviews, 79% positive. [Steam](https://store.steampowered.com/app/1157220/)
14. [SimCity™ 4 Deluxe Edition](https://imho.run/games/24780/simcity-4-deluxe-edition) — Also City Builder and Isometric, like Project Hospital. 5,328 Steam reviews, 81% positive. [Steam](https://store.steampowered.com/app/24780/)
15. [Transport Fever 2](https://imho.run/games/1066780/transport-fever-2) — Also City Builder and Economy, like Project Hospital. 10,269 Steam reviews, 90% positive. [Steam](https://store.steampowered.com/app/1066780/)
16. [Foundation](https://imho.run/games/690830/foundation) — Also City Builder and Economy, like Project Hospital. 10,915 Steam reviews, 86% positive. [Steam](https://store.steampowered.com/app/690830/)
17. [Block'hood](https://imho.run/games/416210/block-hood) — Also City Builder and Education, like Project Hospital. 595 Steam reviews, 70% positive. [Steam](https://store.steampowered.com/app/416210/)
18. [Production Line : Car factory simulation](https://imho.run/games/591370/production-line-car-factory-simulation) — Also Isometric and Economy, like Project Hospital. 2,148 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/591370/)
19. [Going Medieval](https://imho.run/games/1029780/going-medieval) — A frequent pick in Project Hospital players' libraries, and another RPG. 8,390 Steam reviews, 89% positive. [Steam](https://store.steampowered.com/app/1029780/)
20. [SimAirport](https://imho.run/games/598330/simairport) — Also City Builder and Economy, like Project Hospital. 2,663 Steam reviews, 82% positive. [Steam](https://store.steampowered.com/app/598330/)
21. [Parkasaurus](https://imho.run/games/591460/parkasaurus) — Also City Builder and Isometric, like Project Hospital. 1,905 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/591460/)
22. [Airport CEO](https://imho.run/games/673610/airport-ceo) — Same immersive mood as Project Hospital. 4,592 Steam reviews, 83% positive. [Steam](https://store.steampowered.com/app/673610/)
23. [Rec Center Tycoon - Management Simulator](https://imho.run/games/623700/rec-center-tycoon-management-simulator) — Also Medical Sim and City Builder, like Project Hospital. 204 Steam reviews, 74% positive. [Steam](https://store.steampowered.com/app/623700/)
24. [Mad Games Tycoon 2](https://imho.run/games/1342330/mad-games-tycoon-2) — Also City Builder and Economy, like Project Hospital. 2,148 Steam reviews, 93% positive. [Steam](https://store.steampowered.com/app/1342330/)

## 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=868360&n=20
- Co-op games only: https://imho.run/api/agent/games-like?q=868360&n=20&coop=true
- Free games only: https://imho.run/api/agent/games-like?q=868360&n=20&free=true
- Facts about this game: https://imho.run/api/agent/game-facts?q=868360
- This page as markdown: https://imho.run/md/game/868360
- API docs: https://imho.run/developers (OpenAPI: https://imho.run/openapi.json, MCP: https://imho.run/mcp)

## About Project Hospital

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.

## Game info

- **AppID:** 868360
- **Developer:** Oxymoron Games
- **Publisher:** Oxymoron Games
- **Genres:** Strategy, Indie, Simulation
- **Categories:** Stats, Single-player, Steam Achievements, Steam Cloud, Steam Trading Cards, Steam Workshop, Family Sharing
- **Released:** Oct 30, 2018
- **Free to play:** no
- **Metacritic:** 75
- **Platforms:** windows, mac, linux

## Links

- [Full page with filters and more lists](https://imho.run/games/868360/project-hospital)
- [The same list as JSON, no key](https://imho.run/api/agent/games-like?q=868360&n=20) — the API for AI assistants, see https://imho.run/developers
- [Steam store](https://store.steampowered.com/app/868360/)
- [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/868360/project-hospital 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.*