Games like Project Hospital

Office Management 101 is an indie strategy-simulation game developed by tulevik.EU. It was originally released in 2018. It was published by tulevik.EU. Office Management 101 is available on Linux and PC. You can purchase the game on itch.io and Steam.

Urbek City Builder: Prologue is an indie strategy-simulation game developed by Estudios Kremlinois. The game is rated as "Skip" on RAWG. You can play Urbek City Builder: Prologue on PC. You can purchase the game on Steam.

Cities: Skylines is a strategy-simulation game developed by Colossal Order. It came out on 10-03-2015. It was published by Paradox Interactive. On review aggregator Metacritic, Cities: Skylines has a score of 85. The game is rated as "Recommended" on RAWG. You can play Cities: Skylines on Xbox One, PC, macOS and Linux. The game is sold via Steam, PlayStation Store, Xbox Store and Nintendo eShop. Mariina Hallikainen produced the game. It was scored by Jani Laaksonen and Jonne Valtonen.

Citystate is an indie strategy-simulation game developed by Andy Sztark and Citystate Dev. It came out on 22-02-2018. It was published by Citystate Dev. The game is rated as "Recommended" on RAWG. Citystate is available on PC. You can purchase the game on Steam.

Big Pharma is an indie strategy-simulation game developed by Twice Circled. It came out on 26-08-2015. It was published by Positech Games. Big Pharma has a Metascore of 72, based on professional reviews. The game is rated as "Recommended" on RAWG. Big Pharma is available on Nintendo Switch, PC, macOS and Linux. The game is sold via Xbox Store, PlayStation Store, Steam and GOG.

Train Station Simulator is an indie strategy-simulation game developed by Appliks Apps Studios and appliksapps. It was originally released in 2018. It was published by Appliks Apps Studios. Most rawgers rated the game as "Recommended". You can play Train Station Simulator on Linux, PC and Xbox One. You can purchase the game on Steam, itch.io and Xbox Store.

Complex SKY is an indie strategy-simulation game developed by Complex Blue Studio. You can play Complex SKY on PC. The game is sold via Steam.

OpenTTD is a casual strategy-simulation game developed by ZodTTD and OpenTTD. It was originally released in 2004. OpenTTD published the game. Most rawgers rated the game as "Exceptional". OpenTTD is available on iOS, Android, Classic Macintosh and PC. The game is sold via Steam and GOG.

Factory Town is a strategy-simulation game developed by Erik Asmussen. It was originally released in 2021. It was published by Erik Asmussen. Most rawgers rated the game as "Recommended". Factory Town is available on PC and macOS. The game is sold via Steam and GOG.

Computer Tycoon is an indie strategy-simulation game developed by Progorion. It was originally released in 2017. Progorion published the game. The game is rated as "Recommended" on RAWG. You can play Computer Tycoon on PC. The game is sold via Steam.

SimCity 4 Deluxe Edition is a strategy-simulation game developed by Aspyr Media and Electronic Arts Maxis. It was originally released in 2010. It was published by Aspyr. Most rawgers rated the game as "Recommended". You can play SimCity 4 Deluxe Edition on iOS, PC and macOS. You can purchase the game on Steam and App Store. Jerry Martin scored the game.

Spacebase DF-9 is an indie strategy-simulation game developed by Double Fine Productions. It came out on 15-10-2014. It was published by Double Fine Productions. On review aggregator Metacritic, Spacebase DF-9 has a score of 49. The game is rated as "Skip" on RAWG. You can play Spacebase DF-9 on macOS, Linux and PC. You can purchase the game on Steam. Tim Schafer directed the game.