Games like Madhouse

Loved how dark and replayable Madhouse can get? Give these games a try when the craving hits.

Psyhonds
A satirical mental hospital survival simulator: control four unstable characters, craft from junk, forge dubious alliances, communicate with patients and staff, and choose between a quiet life in a ward, a riot, or a risky escape to freedom.
Dark, Replayable, Story-driven
75% of 4 Steam reviews are positive$6.99
Two Point Hospital
Build a hospital from empty floors to packed wards, then keep it running as patients with Light-headedness and Cubism shuffle in. You place rooms, hire fussy staff and research better cures across Two Point County. Funny, colorful and easy to start, hard to leave tidy.
Replayable, Funny, Relaxing
92% of 26,755 Steam reviews are positivePlayers online now: 669$29.99
Project Hospital
Run a hospital three ways at once: draw the floor plans, hire and manage the staff, then step into a doctor's shoes and solve real diagnostic puzzles. Project Hospital is a serious, detailed medical sim where a sore knee can turn into a mystery, and every hospital you build plays out differently.
Replayable, Relaxing
89% of 8,464 Steam reviews are positivePlayers online now: 305$24.99
Doctor Dash ASMR Hospital
💊 Your dream hospital awaits! 🏥❤️ Addictive levels and unique locations ✈️ Hours of entertainment in the time-management genre ⏰
Relaxing, Cute
87% of 101 Steam reviews are positivePlayers online now: 4Free
Sim Hospital
Sim Hospital is a simulation game where you build and manage your own hospital. You'll encounter all kinds of interesting patients and events. Improving the skills of your doctors and nurses is just as important!
Relaxing, Cute
48% of 46 Steam reviews are positive$7.99
Hospital Manager
Experience something novel, bursting with extraordinary phenomena and strange situations in your hospital! Only you have the power to make the best decisions and to make your hospital the most popular one! But beware: Several events will add some spice to your life! Embark on the career of your life!
Funny
46% of 164 Steam reviews are positive$4.99
Fable Hospital
Fable Hospital is a medieval hospital management simulator with a touch of fantasy and humor. Cure hilarious diseases, manage an eccentric team, and gather resources in a world full of satire and fun.
Replayable, Funny, Relaxing
73% of 84 Steam reviews are positive$24.99
Fun Hospital
Run your own hospital in a bright, silly world where the patients are half the fun: hairy folk, aliens, superheroes, people cursed to be pigs. Build the right rooms, hire and train your staff, and cure hundreds of ridiculous diseases. Then take your hospital global in weekly tournaments against other players' unions.
Replayable, Funny, Cute
63% of 617 Steam reviews are positivePlayers online now: 52Free
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.
Dark, Replayable, Story-driven
60% of 210 Steam reviews are positive$12.99
Galacticare
Build, manage and optimise intergalactic hospitals! Recruit staff to satisfy the whims of various alien species, and cure their bizarre illnesses - for money! Save the (literal) Galaxy in story mode, or head into sandbox to design the hospital of your dreams.
Replayable, Story-driven, Funny
84% of 605 Steam reviews are positivePlayers online now: 4$29.99
Therapy Simulator
Step into the chair of a therapist in Therapy Simulator! Guide your patients through emotional journeys with branching dialogue choices. Balance humor, humanity, and the chaos of therapy!
Replayable, Story-driven, Funny
67% of 39 Steam reviews are positive$10.99
Nursing Home Simulator
Design, build, and manage a nursing home in this 2D management sim. Hire dedicated staff, balance shift schedules, and prioritize resident needs. From answering blinking call lights to surviving the morning med pass, can you provide adequate care to your residents?
Dark, Replayable
100% of 3 Steam reviews are positive$2.99

Cheaper than Madhouse

Psyhonds

A satirical mental hospital survival simulator: control four unstable characters, craft from junk, forge dubious alliances, communicate with…

$6.99

Sim Hospital

Sim Hospital is a simulation game where you build and manage your own hospital. You'll encounter all kinds of interesting patients and events.

$7.99

Hospital Manager

Experience something novel, bursting with extraordinary phenomena and strange situations in your hospital!

$4.99

Sanatorium - A Mental Asylum Simulator

The year is 1923—step inside Castle Woods Sanatorium, where care and cruelty blur together.

$12.99

Therapy Simulator

Step into the chair of a therapist in Therapy Simulator! Guide your patients through emotional journeys with branching dialogue choices.

$10.99

Nursing Home Simulator

Design, build, and manage a nursing home in this 2D management sim. Hire dedicated staff, balance shift schedules, and prioritize resident needs.

$2.99

Doctor Life Simulator

Step into the shoes of a dedicated medical professional in Doctor Life Simulator.

$4.99

Hospitalize

Find the most effective way to construct and manage a hospital.

$15.99

CURE - A Hospital Simulator

Triage the infected, keep the budget alive and run an emergency room with friends while the apocalypse waits outside.

$9.99

Psychiatrist Simulator

Have you ever wanted to be a psychiatrist? Now you can! Be a shrink for 14 days. Meet 14 patients with unique story of their lives.

$0.71

Potion Permit

Diagnose patients, brew remedies from foraged ingredients, and slowly earn the trust of a skeptical little town.

$19.99

My Universe - Doctors & Nurses

Take turns to play either a doctor or nurse. Diagnose illnesses and infections so as to treat and help your many patients.

$14.99

Hidden gems like Madhouse

Maid Cafe Coop

Become a cute maid in a maid cafe! Prepare to harness your inner moe energy by preparing and serving customers many different drinks and foods with…

$12.99

Maids of Storm

Run your own maid café in this charming pixel tycoon! Hire adorable maids with unique personalities, customize your café, compete in the Maid…

$12.99

Tailor Simulator

Build your workshop and turn it into a fashion business. Interact with your customers and design unique collections to sell in your store.

$5.99

Maid Cafe Simulator

Mix drinks, keep troublemakers in check and grow a café run by five maids, each with a story of her own.

$23.99

CURE - A Hospital Simulator

Triage the infected, keep the budget alive and run an emergency room with friends while the apocalypse waits outside.

$9.99

My Little Life

Guide a little person from an empty room to a cozy home and a career, checking in now and then while the rest plays out on its own.

$3.89

Theme Hospital™

Design and manage a hospital full of strange diseases, limited resources and very odd staff.

$2.49

Magical Girl ER

You run a hospital for magical girls injured fighting kaiju.

$4.99

CraftCraft: Fantasy Merchant Simulator

CraftCraft is a narrative-heavy RPG sim with hands on forging and jewelry making! Create a pretty tiara for a mermaid or a sword made of dragon blood!

$15.99