If you liked this
Games like Project Hospital: Hospital Services
If you finished Project Hospital: Hospital Services, the closest matches are Mewgenics, Shapez 2: Factory, Totally Accurate Battle Simulator, Timberborn and Welcome to Elderfield. All 36 share its indie genre and are ranked by how closely their themes and modes overlap.
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Mewgenics
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Totally Accurate Battle Simulator
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Timberborn
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Welcome to Elderfield
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Frostpunk 2
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Go-Go Town!
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Xenonauts 2
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Caves of Qud
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Cult of the Lamb: Woolhaven
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Everything Is Crab
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Restaurats
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Against the Storm
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Quarantine Zone: The Last Check
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Buckshot Roulette
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The Jackbox Party Pack 11
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Back to the Dawn
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Factorio: Space Age
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Terra Invicta
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Cloverpit
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Dead In Antares
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Cult of the Lamb
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Hotel Architect
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Two Point Museum: Arty-Facts
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Asdivine Knot
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World of Goo 2
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Two Point Museum: Zooseum
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Stardew Valley
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City Tales: Medieval Era
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Out of the Park Baseball 26
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Dystopika
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Wall World 2
