If you liked this
Games like Vital Decisions
If you finished Vital Decisions, the closest matches are Big Ambitions, Sons of the Forest, Serious Sam: The First Encounter, Two Point Hospital and Abyssus. All 21 share its indie genre and are ranked by how closely their themes and modes overlap.
Big Ambitions
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Serious Sam: The First Encounter
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Two Point Hospital
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Little Big Workshop
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Capitalism II
