BtMG
Build an underground operation, face rival gangs, and choose PvP or PvE on public or private servers—proximity voice included on public servers, self-host options supported.
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The top results based on the latest update are CURE - A Hospital Simulator [Score: 0.9], Plague Doctor: Medieval Apothecary [Score: 0.8] and Medic Simulator: Combat Zone [Score: 0.8] The top rated games you can find here are CURE - A Hospital Simulator [SteamPeek Rating: 6.1] ranked #1, Car Dealership Simulator 2 [SteamPeek Rating: 5.4] ranked #18 and Breakout Garage [SteamPeek Rating: 4.9] ranked #26 Also don't forget to check the newest releases Breakout Garage [Release date: 2026-09-22] ranked #26, No Emergency: Pestilence [Release date: 2026-09-18] ranked #15 and Prostitute Empire [Release date: 2026-06-12] ranked #30 While it is tempting to play with the newest and the best, there might be some other gems in the results, like Car Dealership Simulator 2 [SteamPeek Rating: 5.4] ranked #18, Cafemart Simulator [SteamPeek Rating: 4.8] ranked #20 and Breakout Garage [SteamPeek Rating: 4.9] ranked #26.
Build an underground operation, face rival gangs, and choose PvP or PvE on public or private servers—proximity voice included on public servers, self-host options supported.
Manage the night shift of an ER during the apocalypse, solo or with friends online: Diagnose patients. Design and grow your hospital, and defend against the undead while treating the living. If you're a creator, connect the game to Twitch and make the audience your patients for even more fun!
In a city where death lingers in the air, you are the last one who can resist it. Put on the plague doctor’s mask and fight the plague before it reaches you.
Rescue wounded soldiers under enemy fire, control severe bleeding, apply tourniquets, perform emergency procedures, and transport patients to safety. Use real combat triage principles, react to unpredictable threats, and engage enemies when necessary. Only the fastest and bravest save lives.
Dedicate your life to saving others. As soon as you receive the emergency call, speed off to the site of the accident in your ambulance, sirens wailing. Apply first aid and transport the seriously injured to hospital. Every second counts!
An online simulator about the life of working folk in a vast open world. Work side-by-side as a long-haul trucker, farmer, or builder. Climb the career ladder, find loyal companions, and spend quiet evenings by the campfire with a guitar in good company.
FIRE STATION RENOVATION is a renovator simulator for abandoned and forgotten fire stations. Buy old hovels, repaint, redecorate, clean and even build rodent traps and bring the firehouse back to life!
Brew & Bloom is a barista sim where every detail matters - from pulling the perfect espresso shot to designing the cozy corners of your dream café. You’re not just making coffee - you’re crafting a space with soul.
Live the life of a truck driver in TRUCK SIMULATOR US DRIVER. Travel across open roads, complete jobs, manage your needs, upgrade your truck, and build your path in a world driven by distance and time.
Road Motel Simulator is a co-op management game for up to 4 players, where you run your very own roadside motel. Host guests, renovate and expand your property, and hire staff to help deliver the best experience possible. Build, manage, and grow your business in a detailed, realistic environment.
Clean up the aftermath of terrible events in Bloody Cleanup Together, a co-op horror cleaning sim for up to 4 players. Remove blood, hide evidence, carry bodies, and restore every detail before anything is discovered. 🩸
In Ripperdoc Simulator, you are the surgeon of the shadows. In the front, you run a dingy electronics shop in a crime-ridden district. In the back, you perform illegal implantations on desperate clients seeking power, beauty, or survival — no matter the cost.
Rescue Operations Simulator is a game where you play the role of USAR (Urban Search and Rescue) member and a team leader. You will arrange and execute rescue operations from real life catastrophic events that shocked and changed the whole world.
Survive a haunted library's overnight shift by balancing authentic librarian duties with stealth as a relentless supernatural entity hunts you. Uncover hidden secrets, survive until morning, and discover what waits between the shelves.
A Compact Surgical Experience: Designed to be completed in under an hour, this game provides a focused, high-intensity introduction to robotic surgery in a sci-fi setting.
No Emergency: Pestilence plunges players into the epicenter of a mysterious epidemic, where every arriving patient could be carrying a mutating pathogen, and a single mistake in a prescription turns the cure into poison.
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As a brand-new veterinarian, you're tasked with the responsibility of saving animal lives while building your clinic's reputation. Play through real-life veterinary training, discover Easter eggs and unlock rewards as you learn all you need to treat emergencies, heal wounds, and diagnose illnesses.
You live in a small soviet slav eastern european cyberpunk city. You have severe heroin addiction that you need to sustain. Heroin is very expensive and earnings in a rural city are very small, barely enough for survival. Survive one week.
Take charge of the car trade with Car Dealership Simulator 2! Buy, modify, and grow your dealership with strategic sales. Every opportunity will take you closer to the top of the automotive market!
An automotive sandbox where you build, customize, and drive your car your way. Build it piece by piece and explore the map freely.
Create and decorate your cozy cafe, where guests can enjoy delicious food and drinks. Expand your service with a supermarket offering a wide selection of fresh products, so visitors can not only have a tasty meal but also do some shopping. Play solo or with friends in cooperative mode!
A very simple game with simulation elements. You’ll interact with the world around you, gather collectibles, and—most importantly—easily deliver packages! Who knows what else is hidden in this world...
Car Service Simulator is a car service business simulation game where you start from scratch and work your way up. Take the chance to successfully run your own service center, offering a wide range of services from car repair to painting and modification.
Fire Rescue Squad. An action game, a simulator from a first-person perspective, in which the player participates in firefighting actions, divided into several missions.
Experience a realistic pharmacy management experience with Pharmacy Simulator. Set up your shop, decorate it as you wish, and purchase over a hundred types of medications. Pharmacy Simulator offers you an incredibly realistic pharmacy experience. Prove your skills in a challenging economic system.
Swamp Game is the definitive swamp life simulation experience. Waking up with a hole in your head and nothing but the clothes on your body, do you have what it takes to get by, make a living and conquer the Swamp life?
Breakout Garage is an open world racing game, created by 2 indie developers, that takes place in small town USA. Featuring old-school American vehicles that you can build from scratch based on your preferences and race them in different types of races.
Run Gas & Grind — a cozy countryside pit stop! Fuel cars, brew coffee, and upgrade your station. Stock shelves, serve travelers, and hear their wild stories. Play solo or co-op and build the roadside oasis everyone talks about.
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Road 88 is a car anomaly game where you must spot the differences on an endless road loop and avoid deadly hazards.
Step into the driver’s seat in Truck Simulator 2026: USA! 🚚 Haul cargo across iconic American highways, drive trucks, customize your rig, and build your own transport empire from coast to coast! 🌎
Live the gritty life of a mafia hitman. Complete brutal first-person missions, wipe out rival gangs, and upgrade your car. Spend your blood money in the city's underbelly to unlock explicit, realistic 3D adult content. Drive, shoot, and indulge in an uncensored open-world thriller.
Emergency Buddies is a co-op ambulance sim for up to 4 players about the world's least qualified paramedic crew. Grab a call, floor it across town, and haul your patient to the hospital – alive, ideally! Drive fast and careful, trying to keep patients breathing.
Become the owner of a pharmacy in Real Pharmacy Simulator! Manage the business, serve customers, and balance profit with ethics. Order medicines, organize the space, and decide how to run your business - honestly or riskily. Your decisions will determine the fate of the pharmacy!
Co-Op Firewheels Shop Simulator lets you manage a diecast model store. Organize shelves, assist customers, and expand your shop in a detailed, realistic world. Hunt for rare and chase cars, trade with customers, and grow your diecast empire.
Craft bio-weapons, master lethal science, and unleash global annihilation. Experiment. Fail. Adapt. Evolve. Repeat until humankind falls.
Inspired by tropical scenarios, EstradaBus brings simulation of buses and other passenger transport vehicles. Work transporting passengers, your luggage, upgrade your fleet and buy new garages for your company!
Have you ever dreamed of owning a small place where you can sell coffee, tea, and cake to your lovely customers? Coffeehouse is exactly that! Take care of customer orders, make coffee, resolve customers problems and lose yourself in this first-person management game!
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