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], Medic Simulator: Combat Zone [Score: 0.8] and Hard Worker [Score: 0.8] The top rated games you can find here are My Winter Car [SteamPeek Rating: 8.2] ranked #33, CURE - A Hospital Simulator [SteamPeek Rating: 5.7] ranked #1 and Cafemart Simulator [SteamPeek Rating: 4.7] ranked #16 Also don't forget to check the newest releases Dead 4 Now: Bio-Weapon Simulator [Release date: 2026-04-17] ranked #25, Medic Simulator: Combat Zone [Release date: 2026-04-14] ranked #2 and Yayos [Release date: 2026-01-20] ranked #31 While it is tempting to play with the newest and the best, there might be some other gems in the results, like Cafemart Simulator [SteamPeek Rating: 4.7] ranked #16, My Winter Car [SteamPeek Rating: 8.2] ranked #33 and.
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!
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.
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.
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!
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.
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.
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.
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. 🩸
Survive a full night shift of relentless horror. Balance librarian duties with stealth, outsmart a monster that hunts by sound and sight, and uncover hidden areas filled with dark lore.
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.
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!
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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!
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.
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.
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.
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.
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 realistic game that takes place in the 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.
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!
Craft bio-weapons, master lethal science, and unleash global annihilation. Experiment. Fail. Adapt. Evolve. Repeat until humankind falls.
Road 88 is a car anomaly game where you must spot the differences on an endless road loop and avoid deadly hazards.
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.
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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.
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!
Yayos is a cooperative survival gamewhere you control an elderly person who mustmanage your day:shopping, cooking, taking medication, and savingto survive.Improve your mobility, play slots, watch TV and enjoy this retirement life simulator alone or with a friend.
Restore and maintain a damaged underwater station deep beneath the ocean. Repair systems, manage power and pressure, explore flooded sections, and slowly bring the facility back to life in this atmospheric first-person deep-sea simulation game.
My Winter Car is the ultimate challenge for project car owning, building, fixing, tuning and maintenance simulator. Sequel to My Summer Car, but with added challenge for those who can master the original game!
First of its kind emergency medicine simulator, bringing the option for players around the world to try, learn, and experience what it takes to be in emergency medical services, featuring in-depth and real-life systems, and a responsive human body. You choose what protocols to follow.
Become a cozy coffee shop owner. Manage inventory, set prices, take payments, pet the cat, expand, and decorate your venue to build the best coffee house. Enjoy the charm of a heartwarming cafe simulator!
Buy, fix, customize, and sell motorcycles. Start with old bikes, restore every part, test ride, and grow your own dealership. Take risks, make smart deals, and become the best in town!
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