Top similar games like Plague Doctor: Life in Pestilence:

Hunt, survive, build and lead in the harsh Middle Ages: Create your own Medieval Dynasty and ensure its long-lasting prosperity or die trying! Play alone or team up with friends to enjoy the ultimate medieval experience.

Dive into the role of a researcher on a dangerous, resource-rich island. Gather rare ingredients, craft life-saving potions, and survive the wild. Uncover secrets and send cures back to the government to combat a deadly epidemic haunting the population.

Chinese Frontiers FREE PROLOGUE invites you on an epic journey through medieval China. Immerse yourself in a meticulously crafted open world inspired by history and folklore. Explore breathtaking landscapes, uncover secrets, and master your skills in this captivating action-adventure.

Pizza Simulator is a cooperative simulator where you manage a pizzeria, set up the kitchen, hire staff, prepare and deliver orders, and maintain the reputation and cleanliness of your establishment. Create your dream pizzeria!

Survive in an open world inspired by 14th century Europe. Immerse yourself in crafting based on real historical methods and experience true inventory system and realistic resource management. Take control of your destiny and embrace a world full of possibilities.

Build your own paradise on the Miami coast! Run a beach bar solo or with up to 6 friends in co-op. Expand your pier freely, master realistic mixology, and keep rowdy crowds under control. In this sun-drenched simulator, every drink you mix shapes your success.

Are you ready for the most comprehensive fuel station simulation ever? Manage your fuel station, your shop, the car wash, the workshop, your employees and much more…

Camping Simulator lets you experience what camp means by preparing your backpack wisely for challenging conditions of nature. You can play all the experiences with up to 8 friends in multiplayer mode or single player mode.

Become a one-man renovation company and take care of the reconstruction of a ruined hospital! Save a neglected facility and create a fully functional emergency complex. The entire process of cleaning, planning, repairing, and arranging is on your side. Build a dream clinic in the Hospital Renovator!

You’re reborn—back at the beginning of your startup journey. In your last life, poor management led to your shop being crushed by competitors. This time, the sweet scent of condensed milk runs through your veins, and you’re set on one goal: turn “Bingbao” into the top name in the industry.

Beach Club Simulator goes beyond just managing a beach club; it also offers an impressive social interaction and relationship system. In the game, you can engage with customers, make friends with them, and experience relationships.

Evergreen is a simulation game about leaving the stress of the city behind and starting a new life in a mountain valley.

Build, manage, and expand your very own armory, catering to cowboys, bounty hunters, and outlaws in search of the finest gear.

From a single tree to an entire industry! Manage and automate your lumber business in this relaxing, yet challenging Sawmill Simulator. Start small, grow rich, dominate the market.

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.

Become a monk in a medieval European monastery. Be diligent with your duties, and develop and expand your friary. Learn plenty of useful skills and contribute to raising the standard of living for the local community.

Moonshiner Simulator is an in-depth spirits production simulator. Start from the bottom and build your operation into a thriving empire by mastering the intricacies of the craft and creating unique recipes. But beware – there will always be those who want to see you fail.

Factory Trashcension is a first-person open-world factory creation and optimization game with unlimited possibilities. Play with your friends and design efficient factories to TRASHCEND without worries and explore a v a p o r w a v e inspired universe!

Run a marketplace where you can sell games and everything related, take care of customers and shape it however you want.

Run your own conveyor belt sushi restaurant. Make sushi, serve customers, process payments, clean tables, hire staff, and design your restaurant’s conveyor belt. Set your own prices, manage troublesome customers, and expand your sushi restaurant.

Play solo or co-op with up to 5 players to find oil, store crude, refine fuels, and sell them at gas stations and shop. Dig for gems and fossils, upgrade your gear, lease new land, and dominate the city as the biggest oil supplier!

Run your own supermarket! Stock shelves, set your prices, take payments, hire staff, expand your store, handle shoplifters, and design your layout. Purchase goods from online or local markets around town, and personally deliver online orders to your customers.

Banker Simulator is a single-player game where you revive a bankrupt bank. With active and passive (idle) gameplay, make strategic decisions to grow your bank, satisfy customers, and tackle financial crises.

Help a devastated harbor bay get back on its feet just after being attacked and burned down. Rebuild, renovate and expand your new stationary business. Attract as many customers as possible, take care of the supply chain and micromanage workshops to become the greatest retired pirate ever!

Island Paradise is a survival game where you build, upgrade, customize your own island and use nearby resources to create a home for generations to come!

Build your guild. Shape your story. In Guild Hall Simulator, you don't slay dragons — you send others to do it. Manage gold, assign quests, upgrade your hall, and wrangle rowdy adventurers who drink too much. Will your guild rise to fame...or collapse under a mountain of paperwork (and slimes)?

Are you ready to build your dream construction empire? Contractor Simulator offers players the opportunity to lead in a construction world filled with rich content and strategic decisions.

A fantasy blacksmith shop simulator with survival-crafting gameplay. Start as a small-town blacksmith and forge your way to the throne. Craft powerful swords, expand your workshop, and gather rare resources. Defeat powerful enemies and prove your strength in the mines and at the forge.

With Music Store Simulator Prologue you can lead a musical instruments manufacturing company. Create, sell, earn and reinvest improving and developing your business. Expand your Brand and climb to success in order to become the world's largest manufacturer of musical instruments!

Plow, plant, water, and harvest as you build your ancient Egyptian farm from the ground up. Begin with nothing and unlock workshops, production buildings, and temples through your own hard work.

Start from nothing, develop your business and become the richest man in the world in an immersive first-person management game. Self Made Man puts you in the shoes of a successful entrepreneur. Customize your business and make the right decisions to build your fortune.

Build your café, brew perfect coffee, and sabotage your rivals in this chaotic multiplayer café simulator. Start small… and learn how far you’re willing to go.

Plant seeds, grow crops, chop trees, go to fishing, and trade goods in a fully interactive farming simulator. Build relationships, expand your fields, manage resources, and experience daily life in a living village.

Sengoku Dynasty is the ultimate feudal Japan experience: build villages, grow your community, and shape the open world through combat or economy. The choice is yours alone - or that of up to 4 players in multiplayer co-op!

Become an entrepreneur with Factory Simulator: Clothing & Outlet - an immersive first-person simulator which lets you open and manage a factory and shop. Design your own products or use existing licenses, expand your facilities, hire workers, and customize your retail space.

Welcome to western city simulator Discover and restore abandoned cities and locations. Complete missions and assignments for Western Rail Company on a planned railroad route. Bring back to live ghost towns and solve the problems of the Wild West. Build your dream western city.