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The top results based on the latest update are Two Point Hospital [Score: 0.9], Lakeburg Legacies [Score: 0.9] and Warsim: The Realm of Aslona [Score: 0.9] The top rated games you can find here are Two Point Hospital [SteamPeek Rating: 9.6] ranked #1, Tavern Master [SteamPeek Rating: 8.7] ranked #32 and Let's School [SteamPeek Rating: 8.3] ranked #21 Also don't forget to check the newest releases Argonauts Agency: The World on His Shoulders [Release date: 2026-07-23] ranked #34, Vultures [Release date: 2026-07-06] ranked #12 and Tiny Terra Spaces [Release date: 2026-06-25] ranked #20 While it is tempting to play with the newest and the best, there might be some other gems in the results, like Monster Loves You! [SteamPeek Rating: 5.2] ranked #15, Let's School [SteamPeek Rating: 8.3] ranked #21 and Reincarnated as a Dark Lord Before Taking Over the World with Power 999999999 [SteamPeek Rating: 5.1] ranked #27.
Rise from peasant dentist to royal healer in this quirky medieval dental simulation RPG. Treat patients, upgrade tools, improve your clinic, expand your knowledge, and restore Princess Penelope’s legendarily awful smile, all while facing sabotage from a jealous prince.
Design stunning hospitals, cure peculiar illnesses and manage troublesome staff as you spread your budding healthcare organisation across Two Point County.
Take fate into your own hands in Lakeburg Legacies, a social-based village management sim where love is your favourite resource. Play matchmaker to create the most effective, and most loved up, couples and help your kingdom thrive. How long will it take you to crown a sovereign?
Warsim is a deep, rich text based kingdom ruling sim unlike anything else, complete with charming ASCII graphics. Navigate the millions of different procedurally generated races, events and areas with a huge emphasis on player choice. Don't let its look fool you, there is depth in every direction.
Sergei and the Tax Return is a small Indie project, it uses a simple design and is mostly text based. At its heart it is a small business / tycoon style game where you delagate work and keep on top of the paperwork.
Weedcraft Inc explores the business of producing, breeding and selling weed in America, delving deep into the financial, political and cultural aspects of the country's complex relationship with this troublesome and promising plant.
Fable Hospital is a medieval hospital management simulator with a touch of fantasy and humor. Cure hilarious diseases, manage an eccentric team, and gather resources in a world full of satire and fun.
You are the king. Petitioners bring tales of theft, betrayal, and ambition to your throne. Listen to their pleas, issue your decrees, and watch stability tip, shaping a kingdom of grudges, loyalty, and consequence.
With a simple and colorful design, Don't Spill has many levels, where you must take care of the ingredients and potions, so your clients won't miss it. Do you have enough organization and ability to win?
Run a sketchy street-corner hotdog stand, serve impatient customers, pay daily rent, and decide how far you'll go to stay open. Unlock upgrades, new foods, and increasingly questionable opportunities.
A Co(s)mic Medical Simulator where healing humanity is just your cover. Treat patients, secretly harvest DNA, experiment with bizarre alien technology, and keep your true identity hidden.
Build a legendary adventurers' guild and shape the heroes within it. Recruit unique adventurers, develop their classes and specialisations, equip them with powerful loot, send them on dangerous expeditions, and guide their stories as success, injury and corruption reshape who they become.
Vultures is a single-player, real-time factory simulation where you construct and manage an ambitious manufacturing operation in a volatile and chaotic market that will eventually crush you and your dreams.
Rockstar Life is a casual life simulation game. In this game you get to write songs, organize tours, record singles and albums while you deal with the everyday drama of a wannabe Rockstar through random events.
Live your own story in a world of the early Middle Ages! Lead a dynasty, expand your domain, help your subjects, and don’t forget to leave an heir! Thy Kingdom Come!
Live the life of a Monster, from birth to elderhood and beyond, making decisions that affect the world of Monsters and Humans. Solve problems. Meet animals and interesting people. Get to know them. Eat them. Make your own story!
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Embark on a diplomatic journey to impact the world with skills and strategy.
Run an AI lab. Ship models. Survive what they learn to fake. A satirical management sim about GPUs, researchers, investors, and the cost of every shortcut.
In Tavernia, a single-player fantasy tavern simulator, you’ll pour drinks for rowdy adventurers, calm drunken brawls, and manage magical mishaps while keeping your business alive. Chaos is guaranteed, profit is optional.
Survive through Lapland's frozen beauty in this Sámi-inspired survival strategy game. Don't conquer nature, listen to it. Master the seasons in a fragile ecosystem where sustainability is the only way to endure.
Build your own cosy medieval island with historical inspired 3D buildings. Relax in Sandbox Mode or set sail in Island Hop Mode, shaping lively communities inspired by the beauty and history of Scotland.
Dive into the exhilarating role of a headmaster entrusted to revive your alma mater! Beyond just bricks and mortar, train teachers, recruit students. Sculpt your school into a unique educational haven! Let's School!
Always wanted a fantasy world desk job?! Manage eccentric adventurers like a lazy witch, tsundere fairy & useless bard! Approve quests, keep them alive, pay off Elfie's crippling tax debt, and rake in gold for the Guild!
Academy Life is a text-based life simulation RPG set in a dynamic open world where your choices matter.
Every life has a story. Build and run a living hospital where every patient has a name, a medical history and a record that follows them. Lead your doctors and nurses through emergencies, and grow a small clinic into a world-class teaching hospital.
Set in the world of Cultist Simulator, haunt mortals and escape divine punishment in this unique relationship and resource management game. Strike Faustian pacts, manipulate mortals, and forsake your immortal life. Developed by Common Logic via Weather Factory's Sixth History License.
You are an Administrator serving your probationary period in a medieval town. Make decisions to affect the town's reputation, order, military and supplies. Choose wisely to deal with bandits, famines, cultists and plagues. The most difficult choices will decide the fate of your town!
A brutally challenging puzzle novel RPG. Reincarnate as a dark lord, plan your path, and conquer the world. *NOT a passive idle game*
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Let's School: Homeroom is the prologue of Let's School. You can experience 2 weeks of in game time. If you like the experience, please go to Let's School Full Version's Store page and add to wishlist!
Hippocratic Chaos is a chaotic co-op hospital game where teamwork is the best medicine. Treat patients, handle emergencies, manage supplies, and keep your hospital running with friends. Save lives, survive the shift, and try not to become the next patient!
A stick and a dream: that's all you need in an RPG. Make choices that shape your destiny, build relationships, face epic monsters, and choose between being a feared villain or a legend.
In Guild Commander you manage your guild to victory! Deploy your guild members and save your world from the Necro Lord!
Tavern Master is all about managing your medieval tavern. You start with a very small room, couple of benches and tables and build your way up to a huge successful tavern with a kitchen, rooms for guests, group of loyal staff and much more!
Fables of the Kingdom 3 is a new chapter in the fairy-tale time-management strategy series. Manage resources, construct buildings, and wield powerful spells to protect the Great Tree of Life and stop the mad sorcerer Balen.
Jason, Medea, and Heracles enter a mythical adventure where wit matters more than brute strength!
A strategy RPG focused on rebuilding your capital city and planning your tactical excursions into the wildland of the Old World. You'll be responsible for the fate of your people through difficult choices. Will you bring safety and comfort or will you die and be forgotten?
An idle game about growing a forum while desperately trying to keep it under control.
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