Top similar games like MSP Mayhem:

Diagnose and (mis)treat patients to meet tight deadlines and high expectations in this wacky medical co-op adventure. Wear many hats, master numerous tools, multitask, manage the chaos: do no harm by any means necessary! Play solo or with up to 4 friends, locally or online.

Raiders of the Lost Island is a LOCAL co-op party game where up to 4 players compete in looting treasures from a sinking island, while building a boat to survive the final wave.

A co-op crafting platformer where your friends prove worse than any enemy. Craft weapons and armor from your dwarven workshop, help your patron's army win the battle, and make your way up the Iron Mountain!

A chaotic co-op game where 2–4 apprentice wizards use magic to fill orders, on the couch or online. Pull ingredients closer with telekinesis and fire up the cauldron with a fireball. Bridges collapse and trains barrel through, but your creations still have to reach the owl on time!

Spook-A-Boo is a ghost hunting couch co-op game for 1-4 players. Play with friends and family to seek out and capture ghosts hiding in plain sight. Detect, scan, hook and trap all the troublemaking ghosts and have a spook-tacular time.

Color Breakers is a chaotic 1-4 player local and online multiplayer co-op coloring game where players need to work together in each of the levels to complete as many paintings as possible.

Foodtruck Arena an unconventional mix of car combat and football game, combines two things that make the world go round: food and sports. Become one of the legendary chefs, take part in an unforgettable tournament, battle against formidable opponents, and climb to the top of the culinary world!

Merek's Market is a chaotic crafting game about running a medieval shop. Take charge of your shop as you haggle, barter and craft your way through a comical single player campaign or team up with friends in couch co-op to supply the whole town.

Speed around loops, dart through train crossings, drift around helter skelters, and unleash wacky weaponry in this modern take on classic top-down multiplayer racing games such as Micro Machines and Mashed. The twist? You build the track.

FiresOut! is a chaotic co-op firefighting game for 1 to 4 players. As new interns of the Super Hazard Intervention Taskforce (SHIT), you and your friends must fight fires & rescue victims with only the tool that your captain gave; a toilet goldfish that shoots water. Is your internship cooked?

Unrailed! is a co-op multiplayer game where you have to work together with your friends to build a train track across endless procedurally generated worlds. Master random encounters with its inhabitants, upgrade your train and keep it from derailing!

Party Panic is an online and local-multiplayer party game. Compete against your friends in the all new board game, play 30+ rapid fire minigames, race through the brutal Gauntlet, or complete the challenges on Trophy Island. There is even a built in drinking game! You'll laugh, you'll cry, it's stupid.

Overcooked returns with a brand-new helping of chaotic cooking action! Journey back to the Onion Kingdom and assemble your team of chefs in classic couch co-op or online play for up to four players. Hold onto your aprons… it’s time to save the world again!

Shipping is a hectic co-op block pushing game where you fight against the clock to fill out rows of blocks to ship them around the world.

Pummel Party is a 4-8 player online and local-multiplayer party game. Pummel friends or AI using a wide array of absurd items in the board mode and compete to destroy friendships in the unique collection of minigames.

Mini Matches is a 1 to 4 player party game. Race, shoot, golf, jump, and compete with your friends across a series of frenetic rounds. Level up to unlock new characters and power up your abilities.

Turn the Line is a co-op tycoon game that allows 1~4 players. Cute characters, simple manual, but with difficult levels! Anyone can give it a shot, but not everyone can do it perfectly! Challenge perfection, so that the bunnies can leave work on time!

Rise up with 1–4 players in chaotic couch co-op to restore a fallen nation! ⛏️ Work as a team to gather materials, 🧱 piece the wall together, and ⚔️ defend against ambushes. Play mini-games to help your local townsfolk reclaim their homes 🏠. Raise an army to take back your city!

A fast-paced board game for up to 4 players featuring humorous quests, quick turn-based combat and multiple-choice events. Explore the board, equip your character, get a job, and fight to become Hero of the Week! Play locally or online with Steam Remote Play.

Fueled Up is a chaotic couch co-op spaceship recovery game for up to four players. You and your crewmates must fuel, fix and rescue damaged spaceships before the evil space octopus gets its tentacles on them!

WHO’S THE BOSS? It’s finally you! One big, bad, player-controlled Boss goes against a team of Vikings, each with special abilities. Enter BOSSGARD, a hectic 1v2, 1v3, up to 1v5 bossfight multiplayer game in which you get to crush your friends as THE BOSS.

You draw left and right. Your friend draws up and down. Good luck.

The world’s dumbest party game is here! Play as your favorite Bean, and go head-to-head with up to three other players to become the Dumbest of the Dumb. Will you use skill, sabotage or sheer dumb luck to win?

Cosmic Crew is a chaotic couch/online co-op game for up to four players. Coordinate with your crew to move and organize cargo on a busy space station while unpredictable hazards and physics threaten to throw everything into chaos.

Get a grip, it’s Heave Ho 2! The insane 2-4 player party game sequel takes the couch co-op mayhem online for the first time. Grab what you can and swing to win!

A co-op platformer where your friends are the ladder, the bridge and the reason you fell. Stack up, shout and ride through 10 worlds with 2 to 8 players, on one screen or online. Then build your own levels and share them on the Steam Workshop.

Control Rocoumie, a tiny mischievous red fairy, and use the power of flowers to find your way home. A casual co-op action puzzle game for 1–4 players, with simple, easy controls. Find the key, reach the exit together, and enjoy it with family, friends, or players of any skill level.

Fun for family & friends! Nicely Dicely is a fun local multiplayer game based on physics, for up to four simultaneous players. You can decide, if you want to compete against all other players or in teams. Each player controls a player cube on a dynamically changing playing board.

A crazy multiplayer party game in which lumberjacks try to complete tasks with nature fighting them every step of the way. Race against the clock, fight wildfires, pirates, and extremely annoying monkeys as you travel around the world and through time. Play online/local co-op and pvp or play solo.

Take shared control of a vehicle with friends, driving passengers across a dangerous wasteland. Deliver them safely and you can upgrade your guns and vehicle to be a better taxi service. Work together to help more passengers before your vehicle breaks down and you have to start over from scratch!

Welcome to Choppy Cuts, a 1-4 player party game where chaos runs the show! Play solo or jump into local or online co-op with friends. In this wild salon, toss your tools and send customers flying! The goal is the only thing that matters here, so do whatever it takes!

Experience all the Onion Kingdom has to offer, Overcooked! 1 & 2 infused with 4k goodness running at a smooth 60 FPS. Fully remastered and cooked up from scratch. Enjoy 200+ levels (22 new) and 80+ chefs (3 new), this is the ultimate Overcooked! experience.

WASD : The Adventure of tori is an online co-op game for 2–4 players, where each player can only use their automatically assigned key (W, A, S, or D). Even a small mistake can make the team fail, so talk with your teammates and work together! You’ll learn the rest by crashing into it… a lot.

It's time to venture into the world of arcade games! A mysterious game console has kidnapped your beloved streamer. Have a party with your friends. Use your gamer abilities to clear the various games that are blocking your way.

Foodgitives is a 1-4 player couch co-op arcade game where you're food on the run. Roll and dodge through gauntlets of deadly utensils that attack to the beat of 1930s big band jazz. One player tilts the level, everyone else rolls for their lives.