Theme Hospital

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Theme Hospital is hard to replace: few games combine real-time strategy and single-player focus in quite the same way. We analyzed over 2,000 titles across 5 gameplay attributes and found 64 genuine alternatives — not generic genre suggestions. Total Annihilation, Medieval II: Total War and World in Conflict lead the list, with Total Annihilation reaching a 92/100 similarity score. Every game here is ranked by how closely it replicates what makes Theme Hospital special.

iRank86/ 100

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Jahr 1997Dev Bullfrog Productions

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Das ähnlichste Spiel zu Theme Hospital ist Total Annihilation — mit einem Ähnlichkeitswert von 92/100. Medieval II: Total War und World in Conflict folgen dicht dahinter.

#1Total Annihilation92 #2Medieval II: Total War92 #3World in Conflict92 #4Rome: Total War92 #5Warcraft III: Reign of Chaos92

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Spiele wie Theme Hospital

64 ähnliche Spiele gefundenStand Mai 2026

#1Total Annihilation

92

Total Annihilation

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischNarrativSci-Fi

Steam👍 97%· 3.7K

Jahr 1997Dev Cavedog Entertainment · GT Interactive SoftwareAuf PC · Mac

✓ Both are real-time strategy games — sharing real-time strategy, single-player focus and multiplayer gameplay

≠ Its own twist: strong narrative focus and setting scifi, while skipping deep simulation

#2Medieval II: Total War

92

Medieval II: Total War

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischNahkampf

Steam👍 96%· 36KIGDB90· 3

Jahr 2006Dev The Creative Assembly · SegaAuf Linux · PC · Mac

✓ Both are real-time strategy games — sharing real-time strategy, deep simulation and single-player focus

≠ Where it differs: brings turn-based strategy, combat tactical and melee combat

#3World in Conflict

92

World in Conflict

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktisch

IGDB94· 2

Jahr 2007Dev Massive Entertainment · Sierra EntertainmentAuf PC

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with combat tactical, while skipping deep simulation

#4Rome: Total War

92

Rome: Total War

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischNahkampf

Steam👍 95%· 17KIGDB91· 3

Jahr 2004Dev The Creative Assembly · SegaAuf Android · PC · iOS

✓ Both are real-time strategy games — sharing real-time strategy, deep simulation and single-player focus

≠ Its own twist: turn-based strategy, combat tactical and melee combat

#5Warcraft III: Reign of Chaos

92

Warcraft III: Reign of Chaos

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischDüster

IGDB93· 4

Jahr 2002Dev Blizzard Entertainment · Sierra EntertainmentAuf PC · Mac

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Where it differs: brings dark, oppressive atmosphere, combat tactical and fantasy world, while skipping deep simulation

#6Warcraft II: Tides of Darkness

92

Warcraft II: Tides of Darkness

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischNahkampfFantasy

IGDB93· 1

Jahr 1995Dev Blizzard Entertainment · Electronic Arts VictorAuf PC · Mac

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with melee combat, fantasy world and loot and gear systems, while skipping deep simulation

#7Rise of Nations

92

Rise of Nations

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischFernkampf

IGDB92· 3

Jahr 2003Dev Big Huge Games · Microsoft Game StudiosAuf PC · Mac

✓ Both are real-time strategy games — sharing real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with combat tactical, ranged combat and fantasy world, while skipping deep simulation

#8Star Wars: Galactic Battlegrounds

92

Star Wars: Galactic Battlegrounds

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischNahkampfSci-Fi

Steam👍 91%· 4.6K

Jahr 2001Dev LucasArtsAuf PC · Mac

✓ Same family of real-time strategy games: real-time strategy, deep simulation and single-player focus

≠ Its own twist: melee combat, setting scifi and base building

#9Warhammer 40,000: Dawn of War - Dark Crusade

92

Warhammer 40,000: Dawn of War - Dark Crusade

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischNahkampf

Steam👍 96%· 9.4KRAWG👍 88%· 319MC87IGDB84· 3

Jahr 2006Dev Relic Entertainment · SEGASpielzeit ~2hAuf PC

✓ Both are real-time strategy games — sharing real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with dark, oppressive atmosphere, combat tactical and melee combat, while skipping deep simulation

#10Command & Conquer: Red Alert 2

92

Command & Conquer: Red Alert 2

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischFantasyHistorisch

IGDB90· 1

Jahr 2000Dev Westwood Pacific · Electronic ArtsAuf PC

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Its own twist: fantasy world, historical setting and setting scifi, while skipping deep simulation

92

Homeworld

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischSci-Fi

IGDB90· 1

Jahr 1999Dev Relic Entertainment · Sierra EntertainmentAuf Linux · PC · Mac

✓ Both are real-time strategy games — sharing real-time strategy, single-player focus and multiplayer gameplay

≠ Where it differs: brings adventure storytelling, combat tactical and setting scifi, while skipping deep simulation

#12Star Wars: Empire at War

92

Star Wars: Empire at War

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischNahkampf

Steam👍 98%· 42KIGDB73· 2

Jahr 2006Dev Petroglyph Games · LucasArtsAuf PC · Mac

✓ Fits the real-time strategy games cluster, with real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with turn-based strategy, combat tactical and melee combat, while skipping deep simulation

#13StarCraft II: Legacy of the Void

92

StarCraft II: Legacy of the Void

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischSci-Fi

IGDB90· 8

Jahr 2015Dev Blizzard EntertainmentAuf PC · Mac

✓ Fits the real-time strategy games cluster, with real-time strategy, single-player focus and multiplayer gameplay

≠ Where it differs: brings combat tactical, setting scifi and loot and gear systems, while skipping deep simulation

#14Shogun: Total War

92

Shogun: Total War

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischNahkampfTaktisch

Steam👍 89%· 1.2KIGDB90· 1

Jahr 2000Dev The Creative Assembly · SegaAuf PC

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Where it differs: brings turn-based strategy, melee combat and combat tactical, while skipping deep simulation

#15Napoleon: Total War

92

Napoleon: Total War

GenreStrategieSubgenreRTS

EinzelspielerMehrspielerIsometrischTaktischNahkampf

Steam👍 92%· 27KIGDB83· 3

Jahr 2010Dev The Creative Assembly · Feral InteractiveAuf PC · Mac

✓ Same family of real-time strategy games: real-time strategy, single-player focus and multiplayer gameplay

≠ Stands apart with turn-based strategy, combat tactical and melee combat, while skipping deep simulation

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What is the best game similar to Theme Hospital?: The closest game to Theme Hospital is Total Annihilation, scoring 92/100 on our similarity scale. They share 4 gameplay attributes, including real-time strategy, single-player focus and multiplayer gameplay. It's the most faithful alternative currently available.
What are the top games like Theme Hospital?: The three closest games to Theme Hospital are: 1. Total Annihilation (92/100, 4 shared attributes) 2. Medieval II: Total War (92/100, 5 shared attributes) 3. World in Conflict (92/100, 4 shared attributes). All share Theme Hospital's most important gameplay attributes, ranked out of 64 candidates across 5 dimensions.
Is Medieval II: Total War similar to Theme Hospital?: Yes, very much so — Medieval II: Total War scores 92/100 similarity to Theme Hospital. They share 5 attributes, including real-time strategy and deep simulation. It's one of the most direct alternatives available.
What RTS games are similar to Theme Hospital?: The best RTS games similar to Theme Hospital are Total Annihilation, Medieval II: Total War, World in Conflict and Rome: Total War. All share the RTS genre alongside other key Theme Hospital attributes like real-time strategy, single-player focus and multiplayer gameplay.
How is similarity to Theme Hospital calculated?: We compare Theme Hospital against every game in our catalog using 5 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the Theme Hospital experience, not just whether it shares the same genre label.