Do No Harm

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Do No Harm is hard to replace: few games combine horror tension, strong narrative focus and horror setting in quite the same way. We analyzed over 2,000 titles across 12 gameplay attributes and found 47 genuine alternatives — not generic genre suggestions. Rusty Lake: Roots, Rusty Lake Hotel and Tales of the Black Forest lead the list, with Rusty Lake: Roots reaching a 94/100 similarity score. Every game here is ranked by how closely it replicates what makes Do No Harm special.

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GenreHorrorSubgenrePsychological Horror

Tags

NarrativeDarkSolo

Year 2025Dev Darts Games

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Quick answer

The closest game to Do No Harm is Rusty Lake: Roots — scoring 94/100 on our similarity scale. Rusty Lake Hotel and Tales of the Black Forest follow close behind.

#1Rusty Lake: Roots94 #2Rusty Lake Hotel94 #3Tales of the Black Forest94 #4Sanitarium94 #5Sally Face93

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Games like Do No Harm

47 similar games foundUpdated May 2026

#1Rusty Lake: Roots

94

Rusty Lake: Roots

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorror2D

Steam👍 97%· 8.7K

Year 2016Dev Rusty LakeOn Android · PC · iOS

✓ Same family of psychological horror: horror tension, puzzle design and adventure storytelling

≠ Stands apart with visual 2d, while skipping deep simulation

Steam GOG itch.io

#2Rusty Lake Hotel

94

Rusty Lake Hotel

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorFirst Person

Steam👍 96%· 10K

Year 2015Dev Rusty LakeOn Android · PC · iOS

✓ Same family of psychological horror: horror tension, puzzle design and adventure storytelling

≠ Stands apart with vibe casual and visual 2d, while skipping deep simulation

Steam GOG itch.io

#3Tales of the Black Forest

94

Tales of the Black Forest

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorAnime

Steam👍 98%· 15K

Dev 拾英工作室 · SakuraGamePlaytime ~2hOn PC

✓ Both are psychological horror — sharing horror tension, adventure storytelling and puzzle design

≠ Its own twist: deep RPG systems, visual novel storytelling and setting anime, while skipping deep simulation

94

Sanitarium

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorIsometric

Steam👍 93%· 1.3KIGDB92· 1

Year 1998Dev DreamForge Intertainment · ASC GamesOn Android · PC · iOS

✓ Same family of psychological horror: horror tension, puzzle design and adventure storytelling

≠ Where it differs: brings survival mechanics and visual isometric, while skipping deep simulation

93

Sally Face

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCasual

Steam👍 97%· 27K

Year 2016Dev Portable MooseOn Xbox · PS4 · Linux

✓ Same family of psychological horror: horror tension, adventure storytelling and puzzle design

≠ Where it differs: brings vibe casual and visual 2d, while skipping deep simulation

#6Poppy Playtime

95

Poppy Playtime

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorFirst Person

Steam👍 88%· 138K

Year 2021Dev Mob EntertainmentOn Xbox · PS4 · Android

✓ Same family of psychological horror: horror tension, adventure storytelling and puzzle design

≠ Its own twist: survival mechanics, melee combat and free to play, while skipping deep simulation

Steam Epic Xbox

92

The Supper

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCasual

Steam👍 99%· 4.4K

Year 2020Dev Octavi NavarroOn PC

✓ Same family of psychological horror: horror tension, adventure storytelling and puzzle design

≠ Its own twist: vibe casual, visual pixel and free to play, while skipping deep simulation

Steam GOG itch.io

#8Freddy Fazbear's Pizzeria Simulator

93

Freddy Fazbear's Pizzeria Simulator

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorManagementFirst Person

Steam👍 94%· 33K

Year 2017Dev ScottgamesOn PC

✓ Same family of psychological horror: horror tension, deep simulation and dark, oppressive atmosphere

≠ Its own twist: survival mechanics, punishing difficulty and visual pixel, while skipping puzzle design

94

Pony Island

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCozy

Steam👍 95%· 18KIGDB92· 3OC85· 17

Year 2016Dev Daniel Mullins GamesOn Linux · PC · Mac

✓ Same family of psychological horror: horror tension, puzzle design and deep simulation

≠ Its own twist: cozy, relaxing feel, visual 2d and visual pixel, while skipping setting medieval

#10The Walking Dead: Season Two

94

The Walking Dead: Season Two

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorRanged

Steam👍 97%· 34KIGDB81· 5

Year 2013Dev Telltale Games · Skybound GamesOn PlayStation 3 · PS4 · Android

✓ Same family of psychological horror: horror tension, adventure storytelling and puzzle design

≠ Where it differs: brings survival mechanics, ranged combat and melee combat, while skipping deep simulation

#11The Cat Lady

93

The Cat Lady

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorExploration

Steam👍 94%· 6.1K

Year 2012Dev Harvester Games · Screen 7On Linux · PC

✓ Both are psychological horror — sharing horror tension, adventure storytelling and puzzle design

≠ Its own twist: exploration and discovery and visual 2d, while skipping deep simulation

#12Downfall - A Slay the Spire Fan Expansion

94

Downfall - A Slay the Spire Fan Expansion

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorror2D

Steam👍 94%· 1.6KRAWG👍 86%· 71MC75

Year 2016Dev Harvester Games · Screen 7Playtime ~4hOn PC

✓ Fits the psychological horror cluster, with horror tension, adventure storytelling and puzzle design

≠ Stands apart with visual 2d, while skipping deep simulation

94

Fran Bow

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorFantasy

Steam👍 97%· 22KIGDB75· 1

Year 2015Dev Killmonday Games HBOn PS4 · Linux · Android

✓ Fits the psychological horror cluster, with horror tension, adventure storytelling and puzzle design

≠ Its own twist: fantasy world and visual 2d, while skipping deep simulation

93

Iron Lung

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorFirst Person3D

Steam👍 92%· 11K

Year 2022Dev David SzymanskiOn PC · PS5 · Switch

✓ Both are psychological horror — sharing horror tension, adventure storytelling and puzzle design

≠ Stands apart with setting scifi, exploration and discovery and visual pixel, while skipping setting medieval

#15The Last Door - Collector's Edition

94

The Last Door - Collector's Edition

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorPixel Art

Steam👍 95%· 2.4KRAWG👍 77%· 66MC79

Year 2014Dev The Game Kitchen · Phoenix Online PublishingPlaytime ~4hOn PC · iOS · Android

✓ Both are psychological horror — sharing horror tension, puzzle design and adventure storytelling

≠ Its own twist: visual pixel and visual 2d, while skipping deep simulation

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Frequently asked questions

What is the best game similar to Do No Harm?: The closest game to Do No Harm is Rusty Lake: Roots, scoring 94/100 on our similarity scale. They share 7 gameplay attributes, including horror tension, puzzle design and adventure storytelling. It's the most faithful alternative currently available.
What are the top games like Do No Harm?: The three closest games to Do No Harm are: 1. Rusty Lake: Roots (94/100, 7 shared attributes) 2. Rusty Lake Hotel (94/100, 8 shared attributes) 3. Tales of the Black Forest (94/100, 7 shared attributes). All share Do No Harm's most important gameplay attributes, ranked out of 47 candidates across 12 dimensions.
Is Rusty Lake Hotel similar to Do No Harm?: Yes, very much so — Rusty Lake Hotel scores 94/100 similarity to Do No Harm. They share 8 attributes, including horror tension and puzzle design. It's one of the most direct alternatives available.
What Horror games are similar to Do No Harm?: The best Horror games similar to Do No Harm are Rusty Lake: Roots, Rusty Lake Hotel, Tales of the Black Forest and Sanitarium. All share the Horror genre alongside other key Do No Harm attributes like horror tension, puzzle design and adventure storytelling.
How is similarity to Do No Harm calculated?: We compare Do No Harm against every game in our catalog using 12 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 Do No Harm experience, not just whether it shares the same genre label.