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Hospital 666

22 Co-op games like Hospital 666 that you should try

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Ranking compiled by Lluis Enric Mayans, Founder & Head of ContentHow this is calculatedOrdered by an attribute-similarity model, not editorial opinion.

We filtered the 50 games similar to Hospital 666 down to the 22 that fit the “Co-op” category. Peak, Farming Simulator 19 and Farming Simulator 17 top the list, ranked by affinity and similarity score to Hospital 666.

iRank66/ 100

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GenreAdventureSubgenreOpen World Action-Adventure
Tags
NarrativeDarkCo-opOnline
Year 2024Dev Lokin
Stores

Quick answer

Within the “Co-op” category, the closest game to Hospital 666 is Peak — scoring 68/100 on our similarity scale. Farming Simulator 19 and Farming Simulator 17 follow close behind.

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The best co-op games like Hospital 666

22 similar games foundUpdated May 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Hospital 666. Each one has been evaluated across 14 real attributes — from combat style and progression mechanics to world structure and visual perspective — so every recommendation is based on how the game actually plays, not just its genre label.

#1Peak
Peak
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opOnlineNarrativeOpen WorldExplorationFirst Person
Steam👍 95%· 321KIGDB86· 1
Year 2025Dev Landfall GamesOn PC

✓ Both are open-world adventures — sharing adventure storytelling, strong narrative focus and open world exploration

≠ Where it differs: brings precision platforming, procedural generation and skill tree progression, while skipping horror tension

Genre100Game mode100Progression66World61Visuals58Tone57
#2Farming Simulator 19
Farming Simulator 19
AdventureOpen World Action-Adventure
MultiplayerSoloCo-opOnlineNarrativeOpen WorldExplorationFirst Person
Steam👍 94%· 76KRAWG👍 46%· 200OC70· 40
Year 2018Dev Focus Home InteractivePlaytime ~11hOn PC · PS · Xbox

✓ Fits the open-world adventures cluster, with strong narrative focus, open world exploration and multiplayer gameplay

≠ Stands apart with deep simulation, cozy, relaxing feel and vibe relaxing, while skipping adventure storytelling

The best-selling franchise returns this year with a complete overhaul of the graphics engine, offering the most striking and immersive visuals and effects, along with the deepest and most complete farming experience ever.

Where it drifts furthest from Hospital 666: tone.

Genre100Game mode100World100Visuals67Progression58Tone24
Farming Simulator 17
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opOnlineOpen WorldExplorationFirst Person
Steam👍 93%· 26KRAWG👍 73%· 82MC69IGDB64· 7OC63· 33
Year 2016Dev Focus Home InteractivePlaytime ~12hOn PC · PS · Xbox

✓ Same family of open-world adventures: open world exploration, single-player focus and multiplayer gameplay

≠ Its own twist: deep simulation, sandbox freedom and cozy, relaxing feel, while skipping adventure storytelling

THE MOST COMPLETE FARMING SIMULATOR EXPERIENCE Take on the role of a modern farmer in Farming Simulator 17! Immerse yourself in a huge open world loaded with new content: new environment, vehicles, animals, crops and gameplay mechanics!

Where it drifts furthest from Hospital 666: tone and visuals.

It predates Hospital 666 by 8 years, with what that implies technically.

Genre100Game mode100World83Progression56Visuals48Tone0
#4LEGO Worlds
LEGO Worlds
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeDarkOpen WorldHorrorExploration
Steam👍 78%· 16KIGDB71· 6OC67· 69
Year 2017Dev Traveller's Tales · WB GamesOn PS4 · PC · Xbox

✓ Fits the open-world adventures cluster, with adventure storytelling, dark, oppressive atmosphere and open world exploration

≠ Stands apart with sandbox freedom, puzzle design and deep simulation, while skipping horror tension

Where it drifts furthest from Hospital 666: visuals.

Genre100Combat100Progression100Game mode76Setting71World58
LEGO Star Wars: The Skywalker Saga
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeNarrativeOpen WorldExplorationFirst Person
Steam👍 90%· 48KIGDB82· 9OC82· 171
Year 2022Dev Traveller's Tales · WB GamesOn Xbox · PS4 · PC

✓ Same family of open-world adventures: adventure storytelling, strong narrative focus and open world exploration

≠ Where it differs: brings puzzle design, setting space and setting scifi, while skipping horror tension

Where it drifts furthest from Hospital 666: setting.

Genre100Combat100World100Progression100Game mode62Tone57
The LEGO Movie Videogame
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeOpen WorldExploration
Steam👍 87%· 5.9KIGDB64· 10OC70· 42
Year 2014Dev TT Fusion · WB GamesOn PlayStation 3 · PS4 · PC

✓ Same family of open-world adventures: adventure storytelling, open world exploration and melee combat

≠ Stands apart with puzzle design, offline and visual third person, while skipping horror tension

Where it drifts furthest from Hospital 666: visuals.

It predates Hospital 666 by 10 years, with what that implies technically.

Genre100Combat100World100Progression100Game mode71Visuals0
58
Roblox
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opOpen WorldExplorationFirst Person
Year 2006Dev Roblox CorporationOn PS4 · Android · PC

✓ Fits the open-world adventures cluster, with adventure storytelling, open world exploration and single-player focus

≠ Stands apart with deep simulation, precision platforming and sandbox freedom, while skipping horror tension

It predates Hospital 666 by 18 years, with what that implies technically.

Genre100Progression100Game mode75World60Visuals58
LEGO Jurassic World
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeOpen WorldExploration
Steam👍 93%· 11KIGDB73· 15OC71· 79
Year 2015Dev TT Games · WB GamesOn PlayStation 3 · PS4 · PC

✓ Both are open-world adventures — sharing adventure storytelling, open world exploration and melee combat

≠ Where it differs: brings puzzle design, setting scifi and offline, while skipping horror tension

Where it drifts furthest from Hospital 666: setting and visuals.

It predates Hospital 666 by 9 years, with what that implies technically.

Genre100Combat100World100Progression100Game mode62Setting0
LEGO Indiana Jones 2: The Adventure Continues
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeOpen WorldExploration
Steam👍 83%· 2.0KIGDB75· 4
Year 2009Dev Traveller's Tales · LucasArtsOn PlayStation 3 · PC · Mac

✓ Both are open-world adventures — sharing adventure storytelling, open world exploration and melee combat

≠ Stands apart with puzzle design, precision platforming and historical setting, while skipping horror tension

Where it drifts furthest from Hospital 666: setting and visuals.

It predates Hospital 666 by 15 years, with what that implies technically.

Genre100Combat100World100Progression100Game mode62Setting0
#10MirrorMoon EP
MirrorMoon EP
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opNarrativeOpen WorldExplorationFirst Person
Steam👍 59%· 600RAWG👍 22%· 23MC73IGDB90· 1
Year 2013Dev Santa RagionePlaytime ~2hOn PC · Apple Macintosh · Linux

✓ Both are open-world adventures — sharing adventure storytelling, strong narrative focus and open world exploration

≠ Its own twist: puzzle design, procedural generation and setting space, while skipping horror tension

MirrorMoon EP is a game about mystery and exploration set in outer space. These space travels begin on a red planet and its unique moon and extend across galaxies. The single player part of MirrorMoon EP blends adventure and exploration with navigation-based puzzle solving.

Where it drifts furthest from Hospital 666: setting.

On reception: its Steam reviews are mixed, against mostly positive for Hospital 666.

It predates Hospital 666 by 11 years, with what that implies technically.

Genre100Progression100Visuals76Game mode75Tone60World59
LEGO The Lord of the Rings
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeDarkOpen WorldExploration
Steam👍 90%· 16KIGDB77· 9
Year 2012Dev Traveller's Tales · Feral InteractiveOn PlayStation 3 · Android · PC

✓ Both are open-world adventures — sharing adventure storytelling, dark, oppressive atmosphere and open world exploration

≠ Its own twist: precision platforming, vibe casual and ranged combat, while skipping horror tension

Where it drifts furthest from Hospital 666: setting and visuals.

It predates Hospital 666 by 12 years, with what that implies technically.

Genre100World100Game mode67Combat57Tone55Progression49
A Hat in Time
AdventureOpen World Action-Adventure
SoloCo-opMultiplayerMeleeOpen WorldExplorationFirst Person
Steam👍 98%· 53KRAWG👍 90%· 507MC77IGDB80· 10OC78· 89
Year 2017Dev Humble BundlePlaytime ~6hOn PC · PS · Xbox

✓ Both are open-world adventures — sharing adventure storytelling, open world exploration and melee combat

≠ Stands apart with precision platforming, cozy, relaxing feel and fantasy world, while skipping horror tension

A Hat in Time is a cute-as-heck 3D platformer featuring a little girl who stitches hats for wicked powers.A little girl and her spaceshipIn A Hat in Time you play as a tiny space-travelling girl with a big tophat.

Where it drifts furthest from Hospital 666: tone and setting.

Genre100Combat100World100Progression100Game mode63Visuals57
Goat Simulator
AdventureOpen World Action-Adventure
SoloCo-opMultiplayerMeleeOpen WorldExploration
Steam👍 91%· 70KRAWG👍 41%· 1.2KMC62IGDB52· 11OC60· 47
Year 2014Dev Double Eleven · Coffee Stain StudiosPlaytime ~3hOn PC · PS · Xbox

✓ Fits the open-world adventures cluster, with adventure storytelling, open world exploration and melee combat

≠ Where it differs: brings deep simulation, sandbox freedom and vibe casual, while skipping horror tension

Goat Simulator is a game that mainly can be described as a crazy one. It does not have a specific story, and there is no central villain. It is illogical, besides there are lots of bugs.

Where it drifts furthest from Hospital 666: tone and visuals.

It predates Hospital 666 by 10 years, with what that implies technically.

Genre100Combat100Progression100Game mode63World59Tone0
Yooka-Laylee
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeOpen WorldExploration
Steam👍 75%· 5.4KIGDB70· 22OC72· 172
Year 2017Dev Playtonic · Team17On PS4 · Linux · PC

✓ Both are open-world adventures — sharing adventure storytelling, open world exploration and melee combat

≠ Where it differs: brings precision platforming, cozy, relaxing feel and vibe casual, while skipping horror tension

Where it drifts furthest from Hospital 666: tone and setting.

Genre100Combat100World100Progression100Game mode62Tone0
LEGO Harry Potter: Years 1-4
AdventureOpen World Action-Adventure
SoloMultiplayerCo-opMeleeOpen WorldExploration
Steam👍 87%· 9.4KIGDB81· 7
Year 2010Dev Traveller's Tales · Feral InteractiveOn PlayStation 3 · PC · Mac

✓ Fits the open-world adventures cluster, with adventure storytelling, open world exploration and melee combat

≠ Stands apart with puzzle design, precision platforming and combat magic, while skipping horror tension

Where it drifts furthest from Hospital 666: setting and visuals.

It predates Hospital 666 by 14 years, with what that implies technically.

Genre100World100Progression100Game mode62Combat44Setting0

Complete list of co-op games like Hospital 666

The full catalog of games sharing gameplay DNA with Hospital 666, ordered from highest to lowest similarity score. Use the filters above to narrow down by genre, setting or game mode and find the alternative that best fits your playstyle.

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