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Hospital 666

4 Online 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 4 that fit the “Online” 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 “Online” 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 online games like Hospital 666

4 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
#4Farming Simulator 22
Farming Simulator 22
AdventureOpen World Action-Adventure
Co-opMultiplayerOnlineNarrativeOpen WorldExploration3DFirst Person
Steam👍 93%· 91KRAWG👍 57%· 47OC74· 29
Year 2021Dev Giants SoftwarePlaytime ~12hOn PC · PS · Xbox

✓ Fits the open-world adventures cluster, with strong narrative focus, open world exploration and co op

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

Take on the role of a modern farmer and creatively build your farm in three diverse American and European environments. Farming Simulator 22 offers a huge variety of farming operations focusing on agriculture, animal husbandry and forestry - now with the exciting addition of seasonal cycles!

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

Genre100Game mode93Visuals86World57Tone36Progression34

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