9 Games with a horror setting like Hospital 666 that you should try

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Ranking compiled by Lluis Enric Mayans, Founder & Head of ContentUpdated May 19, 2026How this is calculatedOrdered by an attribute-similarity model, not editorial opinion.

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We filtered the 50 games similar to Hospital 666 down to the 9 that fit the “Horror” category. Outer Wilds, The Exit 8 and Firewatch top the list, ranked by affinity and similarity score to Hospital 666.

iRank66/ 100

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GenreAdventureSubgenreOpen World Action-Adventure

The best games with a horror setting like Hospital 666

9 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.

#1Outer WildsClosest overall match

iRank90

GenreAdventureSubgenreOpen World Action-Adventure

SoloMeleeNarrativeOpen WorldHorrorExplorationFirst Person3D

Steam👍 96%· 102KIGDB85· 7OC85· 61

Year 2019Dev Mobius Digital · Annapurna InteractiveOn Xbox · PS4 · PC

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

≠ Stands apart with puzzle design, deep simulation and setting space, while skipping dark, oppressive atmosphere

Where it drifts furthest from Hospital 666: game mode and setting.

Genre100Combat100World100Progression100Visuals100Tone65

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Steam Epic Xbox

#2The Exit 8Closest on tone

iRank93

GenreAdventureSubgenreOpen World Action-Adventure

SoloNarrativeDarkOpen WorldHorrorExplorationFirst Person3D

Steam👍 93%· 11KIGDB93· 2

Year 2023Dev KOTAKE CREATE · PLAYISMOn Xbox · PS4 · Switch

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

≠ Stands apart with deep simulation, puzzle design and linear, story-driven structure, while skipping melee combat

Where it drifts furthest from Hospital 666: game mode.

Genre100Tone100Progression100Visuals100Setting77World58

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Steam Xbox PS

#3FirewatchClosest on setting

iRank85

GenreAdventureSubgenreOpen World Action-Adventure

SoloNarrativeDarkOpen WorldHorrorExplorationFirst Person

Steam👍 91%· 97KIGDB79· 18OC80· 134

Year 2016Dev Campo Santo · PanicOn PS4 · Linux · PC

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

≠ Stands apart with vibe casual, while skipping melee combat

Where it drifts furthest from Hospital 666: game mode.

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

Genre100Setting100World100Progression100Tone92Visuals76

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Steam GOG Xbox

#4LEGO WorldsClosest on game mode

iRank73

GenreAdventureSubgenreOpen 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

GenreAdventureSubgenreOpen World Action-Adventure

SoloDarkNarrativeOpen WorldHorrorExplorationFirst Person

Steam👍 96%· 1.1KIGDB80· 1

Year 2020Dev Bryce BucherPlaytime ~1hOn PC

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

≠ Its own twist: puzzle design and vibe casual, while skipping melee combat

The GameFatum Betula is an atmospheric exploration game with light puzzle elements. A magical birch is the only thing dictating the future, and it is your job to find something appropriate to feed it with. There is a total of 10 unique endings and a plethora of secrets to uncover.

Where it drifts furthest from Hospital 666: game mode.

Genre100Setting100World100Progression100Tone69Visuals69

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Steam Nintendo itch.io

#6Thief Gold

iRank91

GenreAdventureSubgenreOpen World Action-Adventure

SoloMeleeDarkNarrativeOpen WorldHorrorExplorationFirst Person

Steam👍 92%· 4.1KIGDB90· 1

Year 1999Dev Looking Glass Studios · Eidos InteractiveOn PC

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

≠ Where it differs: brings deep simulation, stealth mechanics and fantasy world, while skipping co op

Where it drifts furthest from Hospital 666: game mode and combat.

It predates Hospital 666 by 25 years, with what that implies technically.

Genre100Tone100World100Progression100Visuals76Setting60

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Steam GOG

#7Cosmic Osmo and the Worlds Beyond the Mackerel

iRank79

GenreAdventureSubgenreOpen World Action-Adventure

SoloNarrativeOpen WorldHorrorExplorationFirst Person

Steam👍 79%· 115

Dev Cyan WorldsPlaytime ~1hOn PC

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

≠ Stands apart with puzzle design, vibe casual and cozy, relaxing feel, while skipping dark, oppressive atmosphere

You're an Osmo, a strange creature indeed. You explore the galaxy in your spaceship, and the planets you encounter are almost as bizarre as the Osmos themselves. There are seven worlds presented for your consideration, each more goofy and peculiar than the last.

Where it drifts furthest from Hospital 666: game mode and tone.

Genre100Progression100Setting71World70Visuals43Tone35

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Steam

#8Dear Esther: Landmark Edition

iRank70