Sanitarium

34 Puzzle games like Sanitarium that you should try

Games like Sanitarium · Find similar →

More about this game →

Filter by:Puzzle×← Back to home

We filtered the 45 games similar to Sanitarium down to the 34 that fit the “Puzzle” category. Poppy Playtime, Detention and Amnesia: The Dark Descent top the list, ranked by affinity and similarity score to Sanitarium.

iRank91/ 100

Did you find what you were looking for?

GenreHorrorSubgenrePsychological Horror

Tags

NarrativeDarkSolo

Year 1998Dev DreamForge Intertainment

Stores

Steam ↗GOG ↗

Quick answer

Within the “Puzzle” category, the closest game to Sanitarium is Poppy Playtime — scoring 96/100 on our similarity scale. Detention and Amnesia: The Dark Descent follow close behind.

#1Poppy Playtime96 #2Detention96 #3Amnesia: The Dark Descent96 #4Among the Sleep96 #5Amnesia: A Machine for Pigs96

🗳️

Help us build the best rankings

Community powered

Vote on each result below — good match or not. Every vote directly shapes how we rank similar games for everyone.

The best puzzle games like Sanitarium

34 similar games foundUpdated July 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Sanitarium. Each one has been evaluated across 9 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.

#1Poppy Playtime

96

Poppy Playtime

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorMelee

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: melee combat, visual first person and free to play, while skipping visual isometric

Steam Epic Xbox

96

Detention

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorExploration

Steam👍 96%· 12KIGDB76· 3OC81· 33

Year 2017Dev Red Candle Games · Coconut Island GamesOn PS4 · Linux · Android

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

≠ Stands apart with deep RPG systems, visual novel storytelling and exploration and discovery, while skipping visual isometric

Steam PS Nintendo

#3Amnesia: The Dark Descent

96

Amnesia: The Dark Descent

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorMelee

Steam👍 95%· 35KRAWG👍 70%· 1.2KMC85IGDB89· 2

Year 2010Dev Frictional GamesPlaytime ~2hOn PC · Apple Macintosh · Linux

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

≠ Stands apart with melee combat, stealth mechanics and exploration and discovery, while skipping visual isometric

#4Among the Sleep

96

Among the Sleep

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorStealth

Steam👍 89%· 8.2KIGDB66· 11OC66· 42

Year 2014Dev Krillbite StudioOn PS4 · Linux · PC

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

≠ Where it differs: brings stealth mechanics, melee combat and visual first person, while skipping visual isometric

#5Amnesia: A Machine for Pigs

96

Amnesia: A Machine for Pigs

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorStealth

Steam👍 70%· 12KIGDB73· 8

Year 2013Dev The Chinese Room · Frictional GamesOn PS4 · Linux · PC

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

≠ Where it differs: brings stealth mechanics, melee combat and exploration and discovery, while skipping visual isometric

#6Silent Hill Homecoming

96

Silent Hill Homecoming

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorMelee

Steam👍 48%· 3.9KRAWG👍 43%· 256MC64IGDB67· 3

Year 2008Dev Konami Digital Entertainment · KonamiPlaytime ~1hOn PC · PS · Xbox

✓ Same family of psychological horror: horror tension, adventure storytelling and survival mechanics

≠ Stands apart with melee combat and visual third person, while skipping visual isometric

#7Penumbra: Black Plague Gold Edition

95

Penumbra: Black Plague Gold Edition

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorStealth

Steam👍 94%· 2.9KRAWG👍 81%· 124MC78IGDB80· 2

Year 2009Dev Frictional GamesPlaytime ~2hOn PC · Apple Macintosh · Linux

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

≠ Stands apart with stealth mechanics, melee combat and setting scifi, while skipping visual isometric

#8The Walking Dead: Season Two

95

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 ranged combat, melee combat and post-apocalyptic world, while skipping visual isometric

#9Five Nights at Freddy's

95

Five Nights at Freddy's

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorHardcore

Steam👍 94%· 58KIGDB72· 3

Year 2014Dev ScottgamesOn PC

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

≠ Its own twist: deep simulation, punishing difficulty and resource management, while skipping visual isometric

#10Five Nights at Freddy's 3

95

Five Nights at Freddy's 3

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorMelee

Steam👍 90%· 11KIGDB75· 1

Year 2015Dev ScottgamesOn PC

✓ Fits the psychological horror cluster, with horror tension, adventure storytelling and survival mechanics

≠ Where it differs: brings deep simulation, punishing difficulty and melee combat, while skipping visual isometric

#11Five Nights at Freddy's 2

94

Five Nights at Freddy's 2

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorHardcore

Steam👍 94%· 26KIGDB70· 1

Year 2014Dev ScottgamesOn PC

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

≠ Stands apart with deep simulation, punishing difficulty and visual first person, while skipping visual isometric

94

Daylight

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorMelee

Steam👍 50%· 1.6KRAWG👍 22%· 45MC51IGDB50· 10OC50· 57

Year 2014Dev Atlus U.S.A · Zombie StudiosPlaytime ~2hOn PC · PS

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

≠ Stands apart with vibe casual, procedural generation and melee combat, while skipping visual isometric

94

Mad Father

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorIsometric

Steam👍 97%· 6.5K

Year 2012Dev Sen · PLAYISMOn PC · Mac · Switch

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

≠ Its own twist: vibe casual, setting anime and exploration and discovery

#14The Witch's House MV

93

The Witch's House MV

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorCasual

Steam👍 95%· 3.9KRAWG👍 91%· 45OC80· 5

Year 2018Dev Fummy · DANGEN EntertainmentPlaytime ~3hOn PC · Apple Macintosh · Nintendo

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

≠ Where it differs: brings deep RPG systems, vibe casual and setting anime, while skipping visual isometric

#15Rusty Lake: Roots

96

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 survival mechanics

Steam GOG itch.io

Complete list of puzzle games like Sanitarium

The full catalog of games sharing gameplay DNA with Sanitarium, 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.

The Cat Lady

The Cat Lady

Horror · Adventure

Downfall - A Slay the Spire Fan Expansion

Downfall - A Slay the Spire Fan Expansion

Horror · Adventure

Indika

Indika

Horror · Puzzle

The Last Door - Collector's Edition

The Last Door - Collector's Edition

Horror · Puzzle

The Black Mirror

The Black Mirror

Horror · Puzzle

The Medium

The Medium

Horror · Adventure

Layers of Fear

Layers of Fear

Horror · Adventure

Anna - Extended Edition

Anna - Extended Edition

Horror · Adventure

Stories Untold

Stories Untold

Horror · Adventure

Rusty Lake Hotel

Rusty Lake Hotel

Horror · Puzzle

Pony Island

Pony Island

Horror · Puzzle

Tales of the Black Forest

Tales of the Black Forest

Horror · RPG

Fran Bow

Fran Bow

Horror · Adventure

Sally Face

Sally Face

Horror · Adventure

Iron Lung

Iron Lung

Horror · Adventure

The Supper

The Supper

Horror · Adventure

Layers of Fear 2

Layers of Fear 2

Horror · Adventure

Bonnie Bear Saves Frogtime

Bonnie Bear Saves Frogtime

Horror · Adventure

I Have No Mouth, and I Must Scream

I Have No Mouth, and I Must Scream

Horror · Puzzle

Explore games similar to Sanitarium by category

Rankings in the same genre

Best Psychological Horror Games Best Horror Games