31 Games like Surgeon Simulator 2013 on Xbox 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 41 games similar to Surgeon Simulator 2013 down to the 31 that fit the “Xbox” category. Darksiders III, Sekiro: Shadows Die Twice and Lonely Mountains: Downhill top the list, ranked by affinity and similarity score to Surgeon Simulator 2013.

iRank78/ 100

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GenreRPGSubgenreAction RPGSub-subgenreSoulslike

The best games like Surgeon Simulator 2013 on Xbox

31 similar games foundUpdated May 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Surgeon Simulator 2013. 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.

#1Darksiders IIIClosest overall match

iRank71

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 76%· 17KIGDB65· 16OC68· 157

Year 2018Dev Gunfire Games · THQ NordicOn PS4 · PC · Xbox

✓ Fits the Soulslike games cluster, with deep RPG systems, puzzle design and punishing difficulty

≠ Its own twist: action RPG combat, adventure storytelling and strong narrative focus, while skipping deep simulation

Where it drifts furthest from Surgeon Simulator 2013: visuals.

On reception: its Steam reviews are mostly positive, against very positive for Surgeon Simulator 2013.

Released 5 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone77Visuals0

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Steam GOG Epic

#2Sekiro: Shadows Die Twice

iRank91

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkStealth

Steam👍 95%· 348KRAWG👍 86%· 2.1KMC90IGDB90· 11OC90· 180

Year 2019Dev FromSoftwarePlaytime ~16hOn PC · PS · Xbox

✓ Both are Soulslike games — sharing deep RPG systems, puzzle design and punishing difficulty

≠ Stands apart with action RPG combat, adventure storytelling and strong narrative focus, while skipping deep simulation

Sekiro: Shadows Die Twice is a game about a ninja (or shinobi, as they call it), who is seeking revenge in the Sengoku era Japan. ###Plot The game is set in the 16th century in a fictionalized version of Japan. The main protagonist is a member of a shinobi clan.

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 6 years after Surgeon Simulator 2013.

Genre100Game mode100Tone78Combat55Visuals0

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Steam Xbox PS

#3Lonely Mountains: Downhill

iRank88

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcorePvPCompetitive

Steam👍 91%· 3.0KIGDB88· 3OC81· 39

Year 2019Dev Megagon IndustriesOn PS4 · PC · Mac

✓ Same family of Soulslike games: deep RPG systems, deep simulation and punishing difficulty

≠ Its own twist: action RPG combat, sports simulation and racing gameplay, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 6 years after Surgeon Simulator 2013.

Genre100Combat100Tone52Game mode50Visuals0

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Steam PS Nintendo

#4GhostrunnerClosest on visuals

iRank84

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkFirst Person

Steam👍 91%· 66KRAWG👍 75%· 651IGDB82· 10OC81· 115

Year 2020Dev 3D Realms · All in! GamesPlaytime ~4hOn PC · PS · Xbox

✓ Both are Soulslike games — sharing deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Stands apart with action RPG combat, adventure storytelling and first-person shooting, while skipping puzzle design

Enter an intense cyberpunk world and experience fierce, dynamic combat! Conquer your enemies in the physical world and in cyberspace. Hunt for answers inhumanity’s last remaining shelter. Ascend humanity’s last remaining shelter, a great tower-city.

Released 7 years after Surgeon Simulator 2013.

Genre100Game mode100Visuals100Tone84Combat75

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Steam GOG Epic

#5BlasphemousClosest on tone

iRank84

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkFantasy

Steam👍 90%· 63KIGDB78· 4OC79· 77

Year 2019Dev The Game KitchenOn PS4 · Linux · Android

✓ Fits the Soulslike games cluster, with deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, Metroidvania exploration and adventure storytelling, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 6 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone85Visuals0

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Steam GOG Epic

#6Bloodstained: Curse of the Moon

iRank87

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkFantasy

Steam👍 94%· 4.5KIGDB80· 3OC80· 30

Year 2018Dev Inti CreatesOn PS4 · PC · Xbox

✓ Fits the Soulslike games cluster, with deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Where it differs: brings action RPG combat, precision platforming and Metroidvania exploration, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 5 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone83Visuals0

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkOpen World

Steam👍 75%· 12KIGDB72· 11OC73· 131

Year 2017Dev Deck13 Interactive · Focus EntertainmentOn PS4 · PC · Xbox

✓ Same family of Soulslike games: deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Where it differs: brings action RPG combat, adventure storytelling and Metroidvania exploration, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

On reception: its Steam reviews are mostly positive, against very positive for Surgeon Simulator 2013.

Released 4 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone83Visuals0

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Steam GOG Epic

#8Ender Lilies: Quietus of the Knights

iRank88

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 94%· 44KIGDB79· 5OC85· 65

Year 2021Dev adglobe · Binary Haze InteractiveOn Xbox · PS4 · PC

✓ Same family of Soulslike games: deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, Metroidvania exploration and adventure storytelling, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 8 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone77Visuals0

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 92%· 78KIGDB86· 10OC82· 161

Year 2023Dev Round8 Studio · NeowizOn Xbox · PS4 · PC

✓ Both are Soulslike games — sharing deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Where it differs: brings action RPG combat, adventure storytelling and strong narrative focus, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 10 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone78Visuals0

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Steam Xbox PS

#10Black Gunner Wukong: Prologue

iRank91

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 97%· 1.2MRAWG👍 85%· 169IGDB88· 4

Year 2024Dev Game ScienceOn PC · PS · Xbox

✓ Same family of Soulslike games: deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Where it differs: brings action RPG combat, adventure storytelling and strong narrative focus, while skipping puzzle design

A world unseen, where new sights rise with every stride. Enter a fascinating realm filled with the wonders and discoveries of ancient Chinese mythology!

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 11 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone74Visuals0

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Steam Epic

#11Nine Sols

iRank91

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 94%· 40KIGDB89· 3OC86· 51

Year 2024Dev Red Candle GamesOn Xbox · PS4 · PC

✓ Fits the Soulslike games cluster, with deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Where it differs: brings action RPG combat, Metroidvania exploration and precision platforming, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 11 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone75Visuals0

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Steam Xbox PS

#12Black Myth: Wukong

iRank89

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 97%· 1.2MRAWG👍 85%· 169IGDB88· 4OC82· 105

Year 2024Dev Game ScienceOn PC · PS · Xbox

✓ Both are Soulslike games — sharing deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Stands apart with action RPG combat, adventure storytelling and strong narrative focus, while skipping puzzle design

A world unseen, where new sights rise with every stride. Enter a fascinating realm filled with the wonders and discoveries of ancient Chinese mythology!

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 11 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone74Visuals0

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Steam Epic

#13Another Crab's Treasure

iRank85

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkNarrative

Steam👍 93%· 21KIGDB77· 3OC78· 70

Year 2024Dev Aggro Crab GamesOn Xbox · PC · PS5

✓ Same family of Soulslike games: deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Stands apart with action RPG combat, adventure storytelling and precision platforming, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

Released 11 years after Surgeon Simulator 2013.

Genre100Combat100Game mode100Tone73Visuals0

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Steam Xbox PS

#14The Surge 2

iRank76

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkMultiplayer

Steam👍 76%· 9.3KIGDB74· 12OC77· 125

Year 2019Dev Deck13 Interactive · Focus EntertainmentOn PS4 · PC · Xbox

✓ Fits the Soulslike games cluster, with deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, adventure storytelling and open world exploration, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

On reception: its Steam reviews are mostly positive, against very positive for Surgeon Simulator 2013.

Released 6 years after Surgeon Simulator 2013.

Genre100Combat100Game mode84Tone84Visuals0

GenreRPGSubgenreAction RPGSub-subgenreSoulslike

SoloMeleeHardcoreDarkMultiplayer

Steam👍 68%· 11KIGDB75· 8OC76· 126

Year 2020Dev Cold Symmetry · PlaystackOn Xbox · PS4 · PC

✓ Same family of Soulslike games: deep RPG systems, punishing difficulty and dark, oppressive atmosphere

≠ Its own twist: action RPG combat, adventure storytelling and horror tension, while skipping puzzle design

Where it drifts furthest from Surgeon Simulator 2013: visuals.

On reception: its Steam reviews are mixed, against very positive for Surgeon Simulator 2013.

Released 7 years after Surgeon Simulator 2013.

Genre100Combat100Game mode84Tone81Visuals0

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Steam GOG Epic

Complete list of games like Surgeon Simulator 2013 on Xbox

The full catalog of games sharing gameplay DNA with Surgeon Simulator 2013, 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.