What is the best game similar to The Medium?

The closest game to The Medium is Rusty Lake: Roots, scoring 96/100 on our similarity scale. They share 7 gameplay attributes, including horror tension, puzzle design and adventure storytelling. It's the most faithful alternative currently available.

What are the top games like The Medium?

The three closest games to The Medium are: 1. Rusty Lake: Roots (96/100, 7 shared attributes) 2. The Cat Lady (96/100, 7 shared attributes) 3. Rusty Lake Hotel (96/100, 7 shared attributes). All share The Medium's most important gameplay attributes, ranked out of 43 candidates across 9 dimensions.

Is The Cat Lady similar to The Medium?

Yes, very much so — The Cat Lady scores 96/100 similarity to The Medium. They share 7 attributes, including horror tension and adventure storytelling. It's one of the most direct alternatives available.

What Horror games are similar to The Medium?

The best Horror games similar to The Medium are Rusty Lake: Roots, The Cat Lady, Rusty Lake Hotel and Sanitarium. All share the Horror genre alongside other key The Medium attributes like horror tension, puzzle design and adventure storytelling.

How is similarity to The Medium calculated?

We compare The Medium against every game in our catalog using 9 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the The Medium experience, not just whether it shares the same genre label.

43 Games like The Medium that you should try

Games like The Medium · Find similar →

More about this game →

If The Medium left you wanting more, this list of 43 similar games is for you. Each one shares part of its essence — horror tension, strong narrative focus and melee combat — and is ranked by a similarity score computed across 9 attributes. Rusty Lake: Roots comes closest (96/100).

iRank81/ 100

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GenreHorrorSubgenrePsychological Horror

Top games similar to The Medium

43 similar games foundUpdated July 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to The Medium. 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.

#1Rusty Lake: Roots

iRank97

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 melee combat

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorExploration

Steam👍 94%· 6.1K

Year 2012Dev Harvester Games · Screen 7On Linux · PC

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

≠ Its own twist: exploration and discovery and visual 2d, while skipping melee combat

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCasual

Steam👍 96%· 10K

Year 2015Dev Rusty LakeOn Android · PC · iOS

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

≠ Stands apart with vibe casual, visual first person and visual 2d, while skipping melee combat

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorIsometric

Steam👍 93%· 1.3KIGDB92· 1

Year 1998Dev DreamForge Intertainment · ASC GamesOn Android · PC · iOS

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

≠ Where it differs: brings survival mechanics and visual isometric, while skipping melee combat

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCasual

Steam👍 97%· 27K

Year 2016Dev Portable MooseOn Xbox · PS4 · Linux

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

≠ Where it differs: brings vibe casual and visual 2d, while skipping melee combat

Details →

Steam GOG Xbox

#6Tales of the Black Forest

iRank98

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorAnime

Steam👍 98%· 15K

Dev 拾英工作室 · SakuraGamePlaytime ~2hOn PC

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

≠ Its own twist: deep RPG systems, visual novel storytelling and setting anime, while skipping melee combat

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCasual

Steam👍 99%· 4.4K

Year 2020Dev Octavi NavarroOn PC

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

≠ Its own twist: vibe casual, visual pixel and free to play, while skipping melee combat

Details →

Steam GOG itch.io

#8Dredge

iRank90

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorOpen World

Steam👍 96%· 54KIGDB86· 5OC82· 102

Year 2023Dev Black Salt Games · Team17On Xbox · PS4 · Android

✓ Both are psychological horror — sharing horror tension, adventure storytelling and strong narrative focus

≠ Its own twist: deep RPG systems, deep simulation and survival mechanics, while skipping puzzle design

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorCozy

Steam👍 95%· 18KIGDB92· 3OC85· 17

Year 2016Dev Daniel Mullins GamesOn Linux · PC · Mac

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

≠ Its own twist: deep simulation, cozy, relaxing feel and visual 2d, while skipping melee combat

GenreHorrorSubgenrePsychological Horror

SoloMeleeNarrativeDarkHorror

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: survival mechanics, visual first person and free to play, while skipping visual third person

Details →

Steam Epic Xbox

#11Indika

iRank86

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorThird Person

Steam👍 90%· 8.0KIGDB85· 4OC79· 90

Year 2024Dev Odd Meter · 11 bit studiosOn Xbox · PC · PS5

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

≠ Stands apart with linear, story-driven structure, exploration and discovery and visual first person, while skipping melee combat

Details →

Steam GOG Epic

#12Detention

iRank87

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, survival mechanics and visual novel storytelling, while skipping melee combat

Details →

Steam PS Nintendo

#13Downfall - A Slay the Spire Fan Expansion

iRank87

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorror2D

Steam👍 94%· 1.6KRAWG👍 86%· 71MC75

Year 2016Dev Harvester Games · Screen 7Playtime ~4hOn PC

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

≠ Stands apart with visual 2d, while skipping melee combat

Details →

Steam GOG

#14Freddy Fazbear's Pizzeria Simulator

iRank94

GenreHorrorSubgenrePsychological Horror

SoloDarkNarrativeHorrorHardcore

Steam👍 94%· 33K

Year 2017Dev ScottgamesOn PC

✓ Same family of psychological horror: horror tension, dark, oppressive atmosphere and strong narrative focus

≠ Its own twist: deep simulation, survival mechanics and punishing difficulty, while skipping adventure storytelling

Details →

Steam Xbox PS

#15Iron Lung

iRank92

GenreHorrorSubgenrePsychological Horror

SoloNarrativeDarkHorrorSci-Fi

Steam👍 92%· 11K

Year 2022Dev David SzymanskiOn PC · PS5 · Switch

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

≠ Stands apart with deep simulation, setting scifi and exploration and discovery, while skipping melee combat

Details →

Steam GOG PS

Complete list of The Medium alternatives

The full catalog of games sharing gameplay DNA with The Medium, 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 Last Door - Collector's Edition

Horror · Puzzle

The Black Mirror

Horror · Puzzle

Mad Father

Horror · Adventure

Fran Bow

Horror · Adventure

Until Dawn

Horror · Adventure

Mouthwashing

Horror · Adventure

Layers of Fear

Horror · Adventure

I Have No Mouth, and I Must Scream

Horror · Puzzle

Yume Nikki

Horror · Adventure

Stories Untold

Horror · Adventure

Five Nights at Freddy's

Horror · Simulation

Five Nights at Freddy's 3

Horror · Simulation

Five Nights at Freddy's 2

Horror · Puzzle

The Witch's House MV

Horror · Adventure

MiSide

Horror · Adventure

Oxenfree

Horror · Adventure

Call of Cthulhu

Horror · RPG

Bonnie Bear Saves Frogtime

Horror · Adventure

Smile For Me

Horror · Puzzle

Kholat

Horror · Adventure

Observer

Horror · Adventure

Layers of Fear 2

Horror · Adventure

Close to the Sun

Horror · Adventure

Slender: The Arrival

Horror · Adventure

Silent Hill Homecoming

Horror · Adventure

Anna - Extended Edition

Horror · Adventure

Daylight

Horror · Adventure

Uriel's Chasm

Horror · Adventure

Explore games similar to The Medium by category

Rankings in the same genre

Best Psychological Horror Games Best Horror Games

Frequently asked questions

What is the best game similar to The Medium?: The closest game to The Medium is Rusty Lake: Roots, scoring 96/100 on our similarity scale. They share 7 gameplay attributes, including horror tension, puzzle design and adventure storytelling. It's the most faithful alternative currently available.
What are the top games like The Medium?: The three closest games to The Medium are: 1. Rusty Lake: Roots (96/100, 7 shared attributes) 2. The Cat Lady (96/100, 7 shared attributes) 3. Rusty Lake Hotel (96/100, 7 shared attributes). All share The Medium's most important gameplay attributes, ranked out of 43 candidates across 9 dimensions.
Is The Cat Lady similar to The Medium?: Yes, very much so — The Cat Lady scores 96/100 similarity to The Medium. They share 7 attributes, including horror tension and adventure storytelling. It's one of the most direct alternatives available.
What Horror games are similar to The Medium?: The best Horror games similar to The Medium are Rusty Lake: Roots, The Cat Lady, Rusty Lake Hotel and Sanitarium. All share the Horror genre alongside other key The Medium attributes like horror tension, puzzle design and adventure storytelling.
How is similarity to The Medium calculated?: We compare The Medium against every game in our catalog using 9 gameplay attributes: genre, atmosphere, world structure, play modes, combat style, and more. Each category is weighted differently — genre matters more than visual style, for instance. The result is a 0-100 score reflecting how closely a game replicates the The Medium experience, not just whether it shares the same genre label.