The Medium

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The Medium is hard to replace: few games combine horror tension, strong narrative focus and melee combat in quite the same way. We analyzed over 2,000 titles across 9 gameplay attributes and found 43 genuine alternatives — not generic genre suggestions. Rusty Lake: Roots, The Cat Lady and Rusty Lake Hotel lead the list, with Rusty Lake: Roots reaching a 96/100 similarity score. Every game here is ranked by how closely it replicates what makes The Medium special.

iRank81/ 100

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GenreHorrorSubgenrePsychological Horror

Tags

NarrativeDarkSolo

Year 2021Dev Bloober Team

Stores

Steam ↗GOG ↗Epic ↗Xbox ↗PS ↗

Quick answer

The closest game to The Medium is Rusty Lake: Roots — scoring 96/100 on our similarity scale. The Cat Lady and Rusty Lake Hotel follow close behind.

#1Rusty Lake: Roots96 #2The Cat Lady96 #3Rusty Lake Hotel96 #4Sanitarium96 #5Sally Face95

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Games like The Medium

43 similar games foundUpdated May 2026

#1Rusty 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 melee combat

Steam GOG itch.io

96

The Cat Lady

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

#3Rusty Lake Hotel

96

Rusty Lake Hotel

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

Steam GOG itch.io

96

Sanitarium

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

95

Sally Face

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

#6Tales of the Black Forest

95

Tales of the Black Forest

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

94

The Supper

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

Steam GOG itch.io

96

Dredge

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

96

Pony Island

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

#10Poppy Playtime

96

Poppy Playtime

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

Steam Epic Xbox

97

Indika

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

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

Steam PS Nintendo

#13Downfall - A Slay the Spire Fan Expansion

96

Downfall - A Slay the Spire Fan Expansion

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

#14Freddy Fazbear's Pizzeria Simulator

95

Freddy Fazbear's Pizzeria Simulator

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

95

Iron Lung

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

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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.