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Cover of Sanatorium: A Mental Asylum Simulator

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Games like Sanatorium: A Mental Asylum Simulator

2025 PC 12.79 €

You run a psychiatric asylum in a fictionalized 1920s, testing, diagnosing and treating patients through card-based mechanics. It offers a critical look at the troubled history of psychiatry and pseudoscience.

What defines Sanatorium: A Mental Asylum Simulator:

  • Dark, serious atmosphere
  • Puzzles and brain teasers
  • Strong, story-driven narrative
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The closest matches for Sanatorium: A Mental Asylum Simulator are Interrogation: You Will Be Deceived, Do No Harm and Your Turn to Die: Death Game by Majority. Each of these 10 games shares something of what makes Sanatorium: A Mental Asylum Simulator special – the reasons are listed right on each game.

10 games with a similar feel, sorted by match

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Do No Harm

Dark, serious atmosphere

You play a doctor in a Lovecraftian world, diagnosing eerie symptoms and treating patients with the help of your medical book. Over 30 days you make morally tough calls about who to save, sacrifice or trust, leading to multiple endings.

The Tartarus Key

Puzzles and brain teasers

A first-person puzzle adventure where Alex wakes in a sinister mansion full of traps and watching cameras and must escape with fellow captives. Your decisions shape who survives and which ending you reach.

Waiting for the Raven

Dark, serious atmosphere

As a Master of Spies you build a network of agents in the underworld, decipher letters, solve mysteries and run businesses. The hybrid of first-person and top-down views gives it a dense, experimental atmosphere.

The Council

Strong, story-driven narrative

An episodic narrative adventure set at a secretive 1793 estate, where dialogue duels, intrigue and a skill system shape how the conspiracy and murder mystery unfold. Choices carry lasting consequences and conversations play out like tense battles of wits.

Sub-Verge

Dark, serious atmosphere

A short narrative puzzle game where you steer conversations among a fractured crew of renegade divers, uncovering alliances and betrayals while something horrific waits in the deep.

Orwell: Ignorance is Strength

Dark, serious atmosphere

You work as an investigator in the Orwell surveillance program, combing through chats, files and profiles for clues, with the power to manipulate the information you find. A dark surveillance thriller where your decisions carry real moral weight.

1954 Alcatraz

Strong, story-driven narrative

A story-driven point-and-click adventure about a prison break from Alcatraz, alternating between Joe and his wife Christine. Your decisions about trust, betrayal and greed shape how the story ends.

Chronique des Silencieux

Strong, story-driven narrative

As a rookie private eye in 1970s southern France, you question witnesses, spot their lies and form hypotheses to uncover the secrets of a stubborn old man. The focus is on dialogue and deduction rather than action.

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