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Similar games

Games like Big Pharma

2015PCPlayStationXboxNintendo SwitchSteam Deck playable77 % positive24.50 €

A factory-optimization business sim where you design production lines for drugs, tune ingredients and layouts, and balance efficacy, side effects and profit. A wry, distinctive art style accompanies the satisfying puzzle-like tinkering.

  • Economy and management
  • Puzzles and brain teasers
  • Tactical depth
  • Lots of humour

The closest matches for Big Pharma are Two Point Hospital, Mini Metro and Two Point Campus. Each of these 10 games shares something of what makes Big Pharma special – the reasons are listed right on each game.

10 games with a similar feel, sorted by match

Show games from the same series

Best match

Two Point Hospital

97 %Match

2018PCPlayStationXboxNintendo SwitchSteam Deck playable92 % positive29.99 €

Brings what grabs you about Big Pharma: economy and management, plenty of humour as well as tactical depth.

A humorous hospital management sim where you cure absurd illnesses, lay out efficient rooms and keep staff happy. Witty British humor and charming details make building and optimizing a joy.

Prison Architect

Distinctive, stylised art style

A deep construction and management sim where you design a prison from scratch, hire staff and keep inmates from rioting or escaping. Its cute, simple art style contrasts with darkly humorous takes on serious themes like violence and the death penalty.

Little Big Workshop

Gameplay comes before story

A charming factory tycoon sim where you lay out production lines in a miniature world, expand machines and workers, and sell goods from rubber ducks to guitars. Relaxed optimization is the core.

Megaquarium

Gameplay comes before story

A management sim where you build and run a large public aquarium: you design tanks, match compatible fish, hire staff and keep visitors happy. Its appeal lies in puzzling over species needs and water conditions within a relaxed, charming building loop.

Good Company

Puzzles and brain teasers

A factory and business-building sim where you design production chains, logistics and research, automating them to grow a garage startup into a global market leader. The appeal lies in tinkering with efficient systems.

Theme Hospital

Lots of humour

You build and run a hospital plagued by ridiculous ailments like Bloaty Head, juggling staff, finances and emergencies. Its eccentric British humour and charming presentation turn the management chaos into a joy.

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