Cover of Sanatorium: A Mental Asylum Simulator

Similar games

Games like Sanatorium: A Mental Asylum Simulator

2025PCSteam Deck verified12.79 €

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.

Cards and deck-building
Historical setting
Economy and management
Deep systems to master

＋ Combine with my games

The closest matches for Sanatorium: A Mental Asylum Simulator are Cultist Simulator, Card Shark and Sultan's Game. Each of these 10 games shares something of what makes Sanatorium: A Mental Asylum Simulator special – the reasons are listed right on each game.

Best match

Cultist Simulator

90 %Match

2018PCSteam Deck verified82 % positive19.99 €

A dark narrative card game set in a 1920s world of hidden gods, where you build your own cult by juggling time, resources and rituals. Cryptic rules and emergent stories arise from your experiments and failures.

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Card Shark

Historical setting

You play a mute assistant to a charming con man in 18th-century France, cheating nobles with card tricks, marked decks and secret signals. Each deception is a tactile, timing-based minigame, wrapped in a stylish story of intrigue.

Sultan's Game

Dark, serious atmosphere

As a minister serving a cruel sultan, you survive a deadly game of power through card-driven mechanics, resource management and grim moral choices, inspired by One Thousand and One Nights. Every decision carries consequences.

Rough Justice: '84

Pure single-player experience

A board-game-inspired strategy game set in an 80s noir world, where you steer a fledgling security agency through crime cases and revenge plots using dice and cards. Careful planning meets a dose of luck.

Twilight Struggle

Historical setting

A digital version of the acclaimed Cold War card-driven board game: as the US or USSR you play historical event cards and fight for global influence. Every decision is a tense balance of risk and reward.

Choice of Life: Middle Ages

Historical setting

In this medieval card game, you make choices that shape both your own life and the fate of the kingdom. Each card brings new consequences.

Through the Darkest of Times

Historical setting

You lead a resistance group in Nazi-era Berlin from 1933 to 1945, managing resources, members and missions. Every hard moral decision plays out in a haunting, expressionist-styled historical drama.

The Horror at Highrook

Dark, serious atmosphere

An occult card-crafting RPG set in a haunted mansion: you lead a team of investigators, summon dark entities, craft protective items and unravel what happened to the missing family. A mix of resource management, exploration and branching choices builds an eerie mood.

I Was a Teenage Exocolonist

Pure single-player experience

You grow up on an alien colony world, shaping skills, friendships and romances over ten years through a card-based system. Nearly every decision reshapes your story and the colony's future.

Library of Ruina

Deep systems to master

A story-heavy card-and-dice strategy game where you run a mysterious library, defeating guests and turning them into books. Deep deckbuilding and clash-based duels carry a dark, layered narrative.