Games like Medieval Fantasy Survival Simulator
Games like Medieval Fantasy Survival Simulator include The Test, The Test: Final Revelation, Volcano Princess, The Test: Hypothesis Rising, and Magical Princess. We matched them by the tags players give Medieval Fantasy Survival Simulator on Steam (Simulation, Choose Your Own Adventure, Choices Matter, Multiple Endings, and Visual Novel): closest matches first, and among equally close ones the better-known games.

The Test
Shared: Simulation · Choose Your Own Adventure · Multiple Endings

The Test: Final Revelation
Shared: Simulation · Choose Your Own Adventure · Choices Matter

Volcano Princess
Shared: Choices Matter · Multiple Endings · Simulation

The Test: Hypothesis Rising
Shared: Simulation · Choices Matter · Multiple Endings

Magical Princess
Shared: Choices Matter · Multiple Endings · Simulation

BAD END THEATER
Shared: Multiple Endings · Visual Novel · Choices Matter

Growing Up
Shared: Choices Matter · Simulation · Multiple Endings

The Horrorscope
Shared: Simulation · Choices Matter · Psychological

LoveChoice
Shared: Choices Matter · Visual Novel · Multiple Endings

Emily is Away <3
Shared: Simulation · Choices Matter · Multiple Endings

Suzerain
Shared: Choose Your Own Adventure · Visual Novel · Choices Matter

The Test: Reality Check
Shared: Simulation · Choices Matter · Visual Novel

The Wolf Among Us
Shared: Multiple Endings · Choices Matter · Choose Your Own Adventure

The Confession
Shared: Simulation · Choices Matter · Multiple Endings

The Coffin of Andy and Leyley
Shared: Multiple Endings · Psychological · Visual Novel

The Testing Chamber
Shared: Simulation · Choices Matter · Multiple Endings

Road to Empress I
Shared: Choices Matter · Visual Novel · Multiple Endings

The Horrorscope: Fatal Awakening
Shared: Choices Matter · Multiple Endings · Simulation

NEEDY STREAMER OVERLOAD
Shared: Visual Novel · Multiple Endings · Anime

I Was a Teenage Exocolonist
Shared: Choices Matter · Visual Novel · Choose Your Own Adventure

Survive or Thrive
Shared: Simulation · Choices Matter · Multiple Endings

Far Away
Shared: Choices Matter · Visual Novel · Choose Your Own Adventure

Mandate Of Heaven
Shared: Simulation · Visual Novel · Choices Matter

The Life and Suffering of Sir Brante
Shared: Choices Matter · Choose Your Own Adventure · Visual Novel