Games like Project Hospital
Games like Project Hospital include Cities: Skylines, Cities: Skylines II, Two Point Hospital, Prison Architect, and Planet Zoo. We matched them by the tags players give Project Hospital on Steam (Management, Medical Sim, City Builder, Job Simulator, and Simulation): closest matches first, and among equally close ones the better-known games.

Cities: Skylines
Shared: City Builder · Management · Simulation

Cities: Skylines II
Shared: City Builder · Management · Simulation

Two Point Hospital
Shared: Management · Medical Sim · Simulation

Prison Architect
Shared: Simulation · Management · Sandbox

Planet Zoo
Shared: Management · Simulation · City Builder

Transport Fever 2
Shared: Management · Simulation · City Builder

Manor Lords
Shared: City Builder · Simulation · Management

Let's School
Shared: Management · City Builder · Simulation

Planet Coaster
Shared: Management · Simulation · Sandbox

Jurassic World Evolution
Shared: Management · Simulation · Building

Foundation
Shared: City Builder · Simulation · Management

Kingdoms and Castles
Shared: City Builder · Management · Simulation

Jurassic World Evolution 2
Shared: Management · Simulation · Building

Two Point Museum
Shared: Simulation · City Builder · Management

Tropico 6
Shared: City Builder · Management · Simulation

Automation - The Car Company Tycoon Game
Shared: Management · Simulation · Sandbox

Planet Coaster 2
Shared: Simulation · City Builder · Sandbox

Against the Storm
Shared: City Builder · Simulation · Management

Workers & Resources: Soviet Republic
Shared: City Builder · Simulation · Strategy

Anno 1800
Shared: City Builder · Simulation · Strategy

Two Point Campus
Shared: Management · Simulation · City Builder

Game Dev Tycoon
Shared: Management · Simulation · Strategy

Mad Games Tycoon 2
Shared: Management · Simulation · City Builder

Banished
Shared: City Builder · Simulation · Strategy