Games Like The Infectious Madness of Doctor Dekker (2026)

Shared: tier:aaa, Sanity Mechanic

Hardcore survival that punishes guesswork and rewards obsessive resource tracking, five years of post-launch updates have turned this Amazon sim into one of the genre's most complete packages.

Shared: Sanity Mechanic

Crash a plane, lose your son, then spend 30+ hours building spike traps and slowly losing your mind to cannibals. Solo or with up to 8 friends online, this one earns its Metacritic 83.

Shared: Sanity Mechanic

Surviving alone was already brutal - surviving with friends who make catastrophic decisions is another beast entirely. A deep, unforgiving co-op survival game that rewards patience, preparation, and someone on the team who knows what a Science Machine actually does.

Shared: tier:aaa

Four years in early access forged something genuinely worth your time: a co-op survival builder that starts punishing and ends with you proudly steering a multi-story floating fortress. Solo players, brace for a rough first two hours.

Shared: Multiple Endings

The dating-sim wrapper is bait, and MiSide knows it. What starts as idle chores with an anime girl becomes a genre-hopping psychological horror that two developers built better than most studios manage with a full team.