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Fable Hospital

Mostly Positive · 82 reviews · Simulation · 2025

Fable Hospital

7 of the 12 games like Fable Hospital are rated Very Positive or higher on Steam. 1 of them are free to play. Prices range from $2.99 to $34.99. Released 2021–2026. They notably share the Simulation, Strategy tags.

Naheulbeuk's Dungeon Master

Mostly Positive · 1.3k reviews · Casual · 2023

Like Fable Hospital: Simulation · Management · Sandbox

Mostly Positive · 1.3k
A dungeon in danger ! Build, manage, and defend your tower in the satirical heroic fantasy universe of Dungeon of Naheulbeuk. From a shaky establishment to an infamous lair!
AIBuild your dungeon from shaky start to infamous lair
Casual2023.11.15
$24.99

Inn Tycoon

Mostly Positive · 720 reviews · Casual · 2025

Like Fable Hospital: Medieval · Resource Management · Simulation

Mostly Positive · 720
Welcome to Inn Tycoon! Build, design, and manage your dream inn. Serve delightful meals, offer various services, and hire a stellar staff. Create a top-notch hospitality empire and become the ultimate Inn Tycoon!
AIBuild your dream medieval inn
Casual2025.11.07
$11.99

Potion Tycoon

Mostly Positive · 626 reviews · Simulation · 2024

Like Fable Hospital: Strategy · Management · Simulation

Mostly Positive · 626
Potion Tycoon is a management simulator with a witchy twist! Build and develop your very own magic shop. Manage resources, set up production lines, mix potions and sell them smartly to stay ahead of the competition. Welcome to the potion business!
AIBrew potions, dominate the market
Simulation2024.10.04
$19.99

Indoorlands

Mostly Positive · 235 reviews · Casual · 2022

Like Fable Hospital: Strategy · 3D · Resource Management

Mostly Positive · 235
The indoor park management simulator where you can create your rides and coasters from scratch and freely design your halls. Manage, expand and develop your own park to inspire your guests. Satisfy your visitors' needs by unlocking and researching new buildings, rides, transportation and more!
AIDesign and manage your dream indoor park
Casual2022.10.14
$18.99

Foundation

Very Positive · 22.9k reviews · Indie · 2025

Like Fable Hospital: Medieval · Sandbox · Economy

Very Positive · 22.9k
Foundation is a grid-less, laidback medieval city-building game with a focus on organic development, monument construction and resource management.
AIGrow an organic town
Indie2025.01.31
$34.99

Global Rescue

Very Positive · 1.8k reviews · Simulation · 2026

Like Fable Hospital: Strategy · 3D · Building

Very Positive · 1.8k
Build your own base and take command of firefighting, police, EMS, and SWAT operations. Thanks to real map data, you can play right in your hometown - or anywhere in the world! Manage your fleet, hire staff, and take on a variety of authentic operations. In which city are you taking command?
AICommand emergency services
Simulation2026.04.27
$24.99

Let's Build a Zoo

Very Positive · 3.7k reviews · Simulation · 2021

Like Fable Hospital: Cute · Colorful · Management

Very Positive · 3.7k
It's time to Build a Zoo! Construct and decorate enclosures, buy and breed animals, hire zookeepers and vets... then try your hand at DNA splicing, and stitch together over 300,000 different types of animal. This can only go smoothly...
AIBreed animals and splice DNA for endless species
Simulation2021.11.05
$19.99

Blacksmith Master

Very Positive · 2.5k reviews · Simulation · 2025

Like Fable Hospital: Medieval · Simulation · Strategy

Very Positive · 2.5k
Manage your own medieval smithy in Blacksmith Master and supervise the entire process from mining ores and gems to designing and selling finished products. Forge everything from weapons and armor to tools and cooking utensils to fund your craft and become the Blacksmith Master.
AIForge your way to master smithing
Simulation2025.05.15
$19.99 $9.99

Game Dev Masters

Very Positive · 154 reviews · Casual · 2022

Like Fable Hospital: Economy · Resource Management · Sandbox

Very Positive · 154
It's time to become the Game Developer you always wanted to be. Make use of a large array of features, and player skills to create stunning 10 / 10 games. Compete with and eventually acquire other dynamic Ai Studio's. Raise the talent of your team and studio's in an effort to dominate the market.
AIBuild your gaming empire from the ground up
Casual2022.06.03
$14.99 $2.99

Car Manufacture: Prologue

Very Positive · 318 reviews · Indie · 2023

Like Fable Hospital: Family Friendly · Building · Economy

Very Positive · 318
Build a car factory in the beginning of XX century. Discover new cars and technologies. Manage employees. Make tons of money and stay on top. Car Manufacture: Prologue, being a shortened version of the full game, is a great way to try this automotive tycoon game.
AIBuild a 1900s car factory
Indie2023.09.01
Free

Train World

Mostly Positive · 85 reviews · Simulation · 2023

Like Fable Hospital: 3D · Simulation · Sandbox

Mostly Positive · 85
Become a railroad pioneer in Train World - a railway simulator that spans centuries as you design, manage, and operate your own train network. Start at the dawn of railroad technology and evolve into a complex, modern railway company.
AIBuild a railway across the ages
Simulation2023.07.20
$34.99

News Tower

Very Positive · 4.3k reviews · Simulation · 2025

Like Fable Hospital: Management · Comedy · Resource Management

Very Positive · 4.3k
Develop your newspaper and become New York’s new media mogul! In this tycoon, build and manage your newspaper from printer to toilet. Create your editorial line and lead your journalists through unique 1930's stories and dig out the latest scoops!
AIBecome a newspaper tycoon in 1930s New York
Simulation2025.11.18
$24.99