If you liked this
Games like Emergency Room: Disaster Strikes
If you finished Emergency Room: Disaster Strikes, the closest matches are Star Citizen, Inzoi, Kingdom Come: Deliverance II, Forza Horizon 6 and Hytale. All 36 share its simulator genre and are ranked by how closely their themes and modes overlap.
Star Citizen
90
Inzoi
93
Kingdom Come: Deliverance II
90
Forza Horizon 6
80
Hytale
87
The Alters
87
Cairn
74
No Man's Sky
91
Ace Combat 8: Wings of Theve
91
Mewgenics
81
Tomodachi Life: Living the Dream
94
Fire Emblem: Fortune's Weave
90
Pokémon Pokopia
95
Satisfactory
85
Anno 117: Pax Romana
100
RoadCraft
89
Fields of Mistria
92
Abiotic Factor
90
Shapez 2: Factory
86
Timberborn
Totally Accurate Battle Simulator
85
Tony Hawk's Pro Skater 3+4
82
Sid Meier's Civilization VII
92
Dave the Diver: In the Jungle
90
Welcome to Elderfield
89
Raccoin: Coin Pusher Roguelike
80
Pathologic 3
85
Farthest Frontier
95
News Tower
98
Puzzling Places: 3D Jigsaw Sim
80
Escape the Backrooms
82
Skate Story
82
Frostpunk 2
79
PowerWash Simulator 2
86
Wanderstop
76