Games like Theme Hospital on Xbox
3 of the 5 modern alternatives to Theme Hospital (1997) run on Xbox. The cheapest is Big Pharma at € 24,50. One is made by independent developers.
Xbox has the strongest backwards-compatibility programme of any console, so a large number of original Xbox and Xbox 360 games run natively on current hardware. Add Game Pass and the steady stream of retro-styled indies and the coverage is broad.
Prices, platform availability and Steam Deck compatibility can change at any time. Always check the store page before buying.
Big Pharma Indie
€ 24,50Design and manufacture medicines on a factory line, then price them, from the same era of British management sims.
Big Pharma runs on PC, Mac, Linux, PlayStation, Xbox, Switch. Not available on iPhone, iPad, Android phone, Android tablet. It is Steam Deck Playable.
Two Point Hospital
€ 34,99The official spiritual successor by ex-Bullfrog staff, on every major platform.
Two Point Hospital is also an alternative to 1 other classic
Two Point Hospital runs on PC, Mac, Linux, PlayStation, Xbox, Switch. Not available on iPhone, iPad, Android phone, Android tablet. It is Steam Deck Verified.
Two Point Museum
€ 29,99The same team's newest management sim, swapping wards for exhibits but keeping the humour and staff juggling.
Two Point Museum runs on PC, Mac, Linux, PlayStation, Xbox. Not available on iPhone, iPad, Android phone, Android tablet, Switch. It is Steam Deck Verified.
Not on Xbox
These alternatives to Theme Hospital are listed on the main page, but do not run on Xbox:
All 5 games like Theme Hospital