71%Strong matchCORPUS EDAX
76%21376% positive reviews, Mostly Positive across 213 reviews·Immersive Sim · First-Person
—







A dystopian simulator where your choices shape a decaying city. Join other players to protect the metropolis from ruin, hasten its downfall, or simply work in the factories. With no set goals or rules, every action has consequences in a world teetering on the brink.
Enter ANEURISM IV, a sprawling metropolis where the proletariat works without question and the air is thick with decay. As a Spirit—a spectral entity on the verge of becoming flesh and bone—you stand at a crossroads. The city is yours to influence, disrupt, or simply observe. With no set goals or rules, how you engage with this world is entirely up to you.

From the hardworking Prole to the affluent Banker, each fate offers unique abilities, challenges, and ways to interact with the city and its inhabitants. Your choice defines your journey:

An ever-present threat, the Rot visibly alters the city as it spreads. Roles like Liquidators and Scumbags are pivotal in either containing or exploiting this menace. If left unchecked, the Rot will consume everything, leading to the city's demise.

ANEURISM IV is a sandbox simulator first and foremost. The city reacts dynamically to player actions:

Survival depends on your willingness to work. Earn credits by taking on various jobs—labour in factories, manage resources as a Prole, or manipulate finances as a Banker. These credits are your lifeline, allowing you to purchase necessities from shops, trade for valuable goods, or invest in property.
In ANEURISM IV, there are no rules dictating your actions. Every decision you make impacts the city and its inhabitants. Will you bring stability or chaos? The choice is yours.

Steam data © 2026 Valve Corporation. Trademarks are property of their respective owners.
All matches
Finding similar games…
CORPUS EDAXShares Dystopian · Immersive Sim · Dark Humor , adds First-Person76% · 213 positive reviews71%Strong match—
KenshiShares Crafting · Sandbox · Survival , adds Open World96% · 117k positive reviews70%Strong match—
It's Only MoneyShares Immersive Sim · Life Sim · Sandbox , adds Funny81% · 457 positive reviews68%Strong match—
Anarchy: Wolf's lawShares Crafting · PvP · FPS , adds Realistic77% · 821 positive reviews71%Strong match—
Abiotic FactorShares Immersive Sim · Crafting · Sandbox , adds Open World Survival Craft96% · 59k positive reviews66%Strong match—
Survivalist: Invisible StrainShares Crafting · Survival · Online Co-Op , adds Open World Survival Craft87% · 2k positive reviews70%Strong match—All matches
The best games like ANEURISM IV are CORPUS EDAX, Kenshi, It's Only Money, Anarchy: Wolf's law, and Abiotic Factor.
Match on: filter matches for ANEURISM IV by tag
Filters all matches
65%+Strong matches
50%+Good matches