59%Good matchHospital 666
72%1k72% positive reviews, Mostly Positive across 1k reviews·Horror · Psychological Horror
—







You are a former patient of an abandoned asylum, waking up on the 50th floor. To escape, descend all the floors by detecting anomalies using your observation and memory. Correct choices reduce the remaining floors, but mistakes are unforgivable. Can you escape?
Story: You are a former patient of an abandoned asylum. You wake up on the fiftieth floor of this strange environment. Your goal is to descend all the floors to reach the exit door and escape. As a former patient, you suffer from hallucinations. You will need to use your sense of observation and memory to detect anomalies. Objective: If you are hallucinating, take the staircase marked by a bloody handprint. If you are not hallucinating, take the other staircase. If your judgment is correct, the number of floors to descend will decrease, but any mistake will be unforgiving. Will you be able to help this former asylum patient escape this sinister place? Other: There are 50 floors and 50 anomalies. This game can be played solo or with two players. You have a checkpoint after passing 25 floors.
Steam data © 2026 Valve Corporation. Trademarks are property of their respective owners.
All matches
Finding similar games…
Hospital 666Shares First-Person · Psychological Horror · Realistic , adds Horror72% · 1k positive reviews59%Good match—
Escape From MonsterShares Survival · First-Person · Community tag: Online Co-Op , adds Survival Horror71% · 207 positive reviews57%Good match—
Last FloorShares Survival · First-Person · Psychological Horror , adds Survival Horror71% · 292 positive reviews57%Good match—
Who's at the door?Shares First-Person · Psychological Horror · Realistic , adds Walking Simulator90% · 2k positive reviews57%Good match—
Anomaly ExitShares First-Person · Psychological Horror · Community tag: Online Co-Op , adds Hidden Object90% · 1k positive reviews55%Good match—
Asylum: Patient ZeroShares First-Person · Dark , adds Puzzle76% · 269 positive reviews55%Good match—All matches
The best games like 50 Floors of Madness are Hospital 666, Escape From Monster, Last Floor, Who's at the door?, and Anomaly Exit.
Match on: filter matches for 50 Floors of Madness by tag