Smile More similar games & best alternatives

Smile More

PC (Microsoft Windows), Mac • 2026

Should you play it?

A short medical simulation horror game with multiple endings where the imperfect are made HAPPY. Perform tasks and operations on sedated patients to fix their defects before submitting your files to the Ministry of Happiness & Peace!

What works
  • Unique dystopian body horror concept
  • Strong atmospheric sound and art design
  • Multiple endings and secrets for replayability
  • Free to play with good production quality
  • Engaging narrative and voice acting
Things to keep in mind
  • Short game length
  • Clunky controls and hitbox issues
  • Frustrating hacking minigame
  • Limited content and patient variety
  • Lack of localization beyond english

What to play next

Top picks

Games that feel the closest overall

  • Lunacid - Tears of the Moon

  • Break a Leg

  • The Designer's Curse

  • Blind Fate: Edo no Yami — Dojo

  • PAPERHEAD EP.0

  • Shrine II

  • The Darkest Tales — Into the Nightmare

  • Jigoku Kisetsukan: Sense of the Seasons

  • DEAD LETTER DEPT.

Hidden Gems

Less popular games with surprisingly high similarity

  • Cheese Game

  • Yasuke Simulator

  • Dichotomy Illusion: The Coser Disassembly Incident

If you liked…

Recommendations by what you enjoyed most

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Similarity map

Explore nearby similar games and see why they’re close.

How to use the graph
Similarity map

Each dot is a game. They are arranged from the same motivation profile as in the “Why this game works” section below. Closer dots usually mean more similar reasons to play (exploration, competition, relaxation, etc.)—not that one game is “better” than another.

  • Purple star: this page’s game — everything on the map is relative to it.
  • Coloured chips: click to highlight games that mainly differ on that motivation; click again to reset.
  • Dotted line: link between this page’s game and the one selected for comparison.
  • Hover a dot for a screenshot preview, score, and top score gaps; click to compare in the panel on the right.
  • Scroll or double-click the chart to zoom out and see more games.

Why don’t the axes read like a score? This view uses t-SNE: it only keeps who is close to whom. The scales are not “good to bad” or hours played—they separate groups on the map. Read distance between dots, not the axis numbers (hidden on purpose).

Smile More: A very typical example of its motivational profile. Motivations that often define this kind of title include Expression, Fellowship, Cooperation, Status. Here, the score leans higher than usual among comparable games on Expression, Violence, Value.

Why this game works

A motivational profile of the game, with the closest similar game for each player motivation.

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  • Domination

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  • Escapism

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    "Players engage voluntarily driven by curiosity and intrinsic interest in the story and experience."

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  • Experimenting

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    "Exploration of multiple endings and secrets encourages trying new approaches and discovery."

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    "Multiple endings, secret codes, and different patient treatments encourage trying new strategies and exploration."

  • Exploration

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    "Players discover lore and hidden elements, encouraging curiosity beyond basic gameplay."

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  • Expression

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    "Limited self-expression through naming patients and choosing play style; minimal avatar or environment customization."

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    "Customizing patients' facial expressions and body parts allows some degree of self-expression within game mechanics."

  • Fantasy

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  • Fellowship

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  • Growth

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  • Health

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  • Idle

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  • Progression

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  • Relaxation

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    "Atmosphere is tense and unsettling rather than relaxing; players experience suspense and psychological strain."

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  • Sensation

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  • Status

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  • Story

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  • Strategy

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    "Requires planning and problem solving in surgical procedures and hacking minigames, though not deeply complex."

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  • Violence

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  • Survival

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Last update: 10/07/2026