Lost in Vivo similar games & best alternatives

Lost in Vivo

PC (Microsoft Windows) • 2018

Should you play it?

A horror game about claustrophobia. During a storm your service dog is forced down a broken sewer drain. You find the nearest sewer entrance and run in after it. Along the way you will meet others that are also stricken by abnormal or psychological fear.

What works

  • Intense and immersive horror atmosphere
  • Excellent sound design and soundtrack
  • Creative enemy and level design
  • Multiple endings and secret content
  • Affordable price with good value

Things to keep in mind

  • Clunky and simplistic combat
  • Some technical issues and bugs
  • Short game length
  • Puzzle clarity and level design inconsistencies
  • Lack of controller/menu support on some platforms

What to play next

Top picks

Games that feels the closest overall

  • ROUTINE

  • Dark Fracture: Prologue

  • The Designer's Curse

  • Palmyra Orphanage

  • Apartament 1406: Horror

  • Suite 776

Less violent

Games that feels like Lost in Vivo but with less combat and destruction

  • Understanding, The Game

  • Amnesia: The Dark Descent

  • Penumbra: Black Plague Gold Edition

  • Shadow Corridor

  • The Heilwald Loophole

  • Penumbra Overture

Less value-seeking

Games that feels like Lost in Vivo but with less emphasis on value for time or money

  • Welcome to Kowloon

  • Project Nightmares Case 36: Henrietta Kedward

  • THRESHOLD

  • Doorways: Holy Mountains of Flesh

  • The Pony Factory

  • Infliction

Choose your own criteria ->

Similarity map

How to use the graph

Similarity map

Each dot is a game placed from its motivation profile relative to this page’s game. Direction shows which motivation differs most; distance along that axis shows how large the gap is.

  • Purple star: this page’s game at the centre — everything is relative to it.
  • Direction: each axis is a main motivational difference vs this game (e.g. more / less competitive).
  • Distance on an axis: how large that difference is (ring scales show +/− points).
  • 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 to preview that game in the panel on the right; click to keep that comparison.
  • Scroll or double-click the chart to zoom.

How to read the map This is a polar difference map: direction = which motivation differs, and distance = how much (same units as the sidebar deltas).

Lost in Vivo: A very typical example of its motivational profile. Motivations that often define this kind of title include Expression, Fellowship, Cooperation, Leadership. Here, the score leans higher than usual among comparable games on Violence. It leans lower than usual among comparable games on Relaxation, Expression.

Last update: 03/08/2026