Heartworm similar games & best alternatives

Heartworm - Trailer
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Heartworm

PC (Microsoft Windows) • 2025

Should you play it?

Pass through the threshold and enter a world born of memories. Defend yourself with a camera while solving death’s mysteries in a reverent evolution of 90’s survival horror, integrating both fixed cameras and over the shoulder perspectives.

What works

  • Strong nostalgic survival horror atmosphere
  • Excellent music and sound design
  • Multiple control and graphics customization options
  • Engaging puzzles and exploration
  • Compelling narrative with multiple endings

Things to keep in mind

  • Combat is easy and simplistic
  • Some bugs and glitches reported
  • Story and voice acting sometimes lack subtlety
  • Large empty areas can feel tedious
  • Lack of difficulty options

What to play next

Top picks

Games that feels the closest overall

  • Enigma of Fear

  • Late Homework | 遅れた宿題

  • GET EVEN

  • Deep Sleep: Labyrinth of the Forsaken

  • Layers of Fear

  • SOMA

More violent

Games that feels like Heartworm but with more combat and destruction

  • Hedon Bloodrite

  • Them and Us

  • Heaven Dust 2

  • Nightmare of Decay

  • Eternal Evil

  • Darkenstein 3D

Less expressive

Games that feels like Heartworm but with less self-expression and customization

  • Numbra

  • The Story of Henry Bishop

  • Born Into Fear

  • Lethe - Episode One

  • PowerSlave Exhumed

  • ColdSide

Choose your own criteria ->

Similarity map

How to compare these games

Compare nearby games

Each card is a nearby game on the similarity map, compared with Heartworm. Swipe sideways to move between games. Titles already listed in What to play next are left out.

  • Cover and title: open that game’s page.
  • What works / keep in mind: the same highlights as the desktop comparison panel.
  • Bars: the main motivational differences versus this game.
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).

Swipe to compare nearby games with Heartworm. These titles are not in What to play next.

Heartworm: A very typical example of its motivational profile. Motivations that often define this kind of title include Survival, Violence, Competition, Thrill. Here, the score leans higher than usual among comparable games on Survival, Thrill. It leans lower than usual among comparable games on Intimacy.

Last update: 21/08/2026