I guess theme hospital isn't so niche, but it probably among my age group

Way too many people like these here for you to be lonely.

this girl has a sort of snout for a nose,... so unsettling

Sid Meier's Alpha Centauri Colonization Master of Orion II Age of Empires II

Roller Coaster Tycoon 2 is worth any negative social impact it has on my life.

Oh I love it, but my ultimate favorite is the 1988 DOS gama Life & Death where you had to cirurgically remove the appendix (and there was also brain operation). The graphics were shit of course but the amount of steps on each operation was awesome. You have to cut each layer of skin, remove the apendix, suture each layer back not leting the patient bleed of die. Amazing

Edit: You can play online https://www.myabandonware.com/game/life-death-h6

PLEASE if you are a game designer remaster it!

Trauma Centre on the DS is pretty much that.
Also Surgeon Simulator (and the VR port) but that's more a comedy take of it.
- 🤣🤣🤣🤣Sugeon similator is nothing like this
Holy crap, I had this game and never once successfully completed a surgery. Everyone died.
I was still in elementary school, so it was still fun to goof around.
- Yes it was super dificult! We did it once, years later, following a tutorial lol
I played "The Surgeon". I think it was on Amiga. I had a perfect record. Not one of my patients survived.
I believe you had to put in an aortic graft. I got to that part a few times before they died.

Steam has a 4X sale going on now and the latest Theme Hospital spiritual successor made two spinoffs.

They made a sequel to Evil Genius in 2021.

Whatever interests from the late 20th century you think only you had are almost certainly disappointingly mainstream now.

But hey, keep at it. I'm still holding out hope for EA pulling off a Dungeon Keeper sequel at some point even if it's a PR stunt.

You'll want to check out "Dungeons". I recently played Dungeons 3 and it is basically an improved dungeon keeper except you can go into the overworld too.
- I played them all. They're not the same.
  I'd say that Evil Genius sequel is the closest we've had, honestly.
My wife just picked Black & White (2001) back up. That game has held up better than I’d ever have expected.
- The B&W games feel weirdly... mobile these days. They put a lot of work into that 3D hand interface and it turns out they just ended up stumbling upon a semi-competent touchscreen UX.

Dungeon Keeper.
Pharaoh.
Emperor: rise of the middle kingdom.
Theme Hospital.
Zeus.

Gimme

Theme hospital was great
I sank so many hours into Dungeon Keeper 2. Such a good game.

I love Theme Hospital! I played the crap out of the PS version back then. I miss this type of wholesome humor in games.

Have you played the new Project Hospital (on steam)? Not "new" but current lol
It's pretty good!
- I'm avoiding Steam but I can see it's on GOG as well. Is it humorous or serious? The humour is one aspect that makes me like Theme Hospital.
I liked it too but was never good at it as a kid though I imagine I'd kill it as an adult.
- I knew it existed but only played it when I as already an adult. If you can, give it a shot, I highly recommend it. It's one of those games which can get hectic but in a very relaxing way, it's hard to describe.

OpenTTD.

Civ III is a masterpiece

A handsome young cyborg named Ace
Woo'd women at every base
But when ladies glanced at
His special enhancement
They vanished with nary a trace

Mary had a little lamb,
Little lamb little lamb,
Mary had a little lamb,
whose fleece was white as snow.

For me it's PSOBB on emu servers

Hey fellow hunter!
It's been a while for me but I should hop back on to Ephinea to scratch the old itch

So hot

Traffic giant is the best game ever!

I mean the beauty is there's probably a community or discord for that. A lot of fringe interests tend to have one brave group organizer to keep the conversation going.

Played Aerobiz (SNES) the other day and completely nerded out.

We talking Papa's pizzeria?