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Painkiller Overdose

17 Games like Painkiller Overdose on Xbox that you should try

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We filtered the 50 games similar to Painkiller Overdose down to the 17 that fit the “Xbox” category. F.E.A.R. 2: Project Origin, Resident Evil 7 Biohazard and Quake 4 top the list, ranked by affinity and similarity score to Painkiller Overdose.

NextGameLike62/ 100

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GenreShooterSubgenreFPS
Tags
DarkSoloMultiplayer
Year 2007Dev Mindware Studios

Quick answer

Within the “Xbox” category, the closest game to Painkiller Overdose is F.E.A.R. 2: Project Origin — scoring 90/100 on our similarity scale. Resident Evil 7 Biohazard and Quake 4 follow close behind.

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The best games like Painkiller Overdose on Xbox

17 similar games foundUpdated May 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Painkiller Overdose. Each one has been evaluated across 10 real attributes — from combat style and progression mechanics to world structure and visual perspective — so every recommendation is based on how the game actually plays, not just its genre label.

1

F.E.A.R. 2: Project Origin

90
NGL80
F.E.A.R. 2: Project Origin
Closest overall match
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2009Dev Warner Bros. InteractivePlaytime ~4hOn PC · PS · Xbox

It shares the essentials of what Painkiller Overdose does: dark, oppressive atmosphere, ranged combat and horror setting. Both also lean on multiplayer gameplay and a first-person view. What it adds of its own: strong narrative focus.

Genre100Combat100Game mode100Setting100Visuals100Tone85
2

Resident Evil 7 Biohazard

89
NGL89
Resident Evil 7 Biohazard
ShooterFPS
SoloMultiplayerMeleeRangedDarkHorrorFirst Person
Year 2017Dev CapcomPlaytime ~10hOn PC · PS · Xbox

It shares the essentials of what Painkiller Overdose does: dark, oppressive atmosphere, melee combat and horror setting. The common ground extends to a first-person view and single-player focus. It sets itself apart with adventure storytelling and strong narrative focus.

Released 10 years after Painkiller Overdose.

Genre100Combat100Game mode100Setting100Visuals100Tone74
3

Quake 4

88
NGL79
Quake 4
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2005Dev Aspyr Media · Bethesda SoftworksPlaytime ~1hOn PC · Xbox · Apple Macintosh

If Painkiller Overdose worked for you because of dark, oppressive atmosphere, ranged combat and horror setting, the same is here. Both also lean on a first-person view and single-player focus. The distance is in setting — its own ground is a sci-fi setting.

Genre100Combat100Game mode100Visuals100Tone87Setting69
4

F.E.A.R.

88
NGL87
F.E.A.R.
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2005Dev Monolith Productions · Warner Bros. InteractivePlaytime ~2hOn PC · PS · Xbox

It shares the essentials of what Painkiller Overdose does: dark, oppressive atmosphere, ranged combat and horror setting. To that it adds single-player focus and a first-person view. Its own ground is strong narrative focus and a sci-fi setting.

Genre100Combat100Game mode100Visuals100Tone82Setting73
5

Half-Life 2: VR Mod

88
NGL92
Half-Life 2: VR Mod
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2004Dev Valve Software · ValvePlaytime ~7hOn PC · Xbox · Android

If Painkiller Overdose worked for you because of dark, oppressive atmosphere, ranged combat and horror setting, the same is here. Both also lean on multiplayer gameplay and a first-person view. The distance is in setting — its own ground is a sci-fi setting.

Genre100Combat100Game mode100Visuals100Tone77Setting68
6

Singularity

86
NGL85
Singularity
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2010Dev Raven Software · ActivisonPlaytime ~5hOn PC · PS · Xbox

If Painkiller Overdose worked for you because of dark, oppressive atmosphere, ranged combat and horror setting, the same is here. To that it adds single-player focus and a first-person view. They part company on setting: this one brings a sci-fi setting.

Released 3 years after Painkiller Overdose.

Genre100Combat100Game mode100Visuals100Tone75Setting42
7

BioShock 2

86
NGL87
BioShock 2
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2010Dev Feral Interactive · 2K GamesPlaytime ~3hOn PC · PS · Xbox

Held in common with Painkiller Overdose: dark, oppressive atmosphere, ranged combat and horror setting. Both also lean on multiplayer gameplay and a first-person view. The distance is in setting — its own ground is a sci-fi setting.

Released 3 years after Painkiller Overdose.

Genre100Game mode100Visuals100Combat87Tone71Setting65
8

Left 4 Dead 2

84
NGL91
Left 4 Dead 2
Closest on tone
ShooterFPS
MultiplayerSoloRangedMeleeDarkHorrorFirst Person
Year 2009Dev Valve Software · Electronic ArtsPlaytime ~9hOn PC · Xbox · Apple Macintosh

If Painkiller Overdose worked for you because of dark, oppressive atmosphere, ranged combat and horror setting, the same is here. The common ground extends to a first-person view and multiplayer gameplay. Where the two diverge is game mode: co-op play.

Genre100Combat100Tone100Setting100Visuals100Game mode58
9

DOOM 3

84
NGL85
DOOM 3
ShooterFPS
SoloMultiplayerMeleeRangedDarkHorrorFirst Person
Year 2004Dev id Software · Bethesda SoftworksPlaytime ~1hOn PC · PS · Xbox

Held in common with Painkiller Overdose: dark, oppressive atmosphere, melee combat and horror setting. To that it adds multiplayer gameplay and a first-person view. Its own ground is survival mechanics and strong narrative focus.

Genre100Combat100Visuals100Tone81Game mode73Setting73
10

S.T.A.L.K.E.R.: Clear Sky

84
NGL80
S.T.A.L.K.E.R.: Clear Sky
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2008Dev GSC Game WorldPlaytime ~3hOn PC · PS · Xbox

Genre puts it alongside Painkiller Overdose, and so does dark, oppressive atmosphere, ranged combat and horror setting. To that it adds a first-person view and single-player focus. They part company on setting and tone: this one brings strong narrative focus and post-apocalyptic world.

Genre100Game mode100Visuals100Combat78Tone66Setting46
11

S.T.A.L.K.E.R.: Call of Pripyat

83
NGL88
S.T.A.L.K.E.R.: Call of Pripyat
ShooterFPS
SoloMultiplayerRangedMeleeDarkHorrorFirst Person
Year 2009Dev GSC Game WorldPlaytime ~3hOn PC · PS · Xbox

Shelved next to Painkiller Overdose for good reason: dark, oppressive atmosphere, ranged combat and horror setting. Both also lean on single-player focus and a first-person view. The distance is in setting and tone — its own ground is strong narrative focus and post-apocalyptic world.

Genre100Game mode100Visuals100Combat77Tone63Setting40
12

Left 4 Dead

82
NGL90
Left 4 Dead
ShooterFPS
SoloMultiplayerMeleeRangedDarkHorrorFirst Person
Year 2008Dev Valve Software · Electronic ArtsPlaytime ~5hOn PC · Xbox · Apple Macintosh

With Painkiller Overdose it shares dark, oppressive atmosphere, melee combat and horror setting. Both also lean on single-player focus and a first-person view. The distance is in game mode — its own ground is co-op play.

Genre100Combat100Visuals100Tone82Setting71Game mode61
13

World War Z

82
NGL78
World War Z
ShooterFPS
SoloMultiplayerMeleeRangedDarkHorrorFirst Person
Year 2019Dev Saber Interactive · Focus EntertainmentOn PS4 · PC · Xbox

On paper it is what Painkiller Overdose is — dark, oppressive atmosphere, melee combat and horror setting — though the resemblance is mostly at that level. To that it adds a first-person view and single-player focus. They part company on game mode and visuals: this one brings co-op play and a third-person camera.

Released 12 years after Painkiller Overdose.

Genre100Combat100Tone100Setting71Visuals61Game mode54
14

Aliens vs. Predator

82
NGL76
Aliens vs. Predator
ShooterFPS
SoloMultiplayerMeleeRangedDarkHorrorFirst Person
Year 2010Dev SEGAPlaytime ~3hOn PC · PS · Xbox

Its point of contact with Painkiller Overdose is dark, oppressive atmosphere, melee combat and horror setting. Both also lean on a first-person view and single-player focus. The distance is in setting — its own ground is a sci-fi setting.

Released 3 years after Painkiller Overdose.

Genre100Visuals100Combat85Tone84Game mode71Setting68
15

Zombi

81
NGL65
Zombi
ShooterFPS
SoloMultiplayerMeleeDarkHorrorFirst Person
Year 2015Dev Straight RightOn PS4 · PC · Xbox

What brings it close to Painkiller Overdose is dark, oppressive atmosphere, melee combat and horror setting, and the two track each other on genre, game mode and setting. To that it adds multiplayer gameplay and a first-person view. They part company on combat: this one brings adventure storytelling and strong narrative focus.

Released 8 years after Painkiller Overdose.

Genre100Game mode100Setting100Visuals100Tone92Combat57

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Explore games similar to Painkiller Overdose by category

If Painkiller Overdose left you wanting more, this is where you narrow it down. Was it the horror or the dark that hooked you? There is a list of just that. And if you play on PC, PlayStation, Xbox and Mobile, filter by platform and skip the games you could not play anyway.

Rankings in the same genre

Sometimes what you want is not a Painkiller Overdose look-alike but simply the best FPS Games there are. That is what these rankings are for: no comparison to anything, just the highest-rated games. And if you feel like widening the net, the Shooter Games ranking is a good way to run into something you were not expecting.