62		Killbot: Dead Zone (Windows, 2016)
61		Facewound (Windows, 2008)
61		Virus Z (Windows, 2017)
61		Au Sable (Windows, 2009)
60		Curse: The Eye of Isis (Windows, 2003)
60		Lovecraft Game (Windows, 2008)
55		Soldier Vs Aliens (Windows, 2013)
51		NecroVisioN: Lost Company (Windows, 2009)
51		Resident Evil 2 (Windows, 1998)
50		Evil Dead: Regeneration (Windows, 2005)
50		Resident Evil 3: Nemesis (Windows, 2001)
50		Martian Gothic: Unification (Windows, 2000)
50		Evil Dead: Hail to the King (Windows, 2001)
50		BloodRayne (Windows, 2003)
50		BloodRayne 2 (Windows, 2005)
50		Nombz: Night of a Million Billion Zombies (Windows, 2008)

Notes: Games similar to Twisty's Asylum Escapades, Games like Twisty's Asylum Escapades, Twisted Jenius, Twisted Jenius, Windows, Action, Shooter, Horror, 3rd-person, Other, Torque Game Engine Advanced, Mental facility, Asylum, PC, Game Similarities.