The Monstrous Horror Show

Pixel-art horror adventure about four girls trying to escape a hospital

kaniheadcrab · Published by OTAKU Plan · Released Apr 21, 2023

Reviews: Very Positive; 89% of 306
Recent reviews: Not enough recent
Players: 1; daily peak, Oct 28, 2026
Steam Deck: Playable
Last update on Steam: 3 years ago; Apr 23, 2023
Minimum PC: DirectX 10 GPU; 8 GB RAM · 1 GB disk; Full requirements

What is The Monstrous Horror Show?

A side-scrolling horror adventure with RPG elements about four girls who enter an abandoned hospital for different reasons. Across their connected stories, you search for items, solve puzzles, and flee or confront monsters while trying to escape.

For you if...

+you enjoy searching for items and solving puzzles
+you like character-focused stories with multiple endings

Not for you if...

−you want to avoid sexual content and nudity

What players say

89% of 306 reviews are positive

Players praise the story, character writing, humor, and English translation. Several note that some adult scenes require an external patch.

Screenshots and trailer

The Monstrous Horror Show system requirements

Minimum: DirectX 10 GPU, 8 GB RAM, 1 GB of disk space.

As published by the developer.

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Minimum

OS: 7 / 8 / 8.1 / 10
Processor: 3+ GHz Processor
Graphics: DirectX 10/OpenGL 4.1 capable GPU
Memory: 8 GB RAM
Storage: 1 GB available space
DirectX: Version 10

Does The Monstrous Horror Show have co-op or multiplayer?

No: single-player only, no multiplayer modes declared.

Single-player

Does The Monstrous Horror Show run on Steam Deck?

Playable Playable: it runs on Steam Deck with some adjustments.

Sometimes shows mouse, keyboard or non-Deck controller icons
All functionality is accessible with the default controller configuration
In-game text is legible on Steam Deck
Default graphics settings perform well on Steam Deck

PC version details

DRM: None declared on Steam
Controller: Keyboard and mouse
Platforms: Windows
Steam features: Cloud saves, Family Sharing
Languages: Text only: Japanese, English, Simplified Chinese.

Does The Monstrous Horror Show use AI-generated content?

No AI-generated content is disclosed on the game's Steam page.

Self-reported by the developer under Steam rules: it covers AI content that ships in the game, not tools used to make it. Steam page checked on Oct 27, 2026. How to filter AI games on Steam