head to head
Neither is harder. They score identically on all four axes, so the difference between them is in kind, not degree.

Optimization · Pure Optimization
A farm-life sim solved by season routing and profit optimization.

Optimization · Pure Optimization
Comic hospital tycoon optimized by room layouts and staffing.
Stardew Valley leans Optimization (Pure Optimization); Two Point Hospital leans Optimization (Pure Optimization).
Same score on execution - which means the number cannot separate them. The difference is in what each one asks of you.
Stardew Valley
Trivial timing on fishing and combat
Two Point Hospital
no reflex
Same score on reads - which means the number cannot separate them. The difference is in what each one asks of you.
Stardew Valley
No adaptive opponent exists
Two Point Hospital
no adversary
Same score on variance - which means the number cannot separate them. The difference is in what each one asks of you.
Stardew Valley
Crop luck and geode RNG matter modestly
Two Point Hospital
patient illness mix
Same score on optimization - which means the number cannot separate them. The difference is in what each one asks of you.
Stardew Valley
Routing seasons, profit loops, and bundles dominates
Two Point Hospital
room layouts, staffing, training
A matching score does not mean a matching test. Two games can both sit at 10 on execution and demand completely different things of you - which is why the reasoning above matters more than the number beside it.