diff --git a/pkgs/games/corsix-th/darwin-cmake-no-fixup-bundle.patch b/pkgs/games/corsix-th/darwin-cmake-no-fixup-bundle.patch
new file mode 100644
index 000000000000..170554ce9f2f
--- /dev/null
+++ b/pkgs/games/corsix-th/darwin-cmake-no-fixup-bundle.patch
@@ -0,0 +1,12 @@
+diff --git a/CorsixTH/CMakeLists.txt b/CorsixTH/CMakeLists.txt
+index 85856df3..f0f08277 100644
+--- a/CorsixTH/CMakeLists.txt
++++ b/CorsixTH/CMakeLists.txt
+@@ -293,7 +293,6 @@ if(NOT USE_SOURCE_DATADIRS)
+     install(CODE "
+       INCLUDE(BundleUtilities)
+       SET(BU_CHMOD_BUNDLE_ITEMS ON)
+-      FIXUP_BUNDLE(\"${CMAKE_INSTALL_PREFIX}/CorsixTH.app\" \"\" \"\")
+       ")
+     if(WITH_LUAROCKS)
+       install(CODE "execute_process(
diff --git a/pkgs/games/corsix-th/default.nix b/pkgs/games/corsix-th/default.nix
index 240992406b2f..f55a9a20b328 100644
--- a/pkgs/games/corsix-th/default.nix
+++ b/pkgs/games/corsix-th/default.nix
@@ -10,9 +10,15 @@
 , SDL2
 , SDL2_mixer
 , timidity
+# Darwin dependencies
+, libiconv
+, Cocoa
+, CoreVideo
+# Update
+, nix-update-script
 }:
 
-stdenv.mkDerivation (finalAttrs: {
+stdenv.mkDerivation(finalAttrs: {
   pname = "corsix-th";
   version = "0.67";
 
@@ -23,23 +29,50 @@ stdenv.mkDerivation (finalAttrs: {
     hash = "sha256-WA/VJqHXzBfVUBNtxCVsGBRzSRQ0pvDvAy03ntc0KZE=";
   };
 
-  luaEnv = lua.withPackages(p: with p; [ luafilesystem lpeg luasec luasocket ]);
+  patches = [
+    ./darwin-cmake-no-fixup-bundle.patch
+  ];
+
   nativeBuildInputs = [ cmake doxygen makeWrapper ];
-  buildInputs = [ ffmpeg freetype lua finalAttrs.luaEnv SDL2 SDL2_mixer timidity ];
+
+  buildInputs = let
+    luaEnv = lua.withPackages(p: with p; [ luafilesystem lpeg luasec luasocket ]);
+  in [
+    ffmpeg
+    freetype
+    lua
+    luaEnv
+    SDL2
+    SDL2_mixer
+    timidity
+  ] ++ lib.optionals stdenv.isDarwin [
+    libiconv
+    Cocoa
+    CoreVideo
+  ];
+
   cmakeFlags = [ "-Wno-dev" ];
 
-  postInstall = ''
+  postInstall = lib.optionalString stdenv.isLinux ''
     wrapProgram $out/bin/corsix-th \
     --set LUA_PATH "$LUA_PATH" \
     --set LUA_CPATH "$LUA_CPATH"
+  '' + lib.optionalString stdenv.isDarwin ''
+    mkdir -p $out/Applications
+    mv $out/CorsixTH.app $out/Applications
+    wrapProgram $out/Applications/CorsixTH.app/Contents/MacOS/CorsixTH \
+      --set LUA_PATH "$LUA_PATH" \
+      --set LUA_CPATH "$LUA_CPATH"
   '';
 
+  passthru.updateScript = nix-update-script { };
+
   meta = with lib; {
     description = "Reimplementation of the 1997 Bullfrog business sim Theme Hospital";
     mainProgram = "corsix-th";
     homepage = "https://corsixth.com/";
     license = licenses.mit;
-    maintainers = with maintainers; [ hughobrien ];
-    platforms = platforms.linux;
+    maintainers = with maintainers; [ hughobrien matteopacini ];
+    platforms = platforms.linux ++ platforms.darwin;
   };
 })
diff --git a/pkgs/top-level/all-packages.nix b/pkgs/top-level/all-packages.nix
index 4514a7077dd9..c647eb480c56 100644
--- a/pkgs/top-level/all-packages.nix
+++ b/pkgs/top-level/all-packages.nix
@@ -36200,7 +36200,9 @@ with pkgs;
 
   colobot = callPackage ../games/colobot { };
 
-  corsix-th = callPackage ../games/corsix-th { };
+  corsix-th = callPackage ../games/corsix-th {
+    inherit (darwin.apple_sdk.frameworks) Cocoa CoreVideo;
+  };
 
   enigma = callPackage ../games/enigma { };