Games like A Piano Tale
Games like A Piano Tale include Magical Girl Witch Trials, Volcano Princess, The Hungry Lamb: Traveling in the Late Ming Dynasty, Road to Empress I, and Far Away. We matched them by the tags players give A Piano Tale on Steam (Visual Novel, Rhythm, Cartoony, Point & Click, and Female Protagonist): closest matches first, and among equally close ones the better-known games.

Magical Girl Witch Trials
Shared: Visual Novel · Female Protagonist · Cute

Volcano Princess
Shared: Female Protagonist · Visual Novel · Choices Matter

The Hungry Lamb: Traveling in the Late Ming Dynasty
Shared: Visual Novel · Historical · Multiple Endings

Road to Empress I
Shared: Visual Novel · Female Protagonist · Choices Matter

Far Away
Shared: Visual Novel · Female Protagonist · Choices Matter

Slay the Princess — The Pristine Cut
Shared: Visual Novel · Choices Matter · Point & Click

Yunyun Syndrome!? Rhythm Psychosis
Shared: Rhythm · Visual Novel · Cute

LoveChoice
Shared: Visual Novel · Choices Matter · Cute

No Case Should Remain Unsolved
Shared: Visual Novel · Point & Click · Female Protagonist

The Coffin of Andy and Leyley
Shared: Visual Novel · Multiple Endings · Choices Matter

Little Misfortune
Shared: Point & Click · Female Protagonist · Choices Matter

VA-11 Hall-A: Cyberpunk Bartender Action
Shared: Visual Novel · Female Protagonist · Point & Click

NEEDY STREAMER OVERLOAD
Shared: Visual Novel · Cute · Multiple Endings

The Wolf Among Us
Shared: Visual Novel · Choices Matter · Point & Click

UNBEATABLE
Shared: Rhythm · Female Protagonist · Visual Novel

one night, hot springs
Shared: Visual Novel · Female Protagonist · Cute

ATRI -My Dear Moments-
Shared: Visual Novel · Cute · Story Rich

Florence
Shared: Cute · Female Protagonist · Visual Novel

Magical Princess
Shared: Female Protagonist · Visual Novel · Choices Matter

Muse Dash
Shared: Rhythm · Cute · Female Protagonist

Agatha Christie - The ABC Murders
Shared: Visual Novel · Point & Click · Hidden Object

a new life.
Shared: Visual Novel · Female Protagonist · Cute

Mesmalie
Shared: Visual Novel · Point & Click · Cartoony

Mirror 2: Project X
Shared: Visual Novel · Female Protagonist · Multiple Endings