Games like Altruistic
Games like Altruistic include Stardew Valley, WorldBox - God Simulator, Papers, Please, Fields of Mistria, and The Binding of Isaac: Rebirth. We matched them by the tags players give Altruistic on Steam (Simulation, Sports, God Game, Farming Sim, and Action Roguelike): closest matches first, and among equally close ones the better-known games.
Stardew Valley
Shared: Farming Sim · Pixel Graphics · Simulation
WorldBox - God Simulator
Shared: Simulation · God Game · Pixel Graphics
Papers, Please
Shared: Simulation · Pixel Graphics · Indie
Fields of Mistria
Shared: Farming Sim · Simulation · Pixel Graphics
The Binding of Isaac: Rebirth
Shared: Action Roguelike · Pixel Graphics · Indie
Vampire Survivors
Shared: Action Roguelike · Pixel Graphics · Indie
Session: Skate Sim
Shared: Sports · Simulation · Indie
Graveyard Keeper
Shared: Simulation · Pixel Graphics · Indie
Skul: The Hero Slayer
Shared: Action Roguelike · Pixel Graphics · Indie
Simmiland
Shared: Simulation · God Game · Pixel Graphics
Mountain
Shared: Simulation · God Game · Indie
Atomicrops
Shared: Farming Sim · Action Roguelike · Pixel Graphics
Sun Haven
Shared: Farming Sim · Pixel Graphics · Simulation
Teamfight Manager
Shared: Simulation · Sports · Pixel Graphics
DAVE THE DIVER
Shared: Pixel Graphics · Simulation · Farming Sim
EA SPORTS FC™ 25
Shared: Sports · Simulation · Singleplayer
Touhou Mystia's Izakaya
Shared: Simulation · Pixel Graphics · Anime
PIPE by BMX Streets
Shared: Simulation · Sports · Indie
Farming Simulator 19
Shared: Simulation · Farming Sim · Singleplayer
Teamfight Manager 2
Shared: Simulation · Sports · Pixel Graphics
Assetto Corsa
Shared: Simulation · Sports · Singleplayer
Ages of Conflict: World War Simulator
Shared: Simulation · God Game · Artificial Intelligence
EA SPORTS FC™ 26
Shared: Sports · Simulation · Singleplayer
Reus
Shared: God Game · Simulation · Indie