Games like Autumn Rail
Games like Autumn Rail include Tiny Bunny, Sally Face - Episode One, SILENT HILL 2, Detention, and SILENT HILL f. We matched them by the tags players give Autumn Rail on Steam (Visual Novel, Survival Horror, Atmospheric, Adventure, and Female Protagonist): closest matches first, and among equally close ones the better-known games.

Tiny Bunny
Shared: Visual Novel · Atmospheric · Horror

Sally Face - Episode One
Shared: Psychological Horror · Story Rich · Adventure

SILENT HILL 2
Shared: Survival Horror · Atmospheric · Horror

Detention
Shared: Atmospheric · Horror · Adventure

SILENT HILL f
Shared: Survival Horror · Female Protagonist · Horror

Firework
Shared: Horror · Atmospheric · Visual Novel

Raging Loop
Shared: Visual Novel · Adventure · Psychological Horror

FATAL FRAME / PROJECT ZERO: Maiden of Black Water
Shared: Female Protagonist · Horror · Sexual Content

SOMA
Shared: Atmospheric · Horror · Survival Horror

What Remains of Edith Finch
Shared: Atmospheric · Story Rich · Adventure

Little Nightmares
Shared: Atmospheric · Adventure · Horror

MiSide
Shared: Psychological Horror · Sexual Content · Horror

The Medium
Shared: Adventure · Atmospheric · Female Protagonist

Outlast
Shared: Survival Horror · Atmospheric · Horror

Darkwood
Shared: Survival Horror · Adventure · Horror

Outlast 2
Shared: Survival Horror · Horror · Psychological Horror

Poppy Playtime
Shared: Survival Horror · Horror · Psychological Horror

Oxenfree
Shared: Atmospheric · Female Protagonist · Story Rich

The Coma 2: Vicious Sisters
Shared: Adventure · Survival Horror · Horror

Hellblade: Senua's Sacrifice
Shared: Atmospheric · Female Protagonist · Adventure

Danganronpa V3: Killing Harmony
Shared: Visual Novel · Female Protagonist · Story Rich

Tales of the Black Forest
Shared: Adventure · Horror · Visual Novel

SIGNALIS
Shared: Survival Horror · Atmospheric · Female Protagonist

Resident Evil Village
Shared: Survival Horror · Horror · Sexual Content