Games like Ball Scratch Simulator - Love at First Itch
Games like Ball Scratch Simulator - Love at First Itch include Date Everything!, Love Is All Around, LoveChoice, Emily is Away <3, and Emily is Away Too. We matched them by the tags players give Ball Scratch Simulator - Love at First Itch on Steam (Simulation, Comedy, Singleplayer, Cartoony, and Dating Sim): closest matches first, and among equally close ones the better-known games.

Date Everything!
Shared: Simulation · Dating Sim · Singleplayer

Love Is All Around
Shared: Dating Sim · Singleplayer · Romance

LoveChoice
Shared: Dating Sim · Romance · Choices Matter

Emily is Away <3
Shared: Simulation · Dating Sim · Choices Matter

Emily is Away Too
Shared: Simulation · Indie · Dating Sim

Volcano Princess
Shared: Simulation · Dating Sim · Choices Matter

Monster Prom
Shared: Comedy · Dating Sim · Simulation

Hatoful Boyfriend
Shared: Dating Sim · Comedy · Visual Novel

Undertale
Shared: Singleplayer · Choices Matter · Multiple Endings

Dream Daddy: A Dad Dating Simulator
Shared: Dating Sim · Simulation · Romance

Knowledge, or know Lady
Shared: Dating Sim · Singleplayer · Romance

Gaokao.Love.100Days
Shared: Dating Sim · Simulation · Romance

Lucy -The Eternity She Wished For-
Shared: Dating Sim · Singleplayer · Romance

Tricolour Lovestory
Shared: Dating Sim · Simulation · Visual Novel

Dispatch
Shared: Singleplayer · Choices Matter · Comedy

Papers, Please
Shared: Simulation · Indie · Singleplayer

Monster Prom 2: Monster Camp
Shared: Comedy · Dating Sim · Indie

鬼谷八荒 Tale of Immortal
Shared: Simulation · Singleplayer · Dating Sim

CLANNAD
Shared: Romance · Singleplayer · Dating Sim

The Sims™ 4
Shared: Simulation · Singleplayer · Romance

Our Life: Beginnings & Always
Shared: Romance · Dating Sim · Visual Novel

Senren * Banka
Shared: Dating Sim · Visual Novel · Romance

Slay the Princess — The Pristine Cut
Shared: Choices Matter · Visual Novel · Romance

Two Point Hospital
Shared: Simulation · Singleplayer · Comedy