Games like Cacophony
Games like Cacophony include Stardew Valley, Plague Inc: Evolved, Two Point Hospital, Football Manager 26, and Totally Accurate Battle Simulator. We matched them by the tags players give Cacophony on Steam (Simulation, Strategy, Sports, Farming Sim, and Action-Adventure): closest matches first, and among equally close ones the better-known games.
Stardew Valley
Shared: Farming Sim · Simulation · Crafting
Plague Inc: Evolved
Shared: Simulation · Strategy · Indie
Two Point Hospital
Shared: Simulation · Strategy · Medical Sim
Football Manager 26
Shared: Simulation · Strategy · Sports
Totally Accurate Battle Simulator
Shared: Simulation · Strategy · Indie
The Escapists
Shared: Strategy · Simulation · Crafting
Real Pool 3D - Poolians
Shared: Sports · Simulation · Strategy
Game Dev Tycoon
Shared: Simulation · Strategy · Indie
Coral Island
Shared: Farming Sim · Simulation · Strategy
This War of Mine
Shared: Strategy · Simulation · Singleplayer
Weedcraft Inc
Shared: Simulation · Strategy · Medical Sim
911 Operator
Shared: Simulation · Strategy · Indie
Potion Craft: Alchemist Simulator
Shared: Simulation · Crafting · Singleplayer
Banished
Shared: Strategy · Simulation · Indie
Mini Motorways
Shared: Simulation · Strategy · Indie
Russian Life Simulator
Shared: Simulation · Strategy · Sports
HighFleet
Shared: Strategy · Indie · Action Roguelike
Motorsport Manager
Shared: Simulation · Strategy · Sports
My Time at Portia
Shared: Simulation · Farming Sim · Crafting
Session: Skate Sim
Shared: Simulation · Sports · Indie
Cities: Skylines
Shared: Simulation · Strategy · Singleplayer
Shovel Knight Dig
Shared: Strategy · Action Roguelike · Action-Adventure
The Escapists 2
Shared: Strategy · Simulation · Crafting
Fields of Mistria
Shared: Farming Sim · Simulation · Cute