Games like Carth
Games like Carth include ARK: Survival Evolved, Rust, Valheim, Raft, and Terraria. We matched them by the tags players give Carth on Steam (Open World Survival Craft, Base Building, Realistic, Dark Fantasy, and Crafting): closest matches first, and among equally close ones the better-known games.

ARK: Survival Evolved
Shared: Open World Survival Craft · Crafting · Base Building

Rust
Shared: Open World Survival Craft · Crafting · Building

Valheim
Shared: Open World Survival Craft · Base Building · Crafting

Raft
Shared: Open World Survival Craft · Crafting · Base Building

Terraria
Shared: Open World Survival Craft · Crafting · Sandbox

Dune: Awakening
Shared: Open World Survival Craft · Base Building · Crafting

The Forest
Shared: Open World Survival Craft · Crafting · Building

ARK: Survival Ascended
Shared: Base Building · Crafting · Building

Once Human
Shared: Open World Survival Craft · Base Building · Crafting

Satisfactory
Shared: Base Building · Crafting · Open World Survival Craft

ICARUS
Shared: Open World Survival Craft · Base Building · Crafting

Medieval Dynasty
Shared: Crafting · Building · Base Building

Palworld
Shared: Open World Survival Craft · Crafting · Base Building

Reign Of Kings
Shared: Open World Survival Craft · Crafting · Medieval

V Rising
Shared: Base Building · Crafting · Building

Conan Exiles Enhanced
Shared: Open World Survival Craft · Crafting · Building

Soulmask
Shared: Open World Survival Craft · Base Building · Crafting

The Front
Shared: Open World Survival Craft · Base Building · Crafting

Pax Dei
Shared: Base Building · Crafting · Medieval

SCUM
Shared: Open World Survival Craft · Crafting · Realistic

Mount & Blade II: Bannerlord
Shared: Medieval · Strategy · Sandbox

The Infected
Shared: Open World Survival Craft · Base Building · Crafting

Project Zomboid
Shared: Open World Survival Craft · Crafting · Sandbox

Deadside
Shared: Open World Survival Craft · Crafting · Base Building