Games like Desk Pixie
Games like Desk Pixie include Stardew Valley, Chinese Parents, Melvor Idle, My Time at Portia, and Sticky Business. We matched them by the tags players give Desk Pixie on Steam (Casual, Simulation, RPG, Elves, and Wholesome): closest matches first, and among equally close ones the better-known games.

Stardew Valley
Shared: RPG · Simulation · Life Sim

Chinese Parents
Shared: Simulation · Casual · Life Sim

Melvor Idle
Shared: Casual · RPG · Idler

My Time at Portia
Shared: RPG · Simulation · Casual

Sticky Business
Shared: Casual · Simulation · Wholesome

Sword and Fairy Inn 2
Shared: Casual · Simulation · RPG

Volcano Princess
Shared: RPG · Life Sim · Simulation

Hello Kitty Island Adventure
Shared: Simulation · Casual · Life Sim

Chill Pulse
Shared: Casual · Simulation · Idler

Retirement Simulator
Shared: Simulation · RPG · Casual

Maltese's Fluffy Onsen
Shared: Simulation · Casual · Idler

Little Witch in the Woods
Shared: Casual · Simulation · Life Sim

Touhou Mystia's Izakaya
Shared: Casual · Simulation · RPG

Minami Lane
Shared: Casual · Simulation · Life Sim

Wobbledogs
Shared: Simulation · Wholesome · Casual

STORY OF SEASONS: Friends of Mineral Town
Shared: Simulation · Casual · RPG

STORY OF SEASONS: A Wonderful Life
Shared: Casual · Simulation · RPG

MyVoiceZoo
Shared: Casual · Simulation · Idler

Potion Craft: Alchemist Simulator
Shared: Simulation · Casual · RPG

Your Mom
Shared: Simulation · Casual · RPG

Screen Cat
Shared: Casual · Simulation · Idler

The Sims™ 3
Shared: Simulation · Casual · Life Sim

Discounty
Shared: Simulation · Casual · RPG

Hokko Life
Shared: Casual · Simulation · Life Sim