Games like Down and Out
Games like Down and Out include Grand Theft Auto V Legacy, Thief Simulator, Contraband Police, The Forest, and Elite Dangerous. We matched them by the tags players give Down and Out on Steam (Beat 'em up, 3D Fighter, First-Person, Open World, and Action): closest matches first, and among equally close ones the better-known games.

Grand Theft Auto V Legacy
Shared: Open World · Action · First-Person

Thief Simulator
Shared: First-Person · Simulation · Open World

Contraband Police
Shared: Open World · First-Person · Simulation

The Forest
Shared: Open World · First-Person · Action

Elite Dangerous
Shared: Open World · Simulation · VR

Kingdom Come: Deliverance II
Shared: Open World · First-Person · Action

Microsoft Flight Simulator X: Steam Edition
Shared: Open World · Simulation · First-Person

Arma 3
Shared: Action · First-Person · Simulation

Bum Simulator
Shared: Simulation · Action · Open World

Drug Dealer Simulator
Shared: Simulation · Action · Open World

Yakuza Kiwami
Shared: Beat 'em up · Action · Open World

Slime Rancher
Shared: First-Person · Open World · Adventure

BONEWORKS
Shared: VR · Action · First-Person

X-Plane 11
Shared: Simulation · Open World · VR

Far Cry 3
Shared: Open World · Action · First-Person

War Thunder
Shared: Action · VR · Simulation

GORN
Shared: VR · 3D Fighter · Action

Batman™: Arkham Knight
Shared: Open World · Action · Adventure

Far Cry® Primal
Shared: Open World · First-Person · Action

Fallout 4
Shared: Open World · First-Person · Adventure

Forza Horizon 5
Shared: Open World · Simulation · First-Person

Bully: Scholarship Edition
Shared: Open World · Action · Adventure

The Long Dark
Shared: Open World · First-Person · Adventure