Games like Earthtongue
Games like Earthtongue include Stardew Valley, Potion Craft: Alchemist Simulator, Graveyard Keeper, 鬼谷八荒 Tale of Immortal, and WorldBox - God Simulator. We matched them by the tags players give Earthtongue on Steam (Simulation, Indie, Nature, Sandbox, and 2D): closest matches first, and among equally close ones the better-known games.

Stardew Valley
Shared: Simulation · Pixel Graphics · Relaxing

Potion Craft: Alchemist Simulator
Shared: Simulation · Relaxing · Indie

Graveyard Keeper
Shared: Simulation · Pixel Graphics · Sandbox

鬼谷八荒 Tale of Immortal
Shared: Simulation · Sandbox · Singleplayer

WorldBox - God Simulator
Shared: Simulation · Sandbox · Pixel Graphics

Game Dev Tycoon
Shared: Simulation · Indie · Management

People Playground
Shared: Sandbox · Simulation · 2D

Reus
Shared: Indie · Simulation · Sandbox

Equilinox
Shared: Simulation · Indie · Sandbox

Planet Zoo
Shared: Simulation · Sandbox · Nature

Papers, Please
Shared: Simulation · Indie · Pixel Graphics

Mountain
Shared: Simulation · Indie · Relaxing

Sand:box
Shared: Simulation · Sandbox · 2D

DAVE THE DIVER
Shared: Pixel Graphics · Relaxing · Management

Planet Coaster
Shared: Simulation · Sandbox · Relaxing

House Flipper
Shared: Simulation · Sandbox · Singleplayer

Terraria
Shared: Sandbox · 2D · Pixel Graphics

Project Highrise
Shared: Simulation · 2D · Management

Oxygen Not Included
Shared: Simulation · 2D · Sandbox

Game Corp DX
Shared: Simulation · Indie · 2D

The Escapists
Shared: Simulation · Pixel Graphics · Indie

Totally Accurate Battle Simulator
Shared: Simulation · Sandbox · Indie

Banished
Shared: Simulation · Indie · Sandbox

Cities: Skylines II
Shared: Simulation · Sandbox · Singleplayer