Games like Fallout 4 - Creations
Games like Fallout 4 - Creations include Outlast 2, Outlast, Amnesia: The Dark Descent, Getting Over It with Bennett Foddy, and SOMA. We matched them by the tags players give Fallout 4 - Creations on Steam (Psychological Horror, Horror, Dark Humor, Memes, and Dystopian ): closest matches first, and among equally close ones the better-known games.

Outlast 2
Shared: Psychological Horror · Horror · Dark

Outlast
Shared: Horror · Psychological Horror · Gore

Amnesia: The Dark Descent
Shared: Horror · Psychological Horror · Gore

Getting Over It with Bennett Foddy
Shared: Psychological Horror · Horror · Dark Humor

SOMA
Shared: Psychological Horror · Horror · Dark

The Outlast Trials
Shared: Horror · Psychological Horror · Dark Humor

Take me, Vitaly
Shared: Horror · Dark Humor · Memes

South Park™: The Fractured But Whole™
Shared: Dark Humor · Comedy · Memes

Darkwood
Shared: Horror · Psychological Horror · Dark

Dead by Daylight
Shared: Horror · Gore · Psychological Horror

Chinese Parents
Shared: Psychological Horror · Memes · RPG

LISA: The Painful
Shared: Psychological Horror · Dark Humor · Dark

Scary Game 2: The Mad Shepherd
Shared: Dark Humor · Horror · Dark Comedy

Mouthwashing
Shared: Psychological Horror · Horror · Gore

Scorn
Shared: Horror · Psychological Horror · Gore

Phasmophobia
Shared: Horror · Psychological Horror · Dark

DEVOUR
Shared: Horror · Psychological Horror · Dark

Hand Simulator
Shared: Psychological Horror · Memes · Comedy

The Song of Saya
Shared: Psychological Horror · Horror · Gore

Blood and Bacon
Shared: Horror · Gore · Memes

Still Wakes the Deep
Shared: Psychological Horror · Horror · Gore

Lethal Company
Shared: Horror · Psychological Horror · Funny

Poppy Playtime
Shared: Horror · Psychological Horror · Dark

Manhunt
Shared: Horror · Psychological Horror · Gore