Games like Headache: Altered States
Games like Headache: Altered States include OneShot, Little Misfortune, The Witcher 3: Wild Hunt — Remastered, Slime Rancher, and MiSide. We matched them by the tags players give Headache: Altered States on Steam (Adventure, Cute, Psychological Horror, 2D, and Open World): closest matches first, and among equally close ones the better-known games.

OneShot
Shared: Cute · Adventure · 2D

Little Misfortune
Shared: Psychological Horror · Adventure · Cute

The Witcher 3: Wild Hunt — Remastered
Shared: Open World · Adventure · Atmospheric

Slime Rancher
Shared: Cute · Adventure · Open World

MiSide
Shared: Cute · Psychological Horror · Adventure

Changed
Shared: Cute · Psychological Horror · Adventure

Finding Paradise
Shared: Adventure · 2D · Cute

The Witch's House MV
Shared: 2D · Adventure · Psychological Horror

Impostor Factory
Shared: Adventure · 2D · Psychological Horror

Slime Rancher 2
Shared: Cute · Open World · Adventure

Eastward
Shared: Adventure · Cute · 2D

Happy Game
Shared: Cute · Psychedelic · Adventure

Fran Bow
Shared: Psychological Horror · Adventure · Female Protagonist

Tales of the Black Forest
Shared: Adventure · Female Protagonist · RPG

GRIS
Shared: Adventure · Female Protagonist · Atmospheric

NEEDY STREAMER OVERLOAD
Shared: Psychological Horror · Cute · 2D

Rise of the Tomb Raider™
Shared: Adventure · Female Protagonist · Open World

Stray
Shared: Adventure · Cute · Atmospheric

DISTRAINT: Deluxe Edition
Shared: Psychological Horror · Adventure · 2D

OMORI
Shared: Psychological Horror · 2D · Adventure

Hylics
Shared: Surreal · Psychedelic · Adventure

Celeste
Shared: 2D · Female Protagonist · Adventure

Terraria
Shared: Adventure · 2D · Open World

Dropsy
Shared: Adventure · 2D · Cute