Games like Hold The Levee
Games like Hold The Levee include Kenshi, Space Engineers, Besiege, Oxygen Not Included, and PC Building Simulator. We matched them by the tags players give Hold The Levee on Steam (Outbreak Sim, Immersive Sim, Puzzle, Sandbox, and Building): closest matches first, and among equally close ones the better-known games.

Kenshi
Shared: Sandbox · Immersive Sim · Survival

Space Engineers
Shared: Sandbox · Building · Survival

Besiege
Shared: Sandbox · Building · Puzzle

Oxygen Not Included
Shared: Survival · Building · Sandbox

PC Building Simulator
Shared: Immersive Sim · Building · Sandbox

Stormworks: Build and Rescue
Shared: Sandbox · Building · Immersive Sim

Timberborn
Shared: Sandbox · Building · Management

Cities: Skylines
Shared: Building · Sandbox · Management

Terraria
Shared: Sandbox · Survival · Building

RimWorld
Shared: Sandbox · Survival · Management

Garry's Mod
Shared: Sandbox · Building · Physics

Planet Zoo
Shared: Management · Sandbox · Building

Prison Architect
Shared: Sandbox · Building · Management

Factorio
Shared: Sandbox · Survival · Strategy

SimCity™ 4 Deluxe Edition
Shared: Immersive Sim · Sandbox · Building

shapez 2 - Factory
Shared: Building · Management · Puzzle

Mini Motorways
Shared: Puzzle · Strategy · Management

Rust
Shared: Survival · Building · Sandbox

Planet Coaster
Shared: Building · Sandbox · Management

Automation - The Car Company Tycoon Game
Shared: Sandbox · Building · Management

Poly Bridge
Shared: Building · Puzzle · Sandbox

Scrap Mechanic
Shared: Sandbox · Building · Survival

Plague Inc: Evolved
Shared: Outbreak Sim · Strategy · Simulation

House Flipper
Shared: Building · Sandbox · Immersive Sim