Games like Idle Towers
Games like Idle Towers include RimWorld, Oxygen Not Included, They Are Billions, Manor Lords, and The Riftbreaker. We matched them by the tags players give Idle Towers on Steam (Idler, Tower Defense, Auto Battler, Survival, and Perma Death): closest matches first, and among equally close ones the better-known games.

RimWorld
Shared: Survival · Base Building · Management

Oxygen Not Included
Shared: Survival · Base Building · Management

They Are Billions
Shared: Survival · Tower Defense · Base Building

Manor Lords
Shared: Base Building · Strategy · Simulation

The Riftbreaker
Shared: Tower Defense · Survival · Base Building

Frostpunk
Shared: Survival · Strategy · Base Building

This War of Mine
Shared: Survival · Strategy · Base Building

Space Engineers
Shared: Survival · Physics · Simulation

Rise to Ruins
Shared: Tower Defense · Survival · Strategy

Stranded: Alien Dawn
Shared: Survival · Base Building · Simulation

Until We Die
Shared: Survival · Tower Defense · Base Building

Cookie Clicker
Shared: Idler · Management · Indie

Infection Free Zone
Shared: Base Building · Survival · Management

Kenshi
Shared: Survival · Simulation · Management

Dwarf Fortress
Shared: Base Building · Survival · Simulation

Kingdoms and Castles
Shared: Management · Simulation · Strategy

Factorio
Shared: Base Building · Survival · Management

Grim Nights
Shared: Tower Defense · Survival · Base Building

Going Medieval
Shared: Survival · Base Building · Management

Sheltered
Shared: Survival · Base Building · Management

Space Haven
Shared: Survival · Base Building · Management

Against the Storm
Shared: Simulation · Base Building · Strategy

Kingdom Two Crowns
Shared: Tower Defense · Base Building · Survival

Endzone - A World Apart
Shared: Survival · Base Building · Strategy