Games like It Lurks Below
Games like It Lurks Below include Terraria, Forager, The Escapists, Chronicon, and Graveyard Keeper. We matched them by the tags players give It Lurks Below on Steam (RPG, Indie, Action, Survival, and Pixel Graphics): closest matches first, and among equally close ones the better-known games.

Terraria
Shared: Survival · Sandbox · Pixel Graphics

Forager
Shared: Survival · Indie · Pixel Graphics

The Escapists
Shared: Pixel Graphics · Indie · 2D

Chronicon
Shared: RPG · Loot · Pixel Graphics

Graveyard Keeper
Shared: RPG · Pixel Graphics · Indie

Stardew Valley
Shared: RPG · Pixel Graphics · Indie

Stoneshard
Shared: RPG · Pixel Graphics · Survival

Wolcen: Lords of Mayhem
Shared: RPG · Action · Indie

The Slormancer
Shared: RPG · Loot · Pixel Graphics

Last Epoch
Shared: RPG · Loot · Action

Skul: The Hero Slayer
Shared: Indie · Action · Pixel Graphics

Necesse
Shared: Pixel Graphics · Survival · Indie

Rust
Shared: Survival · Crafting · Sandbox

Noita
Shared: Pixel Graphics · Indie · 2D

Romestead
Shared: RPG · 2D · Survival

Starbound
Shared: Survival · Sandbox · Pixel Graphics

Don't Starve Together
Shared: Survival · Indie · RPG

Magicite
Shared: RPG · Indie · Pixel Graphics

Dungeon Munchies
Shared: Indie · Action · RPG

Vampire Survivors
Shared: Pixel Graphics · Indie · 2D

Kenshi
Shared: RPG · Survival · Sandbox

Dungreed
Shared: Pixel Graphics · Action · Indie

Rogue Legacy
Shared: Indie · Action · RPG

Core Keeper
Shared: Survival · Pixel Graphics · Sandbox