Games like Keziah's Realm
Games like Keziah's Realm include Terraria, Stoneshard, Core Keeper, Forager, and Romestead. We matched them by the tags players give Keziah's Realm on Steam (RPG, Survival, Procedural Generation, Colony Sim, and Exploration): closest matches first, and among equally close ones the better-known games.

Terraria
Shared: Survival · 2D · Pixel Graphics

Stoneshard
Shared: RPG · Survival · Pixel Graphics

Core Keeper
Shared: Survival · Exploration · Pixel Graphics

Forager
Shared: Survival · Pixel Graphics · 2D

Romestead
Shared: RPG · Survival · 2D

Don't Starve
Shared: Survival · Crafting · Singleplayer

Oxygen Not Included
Shared: Survival · Colony Sim · 2D

RimWorld
Shared: Survival · Colony Sim · Singleplayer

Enshrouded
Shared: Survival · RPG · Exploration

Crashlands
Shared: RPG · Survival · Exploration

Starbound
Shared: Survival · Pixel Graphics · Sandbox

Dune: Awakening
Shared: Survival · Exploration · RPG

The Escapists
Shared: Pixel Graphics · 2D · Survival

No Man's Sky
Shared: Survival · Exploration · Procedural Generation

Necesse
Shared: Survival · Pixel Graphics · RPG

Graveyard Keeper
Shared: RPG · Pixel Graphics · Crafting

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

Valheim
Shared: Survival · Exploration · RPG

DYSMANTLE
Shared: Survival · RPG · Exploration

Rust
Shared: Survival · Crafting · RPG

鬼谷八荒 Tale of Immortal
Shared: RPG · Singleplayer · Exploration

Fallout 4
Shared: RPG · Exploration · Singleplayer

The Forest
Shared: Survival · Exploration · Crafting

Elin
Shared: RPG · Roguelike · Pixel Graphics