Games like Koma
Games like Koma include Disillusion, Buckshot Roulette, Music Racer, Moncage, and Juice Galaxy. We matched them by the tags players give Koma on Steam (Experimental, Mystery Dungeon, 3D, Psychedelic, and Music-Based Procedural Generation): closest matches first, and among equally close ones the better-known games.

Disillusion
Shared: Experimental · Psychedelic · 3D

Buckshot Roulette
Shared: Singleplayer · 3D · Indie

Music Racer
Shared: Music-Based Procedural Generation · Indie · Singleplayer

Moncage
Shared: Singleplayer · Indie · Experimental

Juice Galaxy
Shared: Psychedelic · 3D · Experimental

Townscaper
Shared: Experimental · Singleplayer · Indie

Mirror 2: Project X
Shared: 3D · Singleplayer · Indie

Mountain
Shared: Indie · Experimental · Singleplayer

A Dance of Fire and Ice
Shared: Singleplayer · Indie · Psychedelic

Yellow Taxi Goes Vroom
Shared: 3D · Singleplayer · Indie

Nucleares
Shared: Experimental · Singleplayer · 3D

Pony Island
Shared: Indie · Singleplayer · Experimental

Five Nights at Freddy's: Security Breach
Shared: Singleplayer · 3D · Indie

Hylics
Shared: Psychedelic · Indie · Singleplayer

Tandis
Shared: Psychedelic · Indie · Experimental

Milk outside a bag of milk outside a bag of milk
Shared: Psychedelic · Indie · Singleplayer

MiSide
Shared: 3D · Singleplayer · Indie

AudioSurf
Shared: Music-Based Procedural Generation · Indie · Singleplayer

Golden Light
Shared: 3D · Singleplayer · Psychedelic

COCOON
Shared: Indie · 3D · Singleplayer

Berry Bury Berry
Shared: 3D · Singleplayer · Indie

Audiosurf 2
Shared: Music-Based Procedural Generation · Indie · Singleplayer

PANORAMICAL
Shared: Experimental · Indie · Psychedelic

Car Detailing Simulator
Shared: Singleplayer · 3D · Experimental