Games like Lost Meow
Games like Lost Meow include ALTF4, Don't Starve, Stray, Distrust: Polar Survival, and Home Behind. We matched them by the tags players give Lost Meow on Steam (Cats, Adventure, Runner, Survival, and Old School): closest matches first, and among equally close ones the better-known games.

ALTF4
Shared: Runner · Survival · Adventure

Don't Starve
Shared: Survival · Adventure · Indie

Stray
Shared: Cats · Adventure · Indie

Distrust: Polar Survival
Shared: Adventure · Survival · Isometric

Home Behind
Shared: Adventure · Survival · Roguelite

Terraria
Shared: Survival · Adventure · Indie

Rogue Legacy 2
Shared: Adventure · Roguelite · Indie

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

Cat Quest
Shared: Adventure · Cats · Indie

Haste
Shared: Runner · Roguelite · Adventure

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

The Forest
Shared: Survival · Adventure · Action

Rust
Shared: Survival · Adventure · Action

Dead Cells
Shared: Adventure · Roguelite · Platformer

The Last Stand: Aftermath
Shared: Survival · Adventure · Roguelite

PUBG: BATTLEGROUNDS
Shared: Survival · Adventure · Action

Mewgenics
Shared: Cats · Roguelite · Adventure

We Happy Few
Shared: Adventure · Survival · Indie

Starbound
Shared: Survival · Adventure · Casual

The Purring Quest
Shared: Cats · Adventure · Hand-drawn

20 Minutes Till Dawn
Shared: Survival · Roguelite · Adventure

Nine Sols
Shared: Cats · Adventure · Hand-drawn

Palworld
Shared: Survival · Adventure · Indie

The Flame in the Flood
Shared: Adventure · Survival · Indie