Games like Mad Lab Roulette
Games like Mad Lab Roulette include Outlast, The Outlast Trials, Dead by Daylight, Buckshot Roulette, and Ready or Not. We matched them by the tags players give Mad Lab Roulette on Steam (Multiplayer, First-Person, Psychological Horror, Strategy, and Survival Horror): closest matches first, and among equally close ones the better-known games.

Outlast
Shared: First-Person · Psychological Horror · Survival Horror

The Outlast Trials
Shared: Multiplayer · Psychological Horror · First-Person

Dead by Daylight
Shared: Multiplayer · Survival Horror · First-Person

Buckshot Roulette
Shared: Multiplayer · First-Person · Strategy

Ready or Not
Shared: Multiplayer · Realistic · First-Person

Escape the Backrooms
Shared: Multiplayer · Psychological Horror · First-Person

Arma 3
Shared: Multiplayer · First-Person · Simulation

Backrooms: Escape Together
Shared: Multiplayer · Psychological Horror · Survival Horror

Outlast 2
Shared: Psychological Horror · First-Person · Survival Horror

Sons Of The Forest
Shared: Multiplayer · Survival Horror · Survival

PUBG: BATTLEGROUNDS
Shared: Multiplayer · Survival · Shooter

DEVOUR
Shared: Multiplayer · Survival Horror · Psychological Horror

Dark Deception
Shared: Multiplayer · First-Person · Psychological Horror

Bodycam
Shared: Multiplayer · First-Person · Realistic

Subnautica 2
Shared: Multiplayer · First-Person · Survival

Visage
Shared: Psychological Horror · Multiplayer · Survival Horror

Five Nights at Freddy's
Shared: Psychological Horror · Survival Horror · First-Person

Arma Reforger
Shared: Simulation · Multiplayer · First-Person

Resident Evil 7 Biohazard
Shared: First-Person · Survival Horror · Psychological Horror

Pacify
Shared: Multiplayer · Psychological Horror · First-Person

The Beast Inside
Shared: First-Person · Multiplayer · Survival Horror

Barotrauma
Shared: Multiplayer · Survival Horror · Survival

Slender: The Arrival
Shared: First-Person · Multiplayer · Survival Horror