Games like Moonstone Island
Games like Moonstone Island include Stardew Valley, Fields of Mistria, Terraria, Clanfolk, and Graveyard Keeper. We matched them by the tags players give Moonstone Island on Steam (Creature Collector, Deckbuilding, 2D, Pixel Graphics, and Cute): closest matches first, and among equally close ones the better-known games.

Stardew Valley
Shared: Pixel Graphics · Farming Sim · Life Sim

Fields of Mistria
Shared: Pixel Graphics · Farming Sim · Cute

Terraria
Shared: 2D · Sandbox · Pixel Graphics

Clanfolk
Shared: Pixel Graphics · Farming Sim · Life Sim

Graveyard Keeper
Shared: Pixel Graphics · Sandbox · RPG

Littlewood
Shared: Pixel Graphics · Life Sim · Sandbox

Sun Haven
Shared: Pixel Graphics · Farming Sim · Life Sim

Tiny Pasture
Shared: Cute · Creature Collector · Pixel Graphics

Forager
Shared: Pixel Graphics · 2D · Sandbox

Little Witch in the Woods
Shared: Pixel Graphics · Cute · Life Sim

WorldBox - God Simulator
Shared: Sandbox · Pixel Graphics · Building

Horsey Game
Shared: Creature Collector · 2D · Sandbox

The Sims™ 4
Shared: Life Sim · Building · Sandbox

Travellers Rest
Shared: Pixel Graphics · Life Sim · Farming Sim

Staxel
Shared: Cute · Farming Sim · Sandbox

People Playground
Shared: Sandbox · 2D · Pixel Graphics

DAVE THE DIVER
Shared: Pixel Graphics · Adventure · Farming Sim

Let's Build a Zoo
Shared: Pixel Graphics · Creature Collector · Sandbox

Kynseed
Shared: Sandbox · Farming Sim · 2D

Kabuto Park
Shared: Creature Collector · Cute · Deckbuilding

Roots of Pacha
Shared: Pixel Graphics · Farming Sim · Life Sim

Slime Rancher 2
Shared: Cute · Creature Collector · Relaxing

Planet Centauri
Shared: 2D · Creature Collector · Sandbox

Noita
Shared: Pixel Graphics · 2D · Sandbox