Games like Organ Trail - Final Cut Expansion
Games like Organ Trail - Final Cut Expansion include Organ Trail: Director's Cut, Plague Inc: Evolved, Papers, Please, The Escapists, and The Escapists 2. We matched them by the tags players give Organ Trail - Final Cut Expansion on Steam (Strategy, Indie, Local Co-Op, Simulation, and Perma Death): closest matches first, and among equally close ones the better-known games.

Organ Trail: Director's Cut
Shared: Indie · Strategy · Retro

Plague Inc: Evolved
Shared: Strategy · Indie · Simulation

Papers, Please
Shared: Indie · Simulation · Pixel Graphics

The Escapists
Shared: Strategy · Pixel Graphics · Indie

The Escapists 2
Shared: Strategy · Local Co-Op · Pixel Graphics

Totally Accurate Battle Simulator
Shared: Simulation · Strategy · Indie

FTL: Faster Than Light
Shared: Strategy · Indie · Perma Death

Door Kickers: Action Squad
Shared: Local Co-Op · Pixel Graphics · Retro

Game Dev Tycoon
Shared: Indie · Strategy · Simulation

Beat Cop
Shared: Indie · Pixel Graphics · Simulation

UFO 50
Shared: Indie · Strategy · Pixel Graphics

This War of Mine
Shared: Strategy · Simulation · Singleplayer

Graveyard Keeper
Shared: Simulation · Pixel Graphics · Indie

The Final Station
Shared: Indie · Pixel Graphics · Adventure

Shovel Knight: Treasure Trove
Shared: Indie · Pixel Graphics · Retro

TheoTown
Shared: Simulation · Strategy · Indie

To the Moon
Shared: Indie · Adventure · Pixel Graphics

911 Operator
Shared: Strategy · Simulation · Indie

The World of Kungfu: Dragon and Eagle
Shared: Indie · Strategy · Adventure

Vampire Survivors
Shared: Indie · Pixel Graphics · Singleplayer

The Binding of Isaac: Rebirth
Shared: Indie · Pixel Graphics · Local Co-Op

Infectonator: Survivors
Shared: Strategy · Indie · Simulation

Knights of Pen and Paper 2
Shared: Strategy · Indie · Adventure

Plants vs. Zombies GOTY Edition
Shared: Strategy · Singleplayer · Zombies