Games like Paradigm Island
Games like Paradigm Island include Disco Elysium - The Final Cut, Esoteric Ebb, Undertale, The Witcher 3: Wild Hunt — Remastered, and Baldur's Gate 3. We matched them by the tags players give Paradigm Island on Steam (RPG, Choices Matter, Funny, Singleplayer, and Philosophical): closest matches first, and among equally close ones the better-known games.

Disco Elysium - The Final Cut
Shared: RPG · Choices Matter · Story Rich

Esoteric Ebb
Shared: Choices Matter · RPG · Story Rich

Undertale
Shared: Choices Matter · RPG · Funny

The Witcher 3: Wild Hunt — Remastered
Shared: RPG · Singleplayer · Story Rich

Baldur's Gate 3
Shared: RPG · Choices Matter · Story Rich

Tyranny
Shared: RPG · Choices Matter · Isometric

The Thaumaturge
Shared: RPG · Singleplayer · Isometric

Pillars of Eternity II: Deadfire
Shared: RPG · Isometric · Singleplayer

Pillars of Eternity
Shared: RPG · Isometric · Singleplayer

Night in the Woods
Shared: Choices Matter · Story Rich · Singleplayer

Tales from the Borderlands
Shared: Choices Matter · Singleplayer · Funny

Planescape: Torment: Enhanced Edition
Shared: RPG · Choices Matter · Story Rich

Fallout 4
Shared: RPG · Singleplayer · Exploration

Hogwarts Legacy
Shared: RPG · Singleplayer · Exploration

Pathfinder: Kingmaker - Enhanced Plus Edition
Shared: RPG · Choices Matter · Isometric

Dispatch
Shared: Choices Matter · Singleplayer · Story Rich

The Life and Suffering of Sir Brante
Shared: Choices Matter · RPG · Story Rich

South Park™: The Stick of Truth™
Shared: RPG · Funny · Singleplayer

Fallout: New Vegas
Shared: RPG · Singleplayer · Exploration

The Henry Stickmin Collection
Shared: Funny · Choices Matter · Singleplayer

Torment: Tides of Numenera
Shared: RPG · Isometric · Choices Matter

OneShot
Shared: Story Rich · Choices Matter · Singleplayer

STAR WARS™ Knights of the Old Republic™
Shared: RPG · Singleplayer · Story Rich

Kingdom Come: Deliverance
Shared: RPG · Singleplayer · Story Rich