Games like Patrician IV
Games like Patrician IV include Supermarket Simulator, Victoria 3, Anno 1800, Europa Universalis V, and Cities: Skylines. We matched them by the tags players give Patrician IV on Steam (Strategy, Trading, Resource Management, Economy, and Simulation): closest matches first, and among equally close ones the better-known games.

Supermarket Simulator
Shared: Simulation · Economy · Trading

Victoria 3
Shared: Strategy · Simulation · Economy

Anno 1800
Shared: Strategy · Economy · Simulation

Europa Universalis V
Shared: Strategy · Trading · Economy

Cities: Skylines
Shared: Strategy · Simulation · Economy

Crusader Kings III
Shared: Strategy · Simulation · Historical

The Guild II Renaissance
Shared: Strategy · Simulation · Economy

Manor Lords
Shared: Strategy · Simulation · Resource Management

Railway Empire
Shared: Strategy · Simulation · Economy

Tropico 5
Shared: Strategy · Simulation · Economy

Anno 2070™
Shared: Strategy · Simulation · Resource Management

The Guild 3
Shared: Economy · Strategy · Simulation

Sid Meier’s Civilization® VI
Shared: Strategy · Historical · Singleplayer

TCG Card Shop Simulator
Shared: Simulation · Economy · Singleplayer

Turmoil
Shared: Strategy · Resource Management · Management

Jurassic World Evolution
Shared: Strategy · Simulation · Economy

Jurassic World Evolution 2
Shared: Strategy · Simulation · Management

Imperator: Rome
Shared: Strategy · Simulation · Historical

Rise of Industry
Shared: Strategy · Economy · Simulation

Foundation
Shared: Strategy · Simulation · Resource Management

Cities: Skylines II
Shared: Simulation · Strategy · Economy

Grand Ages: Medieval
Shared: Strategy · Trading · Simulation

Age of Empires II (Retired)
Shared: Strategy · Resource Management · Historical

Workers & Resources: Soviet Republic
Shared: Strategy · Simulation · Economy