Games like Patron
Games like Patron include Frostpunk, Banished, Manor Lords, RimWorld, and Oxygen Not Included. We matched them by the tags players give Patron on Steam (City Builder, Colony Sim, Strategy, Survival, and Medieval): closest matches first, and among equally close ones the better-known games.

Frostpunk
Shared: City Builder · Survival · Strategy

Banished
Shared: City Builder · Colony Sim · Strategy

Manor Lords
Shared: City Builder · Strategy · Colony Sim

RimWorld
Shared: Colony Sim · Strategy · Survival

Oxygen Not Included
Shared: Colony Sim · Survival · Resource Management

Kingdoms and Castles
Shared: City Builder · Colony Sim · Strategy

Against the Storm
Shared: City Builder · Strategy · Colony Sim

Cities: Skylines
Shared: City Builder · Strategy · Building

Workers & Resources: Soviet Republic
Shared: City Builder · Strategy · Colony Sim

Foundation
Shared: City Builder · Strategy · Medieval

Empires of the Undergrowth
Shared: Strategy · City Builder · Colony Sim

Farthest Frontier
Shared: City Builder · Strategy · Medieval

Ostriv
Shared: City Builder · Strategy · Colony Sim

Dawn of Man
Shared: City Builder · Colony Sim · Strategy

Prison Architect
Shared: Colony Sim · Strategy · City Builder

Norland
Shared: City Builder · Strategy · Colony Sim

Life is Feudal: Forest Village
Shared: City Builder · Colony Sim · Strategy

Cities: Skylines II
Shared: City Builder · Strategy · Singleplayer

Dwarf Fortress
Shared: Colony Sim · City Builder · Strategy

Settlement Survival
Shared: City Builder · Colony Sim · Survival

IXION
Shared: City Builder · Strategy · Survival

Going Medieval
Shared: Colony Sim · Strategy · City Builder

Kingdoms Reborn
Shared: City Builder · Colony Sim · Strategy

They Are Billions
Shared: Colony Sim · Strategy · Survival

