Games like Perpetuum
Games like Perpetuum include Albion Online, Rust, Star Trek Online, Last Oasis, and The Elder Scrolls Online - Standard Edition. We matched them by the tags players give Perpetuum on Steam (Massively Multiplayer, RPG, Mechs, Sandbox, and Robots): closest matches first, and among equally close ones the better-known games.

Albion Online
Shared: Massively Multiplayer · RPG · Sandbox

Rust
Shared: Sandbox · Open World · Multiplayer

Star Trek Online
Shared: Massively Multiplayer · RPG · Sci-fi

Last Oasis
Shared: Massively Multiplayer · RPG · Open World

The Elder Scrolls Online - Standard Edition
Shared: RPG · Massively Multiplayer · Open World

Neverwinter
Shared: RPG · Massively Multiplayer · MMORPG

Destiny 2
Shared: Open World · MMORPG · Massively Multiplayer

Mecha BREAK
Shared: Mechs · Robots · PvP

Trove
Shared: Sandbox · MMORPG · RPG

Gloria Victis: Medieval MMORPG
Shared: Massively Multiplayer · RPG · MMORPG

Mount & Blade II: Bannerlord
Shared: RPG · Sandbox · Open World

Mortal Online
Shared: Massively Multiplayer · RPG · Sandbox

FINAL FANTASY XIV Online
Shared: RPG · Massively Multiplayer · MMORPG

Mortal Online 2
Shared: Sandbox · RPG · MMORPG

Once Human
Shared: Open World · Multiplayer · Massively Multiplayer

Dark and Light
Shared: Massively Multiplayer · RPG · Sandbox

Project: Gorgon
Shared: Massively Multiplayer · RPG · Indie

The Quinfall
Shared: Massively Multiplayer · RPG · Open World

Mount & Blade: Warband
Shared: RPG · Sandbox · Open World

Citadel: Forged with Fire
Shared: RPG · Massively Multiplayer · Open World

Terraria
Shared: Sandbox · Multiplayer · Indie

Project Zomboid
Shared: Sandbox · Open World · Multiplayer

ARK: Survival Ascended
Shared: Open World · Sandbox · Multiplayer

DayZ
Shared: Open World · Massively Multiplayer · Sandbox