Games like Pixel Puzzle Makeout League
Games like Pixel Puzzle Makeout League include LoveChoice, Otaku's Adventure, I Wani Hug that Gator!, The Hungry Lamb: Traveling in the Late Ming Dynasty, and Date Everything!. We matched them by the tags players give Pixel Puzzle Makeout League on Steam (Dating Sim, Story Rich, Puzzle, Comedy, and Visual Novel): closest matches first, and among equally close ones the better-known games.

LoveChoice
Shared: Dating Sim · Story Rich · Romance

Otaku's Adventure
Shared: Dating Sim · Visual Novel · Story Rich

I Wani Hug that Gator!
Shared: Story Rich · Visual Novel · Dating Sim

The Hungry Lamb: Traveling in the Late Ming Dynasty
Shared: Visual Novel · Story Rich · Dating Sim

Date Everything!
Shared: Dating Sim · LGBTQ+ · Comedy

Monster Prom 3: Monster Roadtrip
Shared: Dating Sim · Visual Novel · Comedy

Monster Prom 2: Monster Camp
Shared: Dating Sim · Comedy · LGBTQ+

Doki Doki Literature Club Plus!
Shared: Dating Sim · Visual Novel · Story Rich

There Is No Game: Wrong Dimension
Shared: Puzzle · Comedy · Story Rich

Monster Prom
Shared: Dating Sim · Comedy · LGBTQ+

Our Life: Beginnings & Always
Shared: Dating Sim · Visual Novel · LGBTQ+

ATRI -My Dear Moments-
Shared: Story Rich · Visual Novel · Dating Sim

Hatoful Boyfriend
Shared: Dating Sim · Visual Novel · Story Rich

Lucy -The Eternity She Wished For-
Shared: Story Rich · Dating Sim · Visual Novel

Dream Daddy: A Dad Dating Simulator
Shared: Dating Sim · LGBTQ+ · Visual Novel

Monster Prom 4: Monster Con
Shared: Dating Sim · Visual Novel · Comedy

Love Is All Around
Shared: Dating Sim · Visual Novel · Romance

Undertale
Shared: Story Rich · Multiple Endings · Comedy

Senren * Banka
Shared: Dating Sim · Visual Novel · Story Rich

Until Then
Shared: Story Rich · Visual Novel · Interactive Fiction

CLANNAD
Shared: Story Rich · Visual Novel · Dating Sim

错过的暑假可以放第二次吗?
Shared: Dating Sim · Visual Novel · Story Rich

Dispatch
Shared: Story Rich · Comedy · Romance

Tricolour Lovestory
Shared: Dating Sim · Visual Novel · Story Rich