Games like Pixel Worlds: MMO Sandbox
Games like Pixel Worlds: MMO Sandbox include Terraria, Trove, Albion Online, Once Human, and Rust. We matched them by the tags players give Pixel Worlds: MMO Sandbox on Steam (Free to Play, Pixel Graphics, Sandbox, Massively Multiplayer, and Adventure): closest matches first, and among equally close ones the better-known games.

Terraria
Shared: Sandbox · Pixel Graphics · Multiplayer

Trove
Shared: Free to Play · Sandbox · Pixel Graphics

Albion Online
Shared: Free to Play · Massively Multiplayer · Sandbox

Once Human
Shared: Free to Play · Multiplayer · Open World

Rust
Shared: Multiplayer · Sandbox · Crafting

Destiny 2
Shared: Free to Play · Multiplayer · MMORPG

Don't Starve Together
Shared: Multiplayer · Adventure · Sandbox

Stardew Valley
Shared: Pixel Graphics · Multiplayer · Sandbox

Neverwinter
Shared: Free to Play · Massively Multiplayer · Adventure

Necesse
Shared: Pixel Graphics · Sandbox · Multiplayer

Starbound
Shared: Sandbox · Pixel Graphics · Adventure

Where Winds Meet
Shared: Free to Play · Multiplayer · Adventure

ARK: Survival Evolved
Shared: Multiplayer · Adventure · Crafting

Forager
Shared: Pixel Graphics · Sandbox · Indie

Core Keeper
Shared: Pixel Graphics · Sandbox · Multiplayer

ARK: Survival Ascended
Shared: Multiplayer · Sandbox · Adventure

King Arthur's Gold
Shared: Pixel Graphics · Multiplayer · 2D

Broforce
Shared: Pixel Graphics · 2D · Multiplayer

Delta Force
Shared: Free to Play · Massively Multiplayer · Multiplayer

Wobbly Life
Shared: Adventure · Sandbox · Multiplayer

PixARK
Shared: Adventure · Massively Multiplayer · Multiplayer

Palworld
Shared: Multiplayer · Open World · Adventure

Scrap Mechanic
Shared: Sandbox · Multiplayer · Adventure

Human Fall Flat
Shared: Multiplayer · Sandbox · Adventure