Games like Pizza Boy Z
Games like Pizza Boy Z include Dark Deception, Megabonk, Timberman, Plague Inc: Evolved, and Yet Another Zombie Survivors. We matched them by the tags players give Pizza Boy Z on Steam (Runner, Arcade, Indie, 3D, and Post-apocalyptic): closest matches first, and among equally close ones the better-known games.

Dark Deception
Shared: Runner · Indie · Free to Play

Megabonk
Shared: Indie · Arcade · Action

Timberman
Shared: Indie · Casual · Arcade

Plague Inc: Evolved
Shared: Indie · Casual · Singleplayer

Yet Another Zombie Survivors
Shared: Indie · Arcade · Zombies

Deadlight
Shared: Indie · Zombies · Post-apocalyptic

MUSYNX
Shared: Indie · Arcade · Casual

Vampire Survivors
Shared: Indie · Arcade · Casual

A Dance of Fire and Ice
Shared: Indie · Arcade · Singleplayer

Haste
Shared: Runner · Action · Arcade

ALTF4
Shared: Runner · Arcade · Action

VHOLUME
Shared: Runner · Arcade · Casual

Quarantine Zone: The Last Check
Shared: Post-apocalyptic · Zombies · 3D

Vojo
Shared: Arcade · Runner · Casual

Disney Speedstorm
Shared: Arcade · Action · 3D

The WereCleaner
Shared: Casual · Arcade · Singleplayer

Asphalt Legends
Shared: Arcade · Free to Play · 3D

Music Racer
Shared: Indie · Action · Casual

Superflight
Shared: Indie · Casual · Action

Days Gone
Shared: Post-apocalyptic · Zombies · Singleplayer

Snakeybus
Shared: Indie · Casual · Arcade

Spin Rhythm XD
Shared: Indie · Casual · Arcade

Cyberhunt
Shared: Indie · Casual · Arcade

Retrowave
Shared: Indie · Casual · Action