Games like Rock Tetrus
Games like Rock Tetrus include Mini Motorways, Plague Inc: Evolved, 911 Operator, Just Go, and Mini Metro. We matched them by the tags players give Rock Tetrus on Steam (Casual, Strategy, Simulation, Puzzle, and Cinematic): closest matches first, and among equally close ones the better-known games.

Mini Motorways
Shared: Strategy · Casual · Simulation

Plague Inc: Evolved
Shared: Strategy · Simulation · Casual

911 Operator
Shared: Strategy · Simulation · Casual

Just Go
Shared: Casual · Strategy · Simulation

Mini Metro
Shared: Strategy · Puzzle · Simulation

Totally Accurate Battle Simulator
Shared: Simulation · Strategy · Realistic

BidKing
Shared: Casual · Strategy · Simulation

Game Dev Tycoon
Shared: Simulation · Strategy · Casual

Papers, Please
Shared: Simulation · Indie · Puzzle

Moncage
Shared: Casual · Puzzle · Indie

Dorfromantik
Shared: Casual · Puzzle · Strategy

Pixel Puzzles: Japan
Shared: Casual · Puzzle · Simulation

Cities: Skylines
Shared: Simulation · Strategy · Casual

Reus
Shared: Strategy · Simulation · Casual

Gorogoa
Shared: Puzzle · Casual · Indie

112 Operator
Shared: Casual · Simulation · Realistic

Librarian: Tidy Up the Arcane Library!
Shared: Casual · Puzzle · Simulation

Crazy Machines 3
Shared: Simulation · Strategy · Puzzle

Cities: Skylines II
Shared: Simulation · Strategy · Realistic

Car Mechanic Simulator 2014
Shared: Simulation · Puzzle · Realistic

Bridge Constructor Portal
Shared: Strategy · Simulation · Puzzle

Planet Coaster
Shared: Simulation · Strategy · Realistic

Unpacking
Shared: Casual · Puzzle · Simulation

Monument Valley 2
Shared: Casual · Strategy · Puzzle