Games like Ruins
Games like Ruins include Terraria, Cosmoteer: Starship Architect & Commander, Oxygen Not Included, Among Us, and Plague Inc: Evolved. We matched them by the tags players give Ruins on Steam (Strategy, Party Game, Exploration, 2D, and Survival): closest matches first, and among equally close ones the better-known games.

Terraria
Shared: Survival · 2D · Exploration

Cosmoteer: Starship Architect & Commander
Shared: Strategy · 2D · Singleplayer

Oxygen Not Included
Shared: Survival · 2D · Singleplayer

Among Us
Shared: Survival · 2D · Party Game

Plague Inc: Evolved
Shared: Strategy · Singleplayer · Indie

Don't Starve
Shared: Survival · Indie · Singleplayer

The Escapists
Shared: Strategy · 2D · Singleplayer

Bloons TD 6
Shared: Strategy · Singleplayer · Multiplayer

Subnautica: Below Zero
Shared: Survival · Exploration · Singleplayer

Dune: Awakening
Shared: Exploration · Survival · PvE

RimWorld
Shared: Strategy · Survival · Singleplayer

Don't Starve Together
Shared: Survival · Multiplayer · 2D

ShellShock Live
Shared: Strategy · 2D · Multiplayer

Barotrauma
Shared: Survival · 2D · Multiplayer

The Long Dark
Shared: Survival · Exploration · Singleplayer

Rain World
Shared: Exploration · Survival · 2D

Town of Salem
Shared: Strategy · Multiplayer · Indie

60 Seconds! Reatomized
Shared: 2D · Strategy · Exploration

Subnautica 2
Shared: Survival · Exploration · Multiplayer

Plants vs. Zombies GOTY Edition
Shared: Strategy · Singleplayer · 2D

The Escapists 2
Shared: Strategy · 2D · Multiplayer

Hollow Knight: Silksong
Shared: 2D · Indie · Exploration

Dungeon Defenders
Shared: Strategy · Survival · Singleplayer

Sons Of The Forest
Shared: Survival · Multiplayer · Exploration