Games like SCP: KOS
Games like SCP: KOS include Stardew Valley, Touhou Mystia's Izakaya, Terraria, Hero Siege, and Vampire Survivors. We matched them by the tags players give SCP: KOS on Steam (Casual, RPG, Top-Down Shooter, 2D, and Pixel Graphics): closest matches first, and among equally close ones the better-known games.

Stardew Valley
Shared: RPG · Pixel Graphics · Multiplayer

Touhou Mystia's Izakaya
Shared: Casual · RPG · Pixel Graphics

Terraria
Shared: 2D · Pixel Graphics · Multiplayer

Hero Siege
Shared: RPG · Pixel Graphics · Top-Down

Vampire Survivors
Shared: Pixel Graphics · 2D · Casual

Melvor Idle
Shared: RPG · Casual · 2D

Impostor Factory
Shared: Pixel Graphics · RPG · 2D

DELTARUNE
Shared: RPG · Pixel Graphics · 2D

DAVE THE DIVER
Shared: Casual · Pixel Graphics · RPG

Timberman
Shared: Casual · Pixel Graphics · 2D

Sun Haven
Shared: Pixel Graphics · RPG · Multiplayer

UFO 50
Shared: Pixel Graphics · 2D · RPG

The Mageseeker: A League of Legends Story™
Shared: RPG · 2D · Pixel Graphics

Knights of Pen and Paper +1 Edition
Shared: RPG · Casual · Pixel Graphics

Town of Salem
Shared: RPG · Casual · Multiplayer

Trove
Shared: Pixel Graphics · RPG · Fantasy

OMORI
Shared: RPG · Pixel Graphics · Indie

Broforce
Shared: Pixel Graphics · 2D · Indie

Magicite
Shared: RPG · Pixel Graphics · 2D

Chained Echoes
Shared: RPG · Pixel Graphics · 2D

UnderMine
Shared: RPG · Pixel Graphics · Top-Down

Undertale
Shared: RPG · Pixel Graphics · 2D

Graveyard Keeper
Shared: RPG · Pixel Graphics · Indie

Death Must Die
Shared: RPG · Pixel Graphics · 2D