Games like Star Sign
Games like Star Sign include Hellblade: Senua's Sacrifice, Outlast, Buckshot Roulette, METRO 2033 Redux, and Little Nightmares. We matched them by the tags players give Star Sign on Steam (Female Protagonist, Action, 3D, Horror, and Post-apocalyptic): closest matches first, and among equally close ones the better-known games.

Hellblade: Senua's Sacrifice
Shared: Female Protagonist · Atmospheric · Horror

Outlast
Shared: Horror · Psychological Horror · Atmospheric

Buckshot Roulette
Shared: Horror · Dark · 3D

METRO 2033 Redux
Shared: Post-apocalyptic · Action · Horror

Little Nightmares
Shared: Horror · Atmospheric · Dark

SILENT HILL f
Shared: Female Protagonist · Horror · Psychological Horror

METRO Last Light Redux
Shared: Action · Post-apocalyptic · Horror

Garten of Banban
Shared: Horror · Psychological Horror · 3D

Metro Exodus
Shared: Post-apocalyptic · Action · Horror

Poppy Playtime
Shared: Horror · Singleplayer · Psychological Horror

Resident Evil 3
Shared: Action · Female Protagonist · Horror

Outlast 2
Shared: Horror · Psychological Horror · Atmospheric

MiSide
Shared: Psychological Horror · Horror · 3D

Tormented Souls
Shared: Horror · Action · Female Protagonist

SIGNALIS
Shared: Female Protagonist · Psychological Horror · Atmospheric

SOMA
Shared: Horror · Psychological Horror · Atmospheric

Little Nightmares II
Shared: Horror · Psychological Horror · Atmospheric

The Medium
Shared: Female Protagonist · Horror · Psychological Horror

A Plague Tale: Innocence
Shared: Female Protagonist · Action · Atmospheric

No, I'm not a Human
Shared: Horror · Psychological Horror · Indie

Resident Evil Requiem
Shared: Horror · Action · 3D

Slender: The Arrival
Shared: Horror · Psychological Horror · Indie

Stellar Blade™
Shared: Female Protagonist · Action · Post-apocalyptic

Half-Life: Alyx
Shared: Female Protagonist · Horror · Action