Games like The HELL : Aztec Pestilence 1540
Games like The HELL : Aztec Pestilence 1540 include Cities: Skylines, Hearts of Iron IV, Manor Lords, Europa Universalis IV, and Mount & Blade II: Bannerlord. We matched them by the tags players give The HELL : Aztec Pestilence 1540 on Steam (Downloadable Content): closest matches first, and among equally close ones the better-known games.

Cities: Skylines
Shared: Single-player · Simulation · Steam Cloud

Hearts of Iron IV
Shared: Single-player · Strategy · Steam Cloud

Manor Lords
Shared: Single-player · Strategy · Steam Cloud

Europa Universalis IV
Shared: Single-player · Strategy · Steam Cloud

Mount & Blade II: Bannerlord
Shared: Single-player · Strategy · Steam Cloud

Stellaris
Shared: Single-player · Strategy · Steam Cloud

Prison Architect
Shared: Single-player · Simulation · Steam Cloud

Against the Storm
Shared: Single-player · Strategy · Simulation

Planet Coaster
Shared: Single-player · Simulation · Steam Cloud

Game Dev Tycoon
Shared: Single-player · Simulation · Steam Cloud

Cities: Skylines II
Shared: Single-player · Simulation · Steam Cloud

This War of Mine
Shared: Single-player · Steam Cloud · Family Sharing

Jurassic World Evolution
Shared: Single-player · Steam Cloud · Simulation

Mini Motorways
Shared: Single-player · Strategy · Simulation

Frostpunk
Shared: Single-player · Steam Cloud · Family Sharing

House Flipper
Shared: Single-player · Simulation · Steam Cloud

Europa Universalis V
Shared: Single-player · Strategy · Steam Cloud

Empires of the Undergrowth
Shared: Single-player · Strategy · Simulation

Imperator: Rome
Shared: Single-player · Strategy · Steam Cloud

Sid Meier's Civilization® V
Shared: Single-player · Strategy · Steam Cloud

Foundation
Shared: Single-player · Simulation · Steam Cloud

Jurassic World Evolution 2
Shared: Single-player · Steam Cloud · Family Sharing

Two Point Hospital
Shared: Single-player · Simulation · Steam Cloud

Kerbal Space Program
Shared: Single-player · Simulation · Steam Cloud