Games like The Last Disease Z
Games like The Last Disease Z include Project Zomboid, 7 Days to Die, Rust, Terraria, and The Forest. We matched them by the tags players give The Last Disease Z on Steam (Zombies, Survival, Open World, Post-apocalyptic, and Open World Survival Craft): closest matches first, and among equally close ones the better-known games.

Project Zomboid
Shared: Zombies · Survival · Open World

7 Days to Die
Shared: Zombies · Survival · Open World

Rust
Shared: Survival · Open World · Crafting

Terraria
Shared: Survival · Open World Survival Craft · Sandbox

The Forest
Shared: Survival · Open World Survival Craft · Open World

SCUM
Shared: Survival · Open World · Open World Survival Craft

Valheim
Shared: Survival · Open World Survival Craft · Open World

The Long Dark
Shared: Survival · Open World · Open World Survival Craft

Miscreated
Shared: Survival · Open World · Zombies

ARK: Survival Evolved
Shared: Survival · Open World Survival Craft · Open World

DayZ
Shared: Survival · Zombies · Open World

No Man's Sky
Shared: Open World · Open World Survival Craft · Survival

Don't Starve Together
Shared: Survival · Open World Survival Craft · Open World

SurrounDead
Shared: Zombies · Survival · Open World

Days Gone
Shared: Zombies · Open World · Survival

Soulmask
Shared: Survival · Open World Survival Craft · Open World

Don't Starve
Shared: Survival · Open World Survival Craft · Crafting

Palworld
Shared: Survival · Open World · Open World Survival Craft

Subnautica
Shared: Survival · Open World Survival Craft · Open World

Raft
Shared: Survival · Open World Survival Craft · Open World

Starbound
Shared: Survival · Open World Survival Craft · Sandbox

Once Human
Shared: Open World · Survival · Open World Survival Craft

Dune: Awakening
Shared: Survival · Open World Survival Craft · Exploration

Mist Survival
Shared: Survival · Zombies · Open World