95		East Tower: Takashi (Windows, 2015)
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85		VA-11 HALL-A: Cyberpunk Bartender Action (Windows, 2016)
83		Bunka no Kenkyu: Revival of Queen Leyak (Windows, 2017)
83		Six Days of Snow (Windows, 2017)
65		SoulSet (Windows, 2017)
65		East Tower: Kuon (Windows, 2015)
65		Area-X (Windows, 2015)
64		Shining Song Starnova (Windows, 2018)
64		Dead End Junction (Windows, 2016)
64		Wish: Tale of the Sixteenth Night of Lunar Month (Windows, 2016)
63		Beyond Clouds (Windows, 2017)
50		Kaitohranma (Windows, 1997)
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44		Office Lovers (Windows, 2016)
44		My Butler (Windows, 2016)
44		SoniComi: Communication with Sonico (Windows, 2016)
43		Neko-Nin: exHeart (Windows, 2017)
42		Sapphire Moon: Your best wishes (Windows, 2018)
41		SoniComi: Communication with Sonico (Windows, 2011)
40		Love Death 4: Realtime Lovers (Windows, 2009)
40		Love Death 2: Realtime Lovers (Windows, 2007)
40		Love Death 3: Realtime Lovers (Windows, 2008)

Notes: Games similar to East Tower: Akio, Games like East Tower: Akio, roseVeRte, roseVeRte, Windows, Adventure, Simulation, Anime, Manga, Visual Novel, Detective, Mystery, Romance, 1st-person, Fixed, Flip-screen, PC, Game Similarities.