54		Farm Frenzy: Ancient Rome (Windows, 2011)
50		Hannibal (DOS, 1993)
45		GabCab (Windows, 2010)
44		Europa Universalis: Rome (Windows, 2008)
44		Pizza, Pizza! (Windows, 2009)
43		MMORPG Tycoon (Windows, 2008)
42		Prison Tycoon 3: Lockdown (Windows, 2007)
42		Zaster Imperium (Windows, 2007)
41		Ticket to Ride (Windows, 2006)
40		Subtrade: Return to Irata (DOS, 1992)
40		Nantucket (Windows, 2018)
40		Crisis in the Kremlin (DOS, 1992)
40		Command: Chains of War (Windows, 2017)
40		Blueprint Tycoon (Windows, 2016)
40		The BEER War! (Windows, 1997)
40		Merchant Prince II (Windows, 2001)
40		Pax Romana (Windows, 2003)
40		Another Brick in the Mall (Windows, 2016)

Notes: Games similar to Ancient Rome, Games like Ancient Rome, Ladia Group, Big Fish Games, Inc, Windows, Strategy, Tactics, Managerial, Business Simulation, Top-down, Simulation - City building, Ancient Roman, PC, Game Similarities.