94		Trucks & Trailers (Windows, 2011)
91		American Truck Simulator (Windows, 2016)
90		18 Wheels of Steel: Across America (Windows, 2003)
85		UK Truck Simulator (Windows, 2010)
85		German Truck Simulator (Windows, 2010)
84		Big Rig Europe (Windows, 2009)
83		Euro Truck Simulator 2 (Windows, 2013)
65		Delivery Truck Simulator (Windows, 2010)
65		Tanker Truck Simulator 2011 (Windows, 2010)
65		Truck Racing by Renault Trucks (Windows, 2010)
64		18 Wheels of Steel: Extreme Trucker (Windows, 2009)
64		18 Wheels of Steel: Extreme Trucker 2 (Windows, 2011)
64		Rig'n'Roll (Windows, 2009)
63		Scania Truck Driving Simulator: The Game (Windows, 2012)
62		18 Wheels of Steel: American Long Haul (Windows, 2007)
61		Mercedes-Benz Truck Racing (Windows, 2001)
61		Maxx Trucks (Windows, 2006)
61		18 Wheels of Steel: Haulin' (Windows, 2006)
60		18 Wheels of Steel: Pedal to the Metal (Windows, 2004)
60		Bus Simulator 18 (Windows, 2018)
60		King of the Road (Windows, 2001)
60		18 Wheels of Steel: Convoy (Windows, 2005)
60		Hard Truck 2 (Windows, 2000)
60		Big Rigs: Over the Road Racing (Windows, 2003)
60		Hard Truck: 18 Wheels of Steel (Windows, 2002)
60		Hard Truck: Road to Victory (Windows, 1998)
55		Driving Simulator 2011 (Windows, 2010)
55		Transportando o Brasil (Windows, 2010)
53		Driving Simulator 2009 (Windows, 2008)
53		Driving Simulator 2012 (Windows, 2012)

Notes: Games similar to Tow Truck Simulator 2010, Games like Tow Truck Simulator 2010, Lightrock Entertainment, Excalibur Publishing Limited, Windows, Racing, Driving, Simulation, Vehicle Simulator, 3rd-person, Other, Top-down, Transport, Truck, Truck racing, driving, PC, Game Similarities.