60		MX vs ATV All Out (Windows, 2018)
40		Off-Road Paradise: Trial 4x4 (Windows, 2017)
40		Tough Trucks: Modified Monsters (Windows, 2003)
40		Off-Road Redneck Racing (Windows, 2001)
40		Kawasaki ATV PowerSports (Windows, 2000)
40		Monster Truck Madness (Windows, 1996)

Notes: Games similar to MX vs ATV Reflex, Games like MX vs ATV Reflex, Rainbow Studios, Inc., THQ Inc., Windows, Racing, Driving, 3rd-person, Other, Motorcycle, Off-roading, PC, Game Similarities.