41		Combat Mission: Shock Force - NATO (Windows, 2010)
40		Red Lightning (DOS, 1989)
40		Incunabula (DOS, 1984)

Notes: Games similar to Plague Inc.: Evolved, Games like Plague Inc.: Evolved, Ndemic Creations, Ndemic Creations, Windows, Simulation, Strategy, Tactics, Turn-based, Top-down, PC, Game Similarities.