99		Fallout 76 (Windows, 2018)
99		Fallout 4 VR (Windows, 2017)
76		Mass Effect 3 (Windows, 2012)
72		Tom Clancy's The Division (Windows, 2016)
67		Borderlands: The Pre-Sequel! (Windows, 2014)
66		Deus Ex: The Fall (Windows, 2014)
65		Deus Ex: Human Revolution - Director's Cut (Windows, 2013)
64		The Repopulation (Windows, 2014)
63		Deus Ex: Breach (Windows, 2017)
63		Consortium: The Tower (Windows, 2017)
63		Deus Ex (Windows, 2000)
62		Cube Universe (Windows, 2018)
62		Gunheart (Windows, 2018)
61		E.Y.E: Divine Cybermancy (Windows, 2011)
60		Sabotain: Break the Rules (Windows, 2004)
60		Defiance (Windows, 2013)
60		Ocean City Nemesis (Windows, 2004)
55		NieR: Automata (Windows, 2017)
54		Mass Effect: Andromeda (Windows, 2017)
50		Space Griffon VF-9 (Windows, 2000)
50		Endless Ages (Windows, 2003)
50		Neocron 2: Beyond Dome of York (Windows, 2004)
50		Project Visitor (Windows, 2003)
50		Face of Mankind (Windows, 2006)
42		SpaceBourne (Windows, 2018)

Notes: Games similar to Fallout 4, Games like Fallout 4, Bethesda Game Studios, Bethesda Softworks LLC, Windows, Action, Role-Playing, RPG, Post-Apocalyptic, Sci-Fi, Futuristic, Sandbox, Open World, Shooter, 1st-person, Behind view, Creation Engine, Havok, Wasteland, PC, Game Similarities.