45		#SelfieTennis (Windows, 2016)
44		Virtual Sports (Windows, 2017)
42		Tennis Elbow 2013 (Windows, 2013)
42		Great Courts 2 (DOS, 1991)
41		4D Sports Tennis (DOS, 1990)
40		Davis Cup Complete Tennis (DOS, 1996)
40		Pete Sampras Tennis 97 (DOS, 1997)
40		New Star Tennis (Windows, 2010)
40		Serve & Volley (DOS, 1988)
40		Tennis Cup (DOS, 1990)
40		International Tennis (DOS, 1993)
40		Tennis Titans (Windows, 2005)
40		International Tennis Open (DOS, 1994)
40		Tennis Elbow 2004 (Windows, 2004)
40		Roland Garros French Open 2000 (Windows, 2000)
40		Tennis Antics (Windows, 2000)
40		Roland Garros French Open - Paris 1999 (Windows, 2000)
40		Extreme Tennis (Windows, 1999)
40		Pete Sampras Tennis 97 (Windows, 1997)
40		Tennis Masters Series (Windows, 2001)
40		Roland Garros French Open 2001 (Windows, 2001)
40		Tennis Ace (Windows, 2004)
40		Roland Garros French Open 2003 (Windows, 2003)
40		Matchball (Windows, 2003)
40		International Tennis Open (Windows, 2001)
40		The French Open 1998 (Windows, 1997)

Notes: Games similar to First Person Tennis: The Real Tennis Simulator, Games like First Person Tennis: The Real Tennis Simulator, Mikori Games, Mikori Games, Windows, Sports, 1st-person, 3rd-person, Other, Tennis, PC, Game Similarities.