75		FlatOut 3: Chaos & Destruction (Windows, 2011)
47		FlatOut 2 (Windows, 2006)
46		FlatOut: Ultimate Carnage (Windows, 2008)
46		FlatOut (Windows, 2005)
45		Zombie Car Massacre (Windows, 2017)
45		Home Alone Girlfriend (Windows, 2017)
44		Table Top Racing: World Tour (Windows, 2016)
44		Lethal Brutal Racing (Windows, 2016)
42		Crash&Burn Racing (Windows, 2014)
42		Nitronic Rush (Windows, 2011)
41		Big Red Racing (Windows, 1996)
41		Split/Second (Windows, 2010)
41		Driver: San Francisco (Windows, 2011)
41		Big Red Racing (DOS, 1996)
41		Fast & Furious: Showdown (Windows, 2013)
41		Midnight Club II (Windows, 2003)
40		Enviro-Bear 2000: Operation: Hibernation (Windows, 2009)
40		City Racing (Windows, 2008)
40		Alarm für Cobra 11 (Windows, 2000)
40		The Super Drive (Windows, 2004)
40		Midnight Racing (Windows, 2004)
40		Toon Car: The Great Race (Windows, 2001)
40		City Racer: Underground Action (Windows, 2008)
40		Zero Gear (Windows, 2010)
40		Alarm for Cobra 11: Nitro (Windows, 2006)
40		Disney•Pixar Cars (Windows, 2006)
40		Alarm for Cobra 11: Hot Pursuit (Windows, 2004)
40		Shanghai Street Racer (Windows, 2004)
40		Wheelman (Windows, 2009)

Notes: Games similar to Fl4tout: Total Insanity, Games like Fl4tout: Total Insanity, Kylotonn SARL, Strategy First, Inc., Windows, Action, Racing, Driving, 1st-person, Behind view, Automobile, Off-roading, Track Racing, PC, Game Similarities.