99		Fallout 4 (Windows, 2015)
95		Fallout 4 VR (Windows, 2017)
87		Defiance (Windows, 2013)
80		Project Visitor (Windows, 2003)
80		Neocron 2: Beyond Dome of York (Windows, 2004)
80		Face of Mankind (Windows, 2006)
80		Endless Ages (Windows, 2003)
63		Tom Clancy's The Division (Windows, 2016)
57		Mass Effect 3 (Windows, 2012)
55		Gunheart (Windows, 2018)
55		Cube Universe (Windows, 2018)
54		Consortium: The Tower (Windows, 2017)
54		Deus Ex: Breach (Windows, 2017)
53		Deus Ex (Windows, 2000)
53		Deus Ex: The Fall (Windows, 2014)
52		Borderlands: The Pre-Sequel! (Windows, 2014)
52		Deus Ex: Human Revolution - Director's Cut (Windows, 2013)
51		The Repopulation (Windows, 2014)
50		Sabotain: Break the Rules (Windows, 2004)
50		Space Griffon VF-9 (Windows, 2000)
50		Rolemaster: Magestorm (Windows, 1996)
50		E.Y.E: Divine Cybermancy (Windows, 2011)
50		Ocean City Nemesis (Windows, 2004)
48		NieR: Automata (Windows, 2017)
45		SpaceBourne (Windows, 2018)
45		Atlas (Windows, 2018)
45		Mass Effect: Andromeda (Windows, 2017)
42		ARK: Survival Evolved (Windows, 2015)

Notes: Games similar to Fallout 76, Games like Fallout 76, Bethesda Game Studios, Bethesda Softworks LLC, Windows, Action, Role-Playing, RPG, North America, Post-Apocalyptic, Sci-Fi, Futuristic, Sandbox, Open World, Shooter, Persistent, 1st-person, Behind view, Creation Engine, Havok, PC, Game Similarities.