63		Build City (Windows, 2002)
53		Serf City: Life is Feudal (DOS, 1995)
46		SimCity 4 (Windows, 2003)
44		Emperor: Rise of the Middle Kingdom (Windows, 2002)
44		The Settlers II: 10th Anniversary (Windows, 2006)
44		Tabloid Tycoon (Windows, 2005)
43		SimCity 2000 (DOS, 1993)
43		Zeus: Master of Olympus (Windows, 2000)
42		Cinema Empire (Windows, 2007)
42		Caesar II (DOS, 1995)
42		SimCity 3000 Unlimited (Windows, 2000)
42		The Settlers II: Veni, Vidi, Vici (DOS, 1996)
42		SimCity 3000 (Windows, 1999)
42		Pharaoh (Windows, 1999)
42		Caesar III (Windows, 1998)
41		The Settlers III (Windows, 1998)
40		Tamper (DOS, 1993)
40		SimCity 2000 (Windows, 1996)
40		County Fair (Windows, 2009)
40		Caesar II (Windows, 1996)
40		Romopolis (Windows, 2009)
40		Sim Junta (Windows, 2015)
40		Banished (Windows, 2014)

Notes: Games similar to Create City, Games like Create City, IncaGold GmbH, Windows, Simulation, Strategy, Tactics, Managerial, Business Simulation, Isometric, Simulation - City building, PC, Game Similarities.