99		Fallout 76 (PlayStation 4, 2018)
76		Mass Effect 3 (PlayStation 3, 2012)
72		Tom Clancy's The Division (PlayStation 4, 2016)
66		Borderlands: The Pre-Sequel! (PlayStation 3, 2014)
63		Horizon: Zero Dawn (PlayStation 4, 2017)
63		Deus Ex: Human Revolution - Director's Cut (PlayStation 3, 2013)
62		Deus Ex (PlayStation 2, 2002)
62		Deus Ex (PlayStation 3, 2012)
60		Fallout: Brotherhood of Steel (PlayStation 2, 2004)
60		Defiance (PlayStation 3, 2013)
56		NieR: Automata (PlayStation 4, 2017)
53		Mass Effect: Andromeda (PlayStation 4, 2017)
50		Space Griffon VF-9 (PlayStation, 1997)

Notes: Games similar to Fallout 4, Games like Fallout 4, Bethesda Game Studios, Bethesda Softworks LLC, PlayStation 4, Action, Role-Playing, RPG, Post-Apocalyptic, Sci-Fi, Futuristic, Sandbox, Open World, Shooter, 1st-person, Behind view, Creation Engine, Havok, Wasteland, Sony PlayStation, PSX, PS1, PS2, PS3, PS4, Game Similarities.