99		Fallout 76 (Xbox One, 2018)
76		Mass Effect 3 (Xbox 360, 2012)
73		Tom Clancy's The Division (Xbox One, 2016)
66		Borderlands: The Pre-Sequel! (Xbox 360, 2014)
63		Deus Ex: Human Revolution - Director's Cut (Xbox 360, 2013)
60		Defiance (Xbox 360, 2013)
60		Fallout: Brotherhood of Steel (Xbox, 2004)
53		Mass Effect: Andromeda (Xbox One, 2017)

Notes: Games similar to Fallout 4, Games like Fallout 4, Bethesda Game Studios, Bethesda Softworks LLC, Xbox One, Action, Role-Playing, RPG, Post-Apocalyptic, Sci-Fi, Futuristic, Sandbox, Open World, Shooter, 1st-person, Behind view, Creation Engine, Havok, Wasteland, Microsoft Xbox, Game Similarities.